The West Virginia Capitol with its dome framed by turning sugar maples leaves is seen, Nov. 3, 2014, in Charleston, W.Va. Lawmakers in West Virginia's GOP-controlled state Legislature voted Saturday, March 9, 2024, to allow some students who don't attend traditional public schools to be exempt from state vaccination requirements that have long been held up as some of the most strict in the country. (Tom Hindman/The Daily Mail via AP, File)