“for reasons of conscience, including a religious belief”
vs
“conflicts with tenets and practices of the church or religious denomination of which the applicant is a member”
Seems pretty different to me. Not only do you have to be a “member” for that to work, it has to go against the “tenets and practices” of that particular church or denomination...otherwise find an Alaskan doc that says it will hurt you.
But I can be a church or denomination of one, complete with whatever tenets and practices
I receive via divine revelation (i.e., dream up). Or, if I can't, then the state is arrogating the right to establish a religion, which is illegal under the Constitution.
On some other thread, someone mentioned that the reason the Texas law was opt-out was that opt-in would have disqualified the opt-inners from insurance coverage. Whereas, of course, those who didn't want it could opt-out for free. They just needed to read their mail. So, arguably, Perry's only victims in the Gardasil thing were the insurance companies.