Many candies contain Red No. 40, Yellow No. 5 and Yellow No. 6. They are among the food dyes banned in West Virginia by a measure signed into law in March. Such bans are just one example of how the "Make America Healthy Again" movement has made inroads in state legislatures. (Photo by Carol Johnson/Stateline)

This article first appeared on KFF Health News.

When one of Adam Burkhammer’s foster children struggled with hyperactivity, the West Virginia legislator and his wife decided to alter their diet and remove any foods that contained synthetic dyes.

“We saw a turnaround in his behavior, and our other children,” said Burkhammer, who has adopted or fostered 10 kids with his wife. “There are real impacts on real kids.”

The Republican turned his experience into legislation, sponsoring a bill to ban seven dyes from food sold in the state. It became law in March, making West Virginia the first state to institute such a ban from all food products.

The bill was among a slew of state efforts to regulate synthetic dyes. In 2025, roughly 75 bills aimed at food dyes were introduced in 37 states, according to the National Conference of State Legislatures.

Chemical dyes and nutrition are just part of the broader “Make America Healthy Again” agenda. Promoted by Health and Human Services Secretary Robert F. Kennedy Jr., MAHA ideas have made their deepest inroads at the state level, with strong support from Republicans — and in some places, from Democrats. The $50 billion Rural Health Transformation Program — created last year as part of the GOP’s One Big Beautiful Bill Act to expand health care access in rural areas — offers incentives to states that implement MAHA policies.

Federal and state officials are seeking a broad swath of health policy changes, including rolling back routine vaccinations and expanding the use of drugs such as ivermectin for treatments beyond their approved use. State lawmakers have introduced dozens of bills targeting vaccines, fluoridated water and PFAS, a group of compounds known as “forever chemicals” that have been linked to cancer and other health problems.

In addition to West Virginia, six other states have targeted food dyes with new laws or executive orders, requiring warning labels on food with certain dyes or banning the sale of such products in schools. California has had a law regulating food dyes since 2023.

Most synthetic dyes used to color food have been around for decades. Some clinical studies have found a link between their use and hyperactivity in children. And in early 2025, in the last days of President Joe Biden’s term, the Food and Drug Administration outlawed the use of a dye known as Red No. 3.

Major food companies including Nestle, Hershey  and PepsiCo have gotten on board, pledging to eliminate at least some color additives from food products over the next year or two.

“We anticipate that the momentum we saw in 2025 will continue into 2026, with a particular focus on ingredient safety and transparency,” said John Hewitt, the senior vice president of state affairs for the Consumer Brands Association, a trade group for food manufacturers.

This past summer, the group called on its members to voluntarily eliminate federally certified artificial dyes from their products by the end of 2027.

“The state laws are really what’s motivating companies to get rid of dyes,” said Jensen Jose, regulatory counsel for the Center for Science in the Public Interest, a nonprofit health advocacy group.

Andy Baker-White, the senior director of state health policy for the Association of State and Territorial Health Officials, said the bipartisan support for bills targeting food dyes and ultraprocessed food struck him as unusual. Several red states have proposed legislation modeled on California’s 2023 law, which bans four food additives.

“It’s not very often you see states like California and West Virginia at the forefront of an issue together,” Baker-White said.

Although Democrats have joined Republicans in some of these efforts, Kennedy continues to drive the agenda. He appeared with Texas officials when the state enacted a package of food-related laws, including one that bars individuals who participate in the Supplemental Nutrition Assistance Program — SNAP or food stamps — from using their benefits to buy candy or sugary drinks. In December, the U.S. Department of Agriculture approved similar waivers sought by six states. Eighteen states will block SNAP purchases of those items in 2026.

There are bound to be more. The Rural Health Transformation Program also offers incentives to states that implemented restrictions on SNAP.

“There are real and concrete effects where the rural health money gives points for changes in SNAP eligibility or the SNAP definitions,” Baker-White said.

In October, California Gov. Gavin Newsom signed a bill that sets a legal definition for ultraprocessed foods and will phase them out of schools. It’s a move that may be copied in other states in 2026, while also providing fodder for legal battles. In December, San Francisco City Attorney David Chiu sued major food companies, accusing them of selling “harmful and addictive” products. The lawsuit names specific brands — including cereals, pizzas, sodas and potato chips — linking them to serious health problems.

Kennedy has also blamed ultraprocessed foods for chronic diseases. But even proponents of the efforts to tackle nutrition concerns don’t agree on which foods to target. MAHA adherents on the right haven’t focused on sugar and sodium as much as policymakers on the left. The parties have also butted heads over some Republicans’ championing of raw milk, which can spread harmful germs, and the consumption of saturated fat, which contributes to heart disease.

Policymakers expect other flash points. Moves by the FDA and the Centers for Disease Control and Prevention that are making vaccine access more difficult have led blue states to find ways to set their own standards apart from federal recommendations, with 15 Democratic governors announcing a new public health alliance in October. Meanwhile, more red states may eliminate vaccine mandates for employees; Idaho made them illegal. And Florida Gov. Ron DeSantis is pushing to eliminate school vaccine mandates.

Even as Kennedy advocates eliminating artificial dyes, the Environmental Protection Agency has loosened restrictions on chemicals and pesticides, leading MAHA activists to circulate an online petition calling on President Donald Trump to fire EPA Administrator Lee Zeldin.

Congress has yet to act on most MAHA proposals. But state lawmakers are poised to tackle many of them.

“If we’re honest, the American people have lost faith in some of our federal institutions, whether FDA or CDC,” said Burkhammer, the West Virginia lawmaker. “We’re going to step up as states and do the right thing.”

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — an independent source of health policy research, polling and journalism. Learn more about KFF.

The James H. Shannon Building (Building One), on the National Institutes of Health campus in Bethesda, Maryland. (Photo by Lydia Polimeni,/National Institutes of Health)

The Trump administration will review frozen grants to universities without using its controversial standards that discouraged gender, race and sexual orientation initiatives and vaccine research.

In a settlement agreement filed in Massachusetts federal court Monday, the National Institutes of Health and a group of Democratic attorneys general who’d challenged the new criteria for grant funding said the NIH would consider grant applications made up to Sept. 29, 2025, without judging the efforts related to diversity, equity and inclusion, or DEI, or vaccines.

The settlement provides an uncontested path for the agency while courts decide whether the administration can use its controversial analysis. The administration did not agree to permanently ditch its campaign to evaluate health research funding decisions based on schools’ DEI programs.

NIH officials “will complete their consideration of the Applications in the ordinary course of NIH’s scientific review process, without applying the Challenged Directives,” the settlement said, adding that the agency would “evaluate each application individually and in good faith.”

The settlement was signed by U.S. Department of Justice lawyers and the attorneys general of Massachusetts, California, Maryland, Washington, Arizona, Colorado, Delaware, Hawaii, Minnesota, Nevada, New Jersey, New Mexico, New York, Oregon, Rhode Island and Wisconsin.

In a Tuesday statement, Massachusetts Attorney General Andrea Joy Campbell said the agreement commits the Department of Health and Human Services to resume “the usual process for considering NIH grant applications on a prompt, agreed-upon timeline.” 

The 17 attorneys general sued in April over $783 million in frozen grants. 

A trial court and appeals court in Massachusetts sided with the states, but the U.S. Supreme Court ruled in August that the trial judge lacked the authority to compel the grants to be paid, especially in light of a similar decision involving the Education Department.

Wisconsin's health department is sticking with a recommendation that children receive the hepatitis B vaccine at birth. (Photo by John Moore/Getty Images)

Wisconsin’s health department is reaffirming longstanding recommendations that all newborns get a vaccination for hepatitis B.

The Department of Health Services announced Thursday it has sent a memo to Wisconsin vaccination providers about the vaccine.

“DHS continues to recommend that all newborns receive the hepatitis B vaccine within 24 hours of birth, and then go on to complete the standard three-dose series within the first 18 months of life,” said Dr. Ryan Westergaard, chief medical officer in the DHS bureau of communicable diseases, at a media briefing Thursday.

Hepatitis B, a viral infection, can lead to lifelong liver disease, Westergaard said, including cirrhosis and liver cancer.

“Infants and young children are particularly at high risk,” he said. A baby infected with the virus has up to a 90% chance of developing chronic liver disease, he said.

Infants can be exposed during birth or through close contact with adults and caregivers “who may not even know that they carry the virus,” Westergaard added. “That’s why vaccination early in life is so important.”

DHS issued the announcement following a federal shift in vaccine policy, eliminating a recommendation in place since 1991 for newborns to receive the hepatitis B shot. The recommendation was eliminated Dec. 5 in a vote by the Advisory Committee on Immunization Practices at the Centers for Disease Control and Prevention.

In June, U.S. Health and Human Services Secretary Robert F. Kennedy Jr. replaced all 17 members of the advisory committee with a new group of appointees, many of whom are seen as vaccine skeptics.

CDC vaccine committee overturns decades-old hepatitis B recommendation for newborns

The decision to end the recommendation for all newborns to get the hepatitis B shot dismayed the leaders of  medical organizations, including the American Medical Association and the Association of State and Territorial Health Officials.

“For more than 30 years, the hepatitis B vaccine has been used safely and effectively in newborns,” Westergaard said Thursday. Since the 1991 recommendation was put in place, hepatitis B infections in children have declined by 99%, he said.

“This recommendation is grounded in decades of research showing that the vaccine is safe and effective, and it aligns with guidance of the American Academy of Pediatrics and other leading medical groups,” Westergaard said. “So, our message today is straightforward, hepatitis B and its long-term health consequences are preventable. And routine childhood vaccination remains one of our most effective tools we have to protect children’s health and prevent lifelong disease.”

Westergaard said there has been no change in insurance coverage for the vaccine and that the hepatitis B shot remains among the vaccines available through the Vaccine for Children’s program for patients without health insurance.

ACIP also recommended blood testing for antibodies before giving the rest of the hepatitis B series shots for infants and young children, but Westergaard said that recommendation is not supported by scientific evidence.

The presence of hepatitis B antibodies in adults is a good indicator that they are protected against an infection, he said. “There’s no science suggesting that that same strategy works for newborns and children,” he added.

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Wisconsin’s Department of Health Services is continuing to recommend that anyone over 6 months old get an updated, annual version of the COVID-19 vaccine.

Meanwhile, the state’s DHS has put out a standing order for the vaccine. State officials say that will ensure that most Wisconsinites are able to get the COVID vaccine at pharmacies across Wisconsin without a prescription. 

This year’s Wisconsin DHS guidelines mirror guidance from a broad range of medical experts. And the guidance echoes what state and federal health officials have recommended in recent years.

Wisconsin’s recommendations stand in contrast, however, to recent moves at the federal level.

This year, the federal Food and Drug Administration has approved the new COVID vaccine for Americans ages 65 and older and for people with certain higher risk conditions. At the national level, a panel is set to meet later this week to discuss vaccine recommendations that will be provided to the U.S. Centers for Disease Control and Prevention.

New U.S. Health Secretary Robert F. Kennedy Jr. is a vaccine skeptic who has promoted false information about vaccines.

Wisconsin is now one of several states where health officials have moved to take statewide action on vaccines because of worries about how federal actions could impede vaccine access.

“In the past several months, leaders at federal agencies have made policy decisions and issued recommendations that aren’t supported by or directly contradict scientific consensus,” Dr. Ryan Westergaard, a chief medical officer within DHS, said during a news conference.

The latest announcement from Wisconsin’s health department comes a day after Democratic Gov. Tony Evers issued an executive order directing the Wisconsin DHS to put out its own COVID vaccine recommendations.

The order also attempts to ensure that Wisconsinites won’t have to pay out of pocket for COVID vaccines. It says that the state Office of the Commissioner of Insurance shall “direct all health insurers within their regulatory authority to provide coverage for the COVID-19 vaccine without cost-sharing to all their insureds.”

“Vaccines save lives, folks,” Evers said in a statement accompanying his order. “RFK and the Trump Administration are inserting partisan politics into healthcare and the science-based decisions of medical professionals and are putting the health and lives of kids, families, and folks across our state at risk in the process.”

State health officials are recommending that Wisconsinites get their new COVID vaccines to coincide with the fall spike in respiratory diseases. Those shots are recommended even for people who have gotten COVID shots in the past. That’s because the vaccines released in 2025 are designed to hedge against potentially waning immunity and to target newly emerging versions of the virus, Westergaard said.

“The same way that we recommend getting your flu shot booster every year, because the flu that’s going around this year might be slightly different than the flu that was going around last year, we recommend a COVID booster,” he said.

This story was originally published by WPR.

Wisconsin health department continues to urge new COVID-19 vaccine for anyone over 6 months old is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.

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Before the 1960s, hundreds of thousands of Americans faced measles infections each year. The advent of vaccination eliminated the disease in the United States by 2000. But outbreaks have returned to some U.S. communities as trust in vaccines wanes in many communities.

More than 1,300 measles cases have been confirmed this year across 41 states, the latest being Wisconsin. That’s after the state Department of Health Services on Saturday announced it confirmed nine measles infections in Oconto County — the first in Wisconsin this year. 

Each Oconto County infection involved exposure to a “common source during out-of-state travel,” the state health department said in a statement. 

“DHS, in coordination with the Oconto County Public Health, is working to identify and notify people who may have been exposed to the measles virus,” the statement said. “At this time no public points of exposure have been identified and the risk to the community remains low.”  

What should Wisconsin families know about measles? 

Wisconsin Watch spoke with two University of Wisconsin-Madison experts: Dr. Jim Conway, a professor in the Divisions of Infectious Diseases and Global Pediatrics; and Malia Jones, an assistant professor in the Department of Community and Environmental Health.

We gathered additional information from officials at multiple rural public health departments across Wisconsin and reports from the U.S. Centers for Disease Control and Prevention.

Below are some takeaways. 

When and where am I most susceptible to measles?

That depends on individual health and vaccination status. Very young people (especially infants too young to be vaccinated), older adults and people with compromised immune systems face higher risks for contracting measles and developing severe complications.

Measles tends to spread more easily in crowded urban environments and during travel. However, it can spread anywhere, as evidenced by recent rural outbreaks, including those in Texas, where hundreds of infections have been confirmed and two school children have died. All it really takes is exposure to an infected person. Measles is one of the most highly contagious known diseases. It can remain infectious in the air or on surfaces even after an infected person leaves the area.

To put it in perspective, measles is often reported to have an R nought value — the number used to describe contagiousness — between 12 and 18. That means if one person with measles walked into a room of vulnerable people, odds are they would infect 12 to 18 others in the room. 

What should I do if I start having measles symptoms?

Measles often starts with general cold-like symptoms such as fever, cough, runny nose and watery eyes, making it hard to immediately recognize. The rash typically appears a few days after infection — and after a contagious person may have exposed others. 

If you think you might have measles or have been exposed to it, contact your local health department or healthcare provider immediately — especially if you’re unvaccinated or traveled to an area where cases were reported.  Suspected cases can be reported to local health departments even before confirmation, allowing officials to respond more quickly. Experts recommend staying home while waiting for test results to avoid spreading the virus.

What are the risks of measles?

While some think of measles as a mild childhood illness that everyone used to get, it can be dangerous. The disease can lead to a range of complications, from ear infections and diarrhea to more severe pneumonia or brain-swelling encephalitis. Such brain inflammation can affect multiple parts of the body and even cause permanent damage, especially to the brain and hearing. 

Meanwhile, a  rare but fatal long-term brain disease called subacute sclerosing panencephalitis can develop years after the initial infection. 

Some people infected by measles may experience neurological issues or nerve damage later in life.

One lesser-known risk factor: Measles can disrupt the part of the immune system that remembers previous infections, a phenomenon known as immunity amnesia. That leaves people more vulnerable to future viruses for two to three years after a measles infection.

In higher-income countries measles kills 1 to 3 of every 1,000 people infected, 10% to 20% of infections requiring hospitalization — often due to pneumonia, dehydration or severe diarrhea. Encephalitis occurs in about 1 in 1,000 cases, and pneumonia occurs in about 5% of infections. Children who are malnourished or have limited access to medical care face significantly greater risks. 

U.S. health officials have confirmed three measles-related deaths this year. 

What if I’m unsure whether I’ve had measles or the vaccine?

If you were born before 1957, you’re generally considered immune to measles because the virus was so widespread during the pre-vaccine era. Many adults born in the 1960s and 1970s may assume they’re protected when, in fact, they were never fully vaccinated, or even vaccinated at all. A second dose of the measles, mumps and rubella (MMR) vaccine wasn’t added to routine childhood immunization schedules until 1989, so many adults missed one or both recommended doses. 

The bottom-line is if there’s any uncertainty around your vaccination status, it’s safe to get vaccinated again. There’s no harm in receiving an additional dose of the MMR vaccine. In fact, an extra dose is both safe and more practical — quicker and more cost-effective than getting a blood test to check your immunity.

“More is better,” Conway said. “This is not one of the vaccines that has particularly tough side effects.”

Staying up to date not only protects you from serious illness but also helps safeguard others in your community who may be more vulnerable to complications from measles.

What can I do to protect myself and others?

Vaccination is your best defense. The MMR vaccine is the most effective way to protect yourself and those around you from measles. Make sure you’ve received both recommended doses, and stay informed about outbreaks in your community, especially if you’re traveling or belong to a vulnerable group.

Visit these resources for more information

• About measles (U.S. Centers for Disease Control and Prevention)
• How to protect your children during a measles outbreak (American Academy of Pediatrics)
• Measles cases are rising—here’s how to protect your family (Public Good News)
• How are routine vaccines tested for safety? (Public Good News)
• No, vitamin A does not prevent measles (Public Good News)

Measles has made it to Wisconsin. Here’s what to know about the virus. is a post from Wisconsin Watch, a non-profit investigative news site covering Wisconsin since 2009. Please consider making a contribution to support our journalism.