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State Sen. Richard Pan, D-Sacramento, left, receives congratulations from Southern California Democratic state Sen. Bob Archuleta, right, after his measure to toughen the rules for vaccination exemptions was approve by the Senate, Wednesday, May 22, 2019, in Sacramento, Calif. The bill, SB27…

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An opponent of a measure to toughen the rules for vaccination exemptions gives a thumbs down as the bill's author, state Sen. Richard Pan, D-Sacramento, makes his closing statements Wednesday, May 22, 2019, in Sacramento, Calif. The Senate approved the bill, SB276, that gives state public he…

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State Sen. Richard Pan, D-Sacramento, left, calls on lawmakers to approve his measure to toughen the rules for vaccination exemptions Wednesday, May 22, 2019, in Sacramento, Calif. The Senate approved the bill, SB276, that gives state public health officials instead of local doctors the powe…

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State Sen. John Moorlach, R-Costa Mesa, calls on lawmakers to reject a measure to toughen the rules for vaccination exemptions Wednesday, May 22, 2019, in Sacramento, Calif. The Senate approved the bill, SB276, by state Sen. Richard Pan, D-Sacramento, that gives state public health officials…