The Young Americans Immunization Policy requires incoming cast members to obtain the vaccinations and screening recommended for colleges and universities by the California Department of Public Health (CDPH) for those diseases that can be passed on to others by respiratory transmission and therefore can pose risk to others attending classes, living in student apartments, using other College facilities or attending College/Production events. These vaccines currently include:

• Measles, mumps, rubella (MMR)
• Varicella/chickenpox (VZV)
• Tetanus, diphtheria, and pertussis (Tdap)
• Hepatitis B (Hep B)
• The meningococcal conjugate vaccine (MenACWY) is required for students aged 21 and younger.
• All incoming students must also provide proof of a negative tuberculosis (TB) test.

Vaccination Documentation

1. All incoming applicants must enter their vaccination history and/or disease-specific antibody titers directly into the Enrollment Application.
2. The TB test results must also be submitted to the Enrollment Application.
3. Verification of applicant-entered immunization history will be performed on some or all of the self-entered data. Administrative Services will place an enrollment hold on applicants who are not compliant with the immunization/screening requirement. This will prevent them from being enrolled into courses until the hold is removed.

Access to Vaccines/Testing
1. Applicants are strongly encouraged to complete all necessary vaccinations and/or testing prior to arriving on the YA campus. YACPA does not have a campus health center.
2. Vaccination history and documentation should be submitted in advance of arrival to avoid delays in registration.
3. Applicants with identified risk factors for TB, such as foreign-birth in a country with an elevated TB rate (includes countries other than the United States, Canada, Australia, New Zealand, or Western and North European countries), should have a tuberculin skin test (TST), Interferon-gamma release blood test (IGRA), or chest x-ray. IGRA is preferred over TST or chest x-ray for foreign-born persons.
4. Where necessary, applicants may alternatively obtain the necessary vaccinations/testing upon arrival in Corona.
5. Vaccination costs are typically covered by health insurance plans, as required by the Affordable Care Act. However, applicants without standard insurance plans should obtain vaccinations from their primary care provider in order to avoid paying the full cost for these vaccinations or tests at a provider in Corona.

Exemptions to Receiving Required Immunizations
Applicants with a medical condition that prevents them from being safely vaccinated may apply for a medical exemption by having a licensed, treating medical provider (i.e. a physician (MD or DO), nurse practitioner (NP), or physician assistant (PA)) complete a Medical Exemption Request Form. Applicants must then submit the completed form to the Administrative Services office.
Requests that specify either (i) a CDC or vaccine manufacturer’s listed contraindication for one or more vaccines, or that contain a statement from the treating medical provider that the physical condition of the person, or (ii) medical circumstances relating to the person are such that immunization is not considered safe, indicating the specific nature and probable duration of the medical condition or circumstances that contraindicate immunization with the vaccine(s), will meet criteria for approval of the Medical Exemption. Medical Exemption requests outside of these categories will be denied.

RELATED INFORMATION
California Department of Public Health (CDPH)–Recommendations for Immunization and Screening Requirements for California Colleges & Universities; IMM-1014 (3/16): Recommendations for Immunization and Screening Requirements for California
Colleges and Universities (http://eziz.org/assets/docs/IMM-1014.pdf).

American College Health Association (ACHA)–ACHA Guidelines
Recommendations for Institutional Prematriculation Immunizations, April 2014

California Senate Bill No. 277–An act to amend Sections 120325, 120335, 120370, and 120375 of, to add Section 120338 to, and to repeal Section 120365 of, the Health and Safety Code, relating to public health. Approved by Governor June 30, 2015. Filed with Secretary of State June 30, 2015.