(a)

(1) Prior to January 1, 2021, if the parent or guardian files with the governing authority a written statement by a licensed physician and surgeon to the effect that the physical condition of the child is such, or medical circumstances relating to the child are such, that immunization is not considered safe, indicating the specific nature and probable duration of the medical condition or circumstances, including, but not limited to, family medical history, for which the physician and surgeon does not recommend immunization, that child shall be exempt from the requirements of this chapter, except for

Section 120380, and exempt from Sections 120400, 120405, 120410, and to the extent indicated by the physician and surgeon’s statement.

(2) Commencing January 1, 2020, a child who has a medical exemption issued before January 1, 2020, shall be allowed continued enrollment to any public or private elementary or secondary school, child care center, day nursery, nursery school, family day care home, or developmental center within the state until the child enrolls in the next grade span. For purposes of this subdivision, “grade span” means each of the following: (

A) Birth to preschool, inclusive. (

B) Kindergarten and grades to 6, inclusive, including transitional kindergarten. (

C) Grades to 12, inclusive.

(3) Except as provided in this subdivision, on and after July 1, 2021, the governing authority shall not unconditionally admit or readmit to any of those institutions specified in this subdivision, or admit or advance any pupil to 7th grade level, unless the pupil has been immunized pursuant to

Section or the parent or guardian files a medical exemption form that complies with

Section 120372. (

b) If there is good cause to believe that a child has been exposed to a disease listed in subdivision (

b) of

Section and the child’s documentary proof of immunization status does not show proof of immunization against that disease, that child may be temporarily excluded from the school or institution until the local health officer is satisfied that the child is no longer at risk of developing or transmitting the disease.