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State of California—Health and Human Services Agency
California Department of Public Health

AFL 23-26
August 25, 2023

All Facilities

New Legal Requirement to Submit Immunization Data


​All Facilities Letter (AFL) Summary

  • This AFL notifies SNFs and ICFs of the chaptering of AB 1797 (Chapter 582, Statutes of 2022) requiring all California healthcare providers to report vaccine administration information to a California Immunization Registry (CAIR or Healthy Futures/RIDE).
  • SNFs and ICFs must ensure that they enter every vaccine administered, along with patient’s race and ethnicity, into the immunization registry to support access to immunization data needed for the Centers of Medicare and Medicaid Services (CMS) reporting.


Effective January 1, 2023, AB 1797 amended Health and Safety Code (HSC) section 120440 requiring all California healthcare providers, including SNFs and ICFs, to enter all vaccine administration information into a California immunization registry.

Facilities located in Alpine, Amador, Calaveras, Mariposa, Merced, San Joaquin, Stanislaus, or Tuolumne counties will need to report all vaccine administration information into Healthy Futures/RIDE. All other providers must report every vaccine administration into the immunization registry CAIR.

Benefits to participating in an immunization registry include: saving time, improving patient care​ and assisting facilities to run vaccine data reports to access data required for annual CMS reporting.

Support with Enrollment and Beginning Record Entry

If a facility administers vaccines but is not entering records into a California immunization registry, please follow the steps below: 

If an outside organization administers vaccines at a facility, this organization is also required to report all doses into a California immunization registry.

Data Quality   

If a facility is already submitting vaccine administration information to a California immunization registry:

  • Run reports on administered doses to ensure information is being entered accurately. You may compare this report against doses in a vaccine administration log or an EHR report.
  • If a facility exchanges data (DX) from electronic health records, CAIR strongly encourages the facility to set up at least one staff with a Data Exchange Quality Assurance (DX QA) user role in CAIR. This role has access to the “Check Status”​ page for monitoring data submissions and data quality. For more information, visit the Data Exchange Monitoring Resources section on the CAIR2 User Guides

Consumer Direct Access – Help Increase Record Completeness

The Digital Vaccine Record (DVR) can now help patients and staff obtain their own summary report of all their vaccines recorded in the immunization registry. Additionally, facilities are highly encouraged to submit all historical immunization records to improve completeness of records:

 Additional Contact Information

For additional information, see the California Department of Public Health’​s AB 1797 Immunization Registry FAQs.

If you have any questions about this AFL, please contact the CAIR Help Desk via email at or phone at 800-578-7889. or your Local CAIR Representative.


Original signed by Cassie Dunham

Cassie Dunham
Deputy Director

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