The new payer paradigm – the need to deliver higher quality at lower costs to get paid by Medicare – means there’s a real need to change. Everybody’s trying to figure out, ‘how do we do this?'," says Dr. Edward Cohen.

On June 30, 2015, California Governor Jerry Brown signed Senate Bill 277 into law. SB 277 removes the personal belief exemption (PBE) from school vaccination requirements and allows exemptions only for medical reasons.  SB 277 will go into effect on July 1, 2016.