Under federal recommendations by the National Vaccine Program Office (NVPO) in the National Adult Immunization Plan (NAIP), National Healthy People goals are used to guide adult vaccination recommendations. While the NAIP fails to incorporate informed consent and privacy protections and Healthy People goals are aspirational and carry no statutory impact, it is used by states for guidance in implementing adult vaccine mandates.
Adult vaccine mandates vary from state to state and from employer to employer. Currently, most adult vaccine mandates occur in the health care setting and impact health care workers and some contractors and usually involve the hepatitis B and influenza vaccines.
Below is information relating to vaccine mandates and exemption rights for employer vaccine mandates, as well as information relating to senior living. For information on vaccine exemptions and requirements in a post secondary (college and university) setting, please visit NVIC's FAQ on College Vaccine Requirements. For information on FDA authorized emergency use (EUA) vaccines, like COVID-19, and consumer or military personnel rights associated with these vaccines, please visit NVIC's FAQ on Emergency Use Vaccines. Currently, all COVID-19 vaccines in use in the U.S. have FDA EUA status.