Colorado's Personal Belief Exemption Policy for Immunizations: Stakeholder Engagement Process Report


The Colorado Department of Public Health and Environment (CPDHE) along with the Colorado Children’s Immunization Coalition (CCIC), partnered with The Keystone Center (Keystone), a neutral, third party facilitator whose mission is to bring together today’s leaders to create solutions to society’s pressing challenges. Over six months, CDPHE, CCIC, and Keystone planned and implemented a stakeholder engagement process involving eight sector specific focus group meetings, multiple key informant interviews, and three stakeholder meetings to achieve the following outcomes: 

Outcome 1: Stakeholders will gain a better understanding of the current state of personal belief exemption attitudes and opinions in Colorado based on reviewing a background report developed from sector-specific focus groups of health care providers, parents, school administrators, school nurses and public health officials. 

Outcome 2: Stakeholders will meaningfully participate in facilitated in-depth discussions on current personal belief exemption policies and practices in Colorado. 

Outcome 3: Stakeholders will generate potential policy and/or rule changes to the personal belief exemption system. 

Outcome 4: Stakeholders will make final recommendations on Colorado’s Personal Belief Exemption system to be formally submitted to CDPHE in a written report.