California law requires that children entering kindergarten are to obtain vaccinations for several diseases. However, parents are currently able to obtain exemptions if vaccinations are against personal or religious beliefs by providing documentation stating that the parents have been informed about the vaccine and disease.

The SGR Reform and the Childrens Health Insurance Reauthorization Act has finally crossed the U.S. Senate and passed after a decade of exhausting debates. This extremely important passage disrupts the original SRG outline which has held back a plethora of issues including payment plans and physician involvement in regards to determining how much input they are able to contribute on quality. While the SGR repeal will stand as an example of the effect that group effort maintains, it will also allow for there to be new discourse on other healthcare issues.