With growing religious exemptions, the challenge isn't administrative or policy oriented—it is cultural. We must address hesitancy through dialogue.

We must ensure providers have the support they need to remain operational and that we're actively finding alternative options in communities with no providers.

Often records are missing or incomplete. School and public health staff and systems need support to ensure immunization records aren't lost or inaccurate.

Sustainable improvement requires protecting effective public health policies like school vaccine requirements and creating a supportive policy environment.