Retsef Levi, a member of the CDC’s Advisory Committee on Immunization Practices and professor of operations management at the Massachusetts Institute of Technology, signaled that the committee could revisit other vaccine recommendations in future meetings. Maya Homan/Georgia Recorder

This story was updated at 10:45 a.m. on Sept. 22.

ATLANTA —  A key vaccine advisory panel at the Centers for Disease Control and Prevention has indefinitely postponed a controversial change to guidelines on administering hepatitis B vaccines to newborn babies, and altered long-standing recommendations around COVID-19 vaccine access for children and adults, though a proposal to require prescriptions for all individuals seeking the shot narrowly failed. 

The panel also voted to reverse a decision they made only Thursday that would have prevented updated guidelines on the MMRV vaccine, which protects against measles, mumps, rubella and varicella, from applying to children enrolled in the Vaccines for Children program. 

Vaccines for Children is a federal program which covers the cost of vaccines for more than half of American children. The decision to implement different standards for children enrolled in VFC caused confusion among top health officials as well as some committee members when it was introduced Thursday. 

Jason Goldman, the president of the American College of Physicians who also serves as a liaison to the committee, criticized Thursday’s vote, arguing that the changes were not backed by scientific evidence. 

“Would you consider that the second vote actually revealed the truth, that you do not have the data or evidence to challenge the current standing and that there is no associated harm?” Goldman asked the committee.

The committee’s reversal on Friday standardizes the updated MMRV vaccine recommendations for all children. If ACIP’s recommendations are approved by CDC officials, doctors will be advised to administer separate MMR and varicella vaccines for all children under 4 years of age.

ACIP tables a rule delaying Hepatitis B vaccine for newborns

In what appeared to be another reversal, the panel shelved a resolution that sought to alter current CDC recommendations around hepatitis B vaccines for newborn children. 

The current three-dose series for hepatitis B, an incurable viral infection that attacks the liver, includes one vaccine administered to infants within 24 hours of birth, and subsequent booster shots given a month and six months after the initial dose. ACIP has been recommending a hepatitis B vaccine for all newborn babies since 1991, which resulted in a 99% drop in serious infections between 1990 and 2019.

If ACIP members choose to implement the changes at a later meeting, official CDC guidelines will recommend that pediatricians delay administering the first dose of the hepatitis B vaccine until 30 days after birth for all children whose mothers test negative for the disease.

The panel did not provide any evidence indicating that delaying the vaccine improved children’s health, or that there were any widespread or serious instances of harm caused by administering hepatitis B vaccines to newborns. However, some ACIP members also cast doubt on the accuracy of data showing the shot is safe.

“I think that there are gaps in what we know and understand about the effects of hepatitis B, particularly on very young infants,” said Vicky Pebsworth, a committee member who is a registered nurse and who sits on the board of the National Vaccine Information Center, which advocates for vaccine exemptions. “I think that the conclusion that we know that it is safe is, perhaps, premature.” 

Dr. Adam Langer, who serves as the principal deputy director of the CDC’s National Center for HIV, Viral Hepatitis, STD, and Tuberculosis Prevention, urged the panel to reconsider narrowing the recommendations.

“One of the primary reasons for recommending universal birth dose in the U.S. is to serve as a safety net for infants born to mothers with unknown test results,” Langer said during his presentation to the committee on Thursday. 

“To date, no country in the world has reverted from universal to selective birth dose recommendations,” he added.

The meeting, which was held at the CDC’s Chamblee campus, also inspired a demonstration organized by a group of former CDC workers, who dressed up as preventable diseases and waved signs to the passing cars while the meeting was underway. 

Cindy Weinbaum, who spent about a decade of her career at the CDC in the division of viral hepatitis, said she commended the committee for deciding to table a vote that would have changed the recommendations for hepatitis B vaccinations.

“I think it’s really commendable, actually, that they delayed this vote because they do not know the implications of not recommending a birth dose of hepatitis B,” Weinbaum said.

“So that was a nod to their lack of understanding of vaccine programs, vaccine science and the importance of certain vaccinations for kids,” she added.

Weinbaum said the proposal’s appearance on the committee’s agenda reflects the “vaccine nihilism that the current administration is supporting.” She said the shot given to newborns within the first day of their life has found itself in the “cross hairs of the anti-vax movement.”

“It’s because here’s this newborn baby and you’re very vulnerable, and sticking it with a needle is kind of a scary thing,” she said. “They just don’t understand that it’s even more scary to get liver cancer, and that’s really what we want to prevent.”

ACIP moves to center vaccine harm

Though the committee did not implement some of its more controversial proposals, ACIP’s new members have signaled that they would like to place a greater focus on examples of vaccine harm and adverse outcomes in future policy proposals.

They have also rejected widely embraced data on vaccine safety, choosing instead to focus on isolated cases and dubious studies, including one paper claiming that rats exposed to the COVID-19 vaccine exhibited “autism-like behaviors” that was eventually retracted by the journal that published it.

Some ACIP members, including Robert Malone, also pushed back against guidelines that advise vaccinating young children and pregnant women, arguing that there is a lack of data proving definitively that vaccines are safe. 

“The default should be the assumption that there is no intervention in the infant and the pregnant woman with the vaccine unless there is definitive evidence of safety,” Malone said.

But Dr. Cody Meissner, a professor of pediatrics and medicine at Dartmouth College who has served as a past committee member, pushed back against the argument that any medical intervention should be entirely risk-free.

“I just want to point out that it’s very, very difficult to prove the absence of harm, it’s simply not a practical objective,” Meissner said.

“I think it’s important for everyone to understand that no vaccine is 100% safe and no vaccine is 100% effective,” he added. “What’s important for the provider before administering a vaccine is to think about that particular patient and does the benefit of protection exceed any possible side effect from the vaccine.” 

But in a conversation with reporters after the meeting, Retsef Levi, an ACIP member and professor of operations management at the Massachusetts Institute of Technology, signaled that the committee could revisit other vaccine recommendations in future meetings.

“I think we need to review vaccines, in general, from time to time,” Levi said. “It’s part of a good process. I don’t think that I need now to single out one vaccine or another. I think that, in general, it’s actually in the mission of ACIP. . . to actually review every vaccine.”

Georgia Recorder editor-in-chief Jill Nolin contributed to this report.

Correction: An earlier version of this story mischaracterized ACIP’s 1991 recommendation for the first dose of the hepatitis B vaccine. The 1991 recommendation was for all newborn babies to receive the shot, but not specifically within the first day of being born.

A child receives a COVID-19 shot in Annandale, Va., in 2021. Virginia is among the states that have parted ways with new federal guidance restricting access to the vaccine. (Photo by Chip Somodevilla/Getty Images)

At least 17 states have taken steps to ensure broader access to the COVID-19 vaccine since last month, when the federal government significantly restricted eligibility for the shot.

Arizona, California, Colorado, Connecticut, Delaware, Hawaii, Maine, Massachusetts, New Mexico, New York, North Carolina, Oregon, Pennsylvania, Rhode Island, Virginia, Washington and Wisconsin have issued orders that aim to make it easier for people to get the COVID-19 vaccine. All but Virginia have Democratic governors.

Together, the moves represent an extraordinary state rebellion against the public health authority of the federal government.

For decades, states have followed the lead of the U.S. Food and Drug Administration and the federal Centers for Disease Control and Prevention on which vaccines Americans should get, and when they should get them. Now, rejecting the antivaccine stance of U.S. Health and Human Services Secretary Robert F. Kennedy, Jr., an increasing number of states say they will rely instead on their own public health experts and professional medical organizations for that advice.

Previously, the FDA recommended that the COVID-19 vaccine booster be available to anyone 6 months or older. But in August, the federal agency said the booster shot should be limited to two specific groups: people who are 65 and older, and anyone who is at least six 6 months old and has an underlying health condition, such as asthma or obesity, that increases the risk of a COVID-19 infection becoming severe.

Under the new guidelines, children under 18 without an underlying condition can only get the shot if a health care provider is consulted first, meaning parents can’t simply take their kids to a vaccination clinic or pharmacy.

“The American people demanded science, safety, and common sense. This framework delivers all three,” Kennedy wrote on the social media platform X on Aug. 27.

In June, Kennedy ousted the entire vaccine advisory committee at the CDC, replacing some of them with vaccine skeptics. The previous month, he announced that the federal government would no longer recommend that pregnant women get the vaccine.

Currently 43 states — all but Arizona, Florida, Georgia, Louisiana, Oregon, Utah and West Virginia, along with the District of Columbia — allow pharmacies to administer FDA-approved shots without a prescription, according to Amy Thibault, a spokesperson for CVS Health.

But the federal government’s new COVID-19 recommendations have sown confusion. Many people are unsure whether their local pharmacy will give them the shot without a prescription — and if so, whether their health insurance will pay for it.

In the 17 states that have acted thus far, governors and state public health officials are trying to clear up that confusion, empower pharmacists to administer the shot and, in some cases, mandate that insurers pay for it.

The latest state to act is Wisconsin. Democratic Gov. Tony Evers signed an executive order Monday directing state health officials to create policies that ease vaccine restrictions, and requiring insurers to keep covering the COVID-19 shot.

“Vaccines save lives, folks. Spreading fear, distrust, and disinformation about safe and effective vaccines isn’t just reckless, it’s dangerous,” Evers said in a news release. “RFK and the Trump administration are inserting partisan politics into health care 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.”

In addition to Wisconsin, Colorado, Massachusetts and Rhode Island have required insurers to cover the shot, and Arizona Democratic Gov. Katie Hobbs’s executive order calls on state insurance regulators to “encourage” insurers to do so.

In many of the states, including Arizona, Colorado, Maine, Massachusetts, New Jersey, New Mexico and Rhode Island, the governor or the chief public health officer issued a standing order clarifying that pharmacies can administer the vaccine without a prescription.

Earlier this month, New York Democratic Gov. Kathy Hochul issued an executive order allowing pharmacies in her state to administer the shot to anyone 3 or older through October 5. The order can be renewed, pending action by the legislature.

And in Connecticut, Delaware and Pennsylvania, state authorities directed pharmacists to follow the vaccine recommendations issued by professional groups such as the American Academy of Pediatrics, the American Academy of Family Physicians and the American College of Obstetricians and Gynecologists.

North Carolina Democratic Gov. Josh Stein issued an order stating that pharmacies can administer the COVID-19 vaccine without a prescription to all adults over 65 and anyone over 18 with a broad range of underlying health conditions. Virginia’s top public health official issued a similar order.

Earlier this month, the Democratic governors of California, Hawaii, Oregon and Washington announced the formation of the West Coast Health Alliance to coordinate vaccine recommendations for their states. The states pledged to use guidelines based on advice from leading medical organizations.

Meanwhile, Republican-controlled Florida doubled down on Kennedy’s antivaccine stance, announcing plans to become the first state to phase out all vaccine mandates, including ending requirements that kids be vaccinated against dangerous diseases before enrolling in schools.

At a news conference earlier this month, Florida Surgeon General Joseph Ladapo said vaccine mandates are “immoral.”

“Every last one of them is wrong and drips with disdain and slavery,” Ladapo said of such requirements.

In Louisiana, Republican U.S. Sen. Bill Cassidy, who is a physician, suggested last week that state Surgeon General Ralph Abraham should issue a blanket prescription for anyone who wants the COVID-19 shot, the Shreveport Times reported.

Republican Gov. Jeff Landry responded angrily on X.

“The last time I checked you have a prescription pad, why don’t you just leave a prescription for the dangerous Covid shot at your district office and anyone can swing by and get one! I am sure big pharma would love you for that one!” Landry wrote.

Stateline reporter Shalina Chatlani can be reached at schatlani@stateline.org

In this photo illustration, a pharmacist holds a COVID-19 vaccine. States and clinicians are working on getting correct information on vaccines to vulnerable groups amid shifting federal guidance. (Photo illustration by Joe Raedle/Getty Images)

The state health department is recommending COVID-19 vaccines for all Wisconsinites 6 months and older and authorizing pharmacies to give the vaccine without an individual prescription.

In addition, Wisconsin’s insurance regulator issued guidance to health insurance companies that the shots are to be provided without a patient co-payment.

Both department declarations were issued Tuesday following Monday’s executive order from Gov. Tony Evers to protect vaccine access.

At the Department of Health Services (DHS), Dr. Ryan Westergaard, chief medical officer and state epidemiologist for communicable diseases, issued a standing medical order recommending the vaccine for all eligible Wisconsin residents this fall. With the order, no prescription is needed, DHS said.

The health department said its recommendation for the vaccine follows guidance from the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, and the American Academy of Family Physicians.

States, public health organizations and agencies have been stepping in to recommend the vaccines for COVID-19 and for other communicable diseases following a shift at the federal Department of Health and Human Services (HHS) away from vaccine recommendations under the administration of President Donald Trump and HHS Secretary Robert F. Kennedy Jr.

Kennedy, who has long embraced anti-vaccine views, has replaced the members of a CDC committee on vaccination with vaccine skeptics, and the body is expected to consider softening or eliminating some recommendations for the COVID-19 vaccine and some childhood immunizations. 

The Food and Drug Administration has narrowed its recommendations for the COVID-19 vaccine to people 65 or older, while public health advocates have called for maintaining the vaccine schedule for all ages.

The DHS order states it “is also intended to authorize vaccination for other groups for whom professional society guidance supports vaccination — such as children, adolescents, pregnant people, and healthy adults under 65 — even though these uses are considered ‘offlabel.’”

“Everyone in Wisconsin should be able to make the choice to protect themselves and their families against COVID-19, and that choice should be based on the best available science and medical recommendations,” DHS Secretary Kirsten Johnson said in a department statement. “As the federal government limits access to the vaccine, we want to reassure Wisconsinites that recommendations from our nation’s leading medical associations are clear, and we will work every day to support access to care and resources to help families make the best decisions on how to protect themselves from illness and disease.”

The Office of the Commissioner of Insurance (OCI) said in a bulletin that based on “the evidence-based guidance” from DHS and state laws against discrimination in insurance coverage, “the commissioner continues to expect that all governmental self-funded and fully insured group health plans and individual health plans will cover, without cost sharing, all costs associated with administration of COVID-19 vaccinations for all policyholders.”

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Health and Human Services Secretary Robert F. Kennedy Jr. appears before the Senate Finance Committee at the Dirksen Senate Office Building on Sept. 4, 2025 in Washington, D.C. (Photo by Andrew Harnik/Getty Images)

WASHINGTON — Health and Human Services Secretary Robert F. Kennedy Jr.  vehemently defended his actions on vaccines and other public health issues under questioning by both Republican and Democratic senators during a contentious hearing Thursday.

Kennedy, confirmed on a mostly party-line vote earlier this year, repeatedly justified firing everyone on an influential vaccine advisory panel, as well as the president’s decision to remove a Centers for Disease Control and Prevention director who’d served for less than a month after confirmation by the Senate.

“In your confirmation hearings, you promised to uphold the highest standards for vaccines. Since then, I’ve grown deeply concerned,” said Senate Majority Whip John Barrasso, R-Wyo. “The public has seen measles outbreaks. Leadership of the National Institutes of Health questioning the use of mRNA vaccines. The recently confirmed director of the Centers for Disease Control and Prevention fired. Americans don’t know who to rely on.”

Video courtesy of C-SPAN.

Barrasso, an orthopedic surgeon, sought to reinforce support for vaccines to Kennedy during the Senate Finance Committee hearing, saying they “are estimated to have saved 154 million lives worldwide.”

Louisiana Republican Sen. Bill Cassidy, a physician who received several concessions from Kennedy in exchange for voting to confirm him as HHS secretary, raised numerous questions about Kennedy’s behavior. Cassidy is the chairman of the Health, Education, Labor and Pensions Committee.

Cassidy appeared to box in Kennedy on the COVID-19 vaccine by saying President Donald Trump should receive the Nobel Prize for Operation Warp Speed, which led to the development of the shot during his first term. 

Kennedy agreed Trump should “absolutely” get the prize, leading Cassidy to question why he’d taken actions as HHS secretary to erode trust and eliminate funding for vaccine development activities. 

“It surprises me that you think so highly of Operation Warp Speed when, as an attorney, you attempted to restrict access,” Cassidy said. “It also surprises me because you’ve canceled, or HHS did, but apparently under your direction, $500 million in contracts using the mRNA vaccine platform that was critical to Operation Warp Speed.”

Cassidy said the cancellation represents not only “an incredible waste of money but it also seems like a commentary upon what the president did in Operation Warp Speed, which is to create a platform by which to create vaccines.”

Cassidy also questioned Kennedy’s actions eliminating everyone on the CDC’s Advisory Committee on Immunization Practices and replacing them with his own choices. 

“If we put people who are paid witnesses for people suing vaccines, that actually seems like a conflict of interest,” Cassidy said. 

Kennedy disagreed, testifying that “it may be a bias. And that bias, if disclosed, is okay.”

Tillis asks RFK Jr. to respond in writing

North Carolina Republican Sen. Thom Tillis asked Kennedy a series of questions but said he wanted the secretary to submit his answers in writing in order to clarify several of his positions. 

“Some of your statements seem to contradict what you said in the prior hearing,” Tillis said. “You said you’re going to empower the scientists at HHS to do their job. I’d just like to see evidence where you’ve done that, and I’m sure that you will have some.”

Tillis said he wanted Kennedy to respond to reports that he’s gone back on his commitments to senators to not do anything “that makes it difficult or discourages people from taking vaccines” and that Kennedy would not “impose my belief over any of yours.”

“That, again, seems to be contradictory to the firing of the CDC director, the canceling of mRNA research contracts, firing advisory board members, attempting to stall NIH funding, eliminating funding for I think a half a billion dollars for further mRNA research,” he said, referring to the National Institutes of Health. 

Tillis said he was having difficulty understanding why former CDC Director Susan Monarez, whom Trump nominated in March and the Senate voted to confirm in late July, had been fired so quickly. 

“I don’t see how you go … from a public health expert with unimpeachable scientific credentials, a long-time champion of MAHA values, caring and compassionate and brilliant microbiologist — and four weeks later, fire her,” Tillis said. 

CDC shooting, Monarez firing probed

Georgia Democratic Sen. Raphael Warnock questioned Kennedy at length over the firing of Monarez as well as a shooting at the Atlanta-based agency this summer. 

Kennedy testified that he doesn’t believe he criticized Monarez during a meeting in late August over her comments following the CDC shooting that “misinformation can be dangerous.”

During that meeting, Kennedy said he did demand that Monarez fire career CDC scientists but testified he didn’t tell her to accept the recommendations of the vaccine advisory panel without further review.

“What I asked her about is, she had made a statement that she was going to not sign on and I wanted clarification about that,” Kennedy said. “I told her I didn’t want her to have a role if she’s not going to sign onto it.”

Monarez wrote in an op-ed published in the Wall Street Journal just hours before the hearing began that during the meeting with Kennedy she “was told to preapprove the recommendations of a vaccine advisory panel newly filled with people who have publicly expressed antivaccine rhetoric.”

“That panel’s next meeting is scheduled for Sept. 18-19,” Monarez wrote. “It is imperative that the panel’s recommendations aren’t rubber-stamped but instead are rigorously and scientifically reviewed before being accepted or rejected.”

Warnock asked Kennedy if he said that the CDC was the “most corrupt federal agency in the history of the world.” 

Kennedy testified he didn’t say that exactly but did say “it’s the most corrupt agency at HHS and maybe the government.” 

Warnock concluded his five minutes of questions telling Kennedy that “it’s clear you’re carrying out your extremist beliefs” and that he represents “a threat to the public health of the American people.”

“For the first time, we’re seeing deaths from children from measles,” Warnock said. “We haven’t seen that in two decades. We’re seeing that under your watch. You are a hazard to the health of the American people.”

Lankford, Daines ask about medication abortion

Several senators, including Oklahoma Republican James Lankford and Montana Republican Steve Daines, asked Kennedy about the ongoing review of mifepristone, one of two prescription pharmaceuticals used in medication abortion. 

Kennedy said he spoke with FDA Commissioner Marty Makary about the topic just yesterday and committed to keeping senators informed, but didn’t appear to know much more than that. 

“I don’t know if they’re going to do an insurance claim study. That’s one way to do it. I don’t know exactly whether they’re doing epidemiological studies or observational studies. I don’t know exactly what they’re doing,” Kennedy said. “But I know I talked to Marty Makary about it yesterday, and he said those studies are progressing and that they’re ongoing. So I will keep your office informed at every stage.”

Kennedy testified that he didn’t know when exactly the studies would be completed. 

The FDA first approved mifepristone in 2000 before updating the prescribing guidelines in 2016 and during the coronavirus pandemic. 

It’s currently approved for up to 10 weeks gestation and can be prescribed via telehealth and shipped to patients. Mifepristone is the first pharmaceutical of medication abortion and is typically followed by misoprostol. 

Medication abortion accounted for about 64% of all abortions in 2023, according to research from the Guttmacher Institute. 

The Supreme Court rejected an effort to limit access to medication abortion last year in a case originally filed by four anti-abortion medical organizations and four anti-abortion doctors that were represented by Alliance Defending Freedom.

Justice Brett Kavanaugh wrote the opinion that “federal conscience laws have protected pro-life doctors ever since FDA approved mifepristone in 2000.”

Numerous medical organizations, including the American College of Obstetricians and Gynecologists and the American Medical Association, wrote briefs to the Supreme Court in that case attesting to the safety and efficacy of mifepristone. 

“The scientific evidence is overwhelming: major adverse events occur in less than 0.32% of patients,” the medical organizations wrote. “The risk of death is almost non-existent.”

In this photo illustration, a pharmacist holds a COVID-19 vaccine. States and clinicians are working on getting correct information on vaccines to vulnerable groups amid shifting federal guidance. (Photo illustration by Joe Raedle/Getty Images)

Heading into the respiratory illness season, states and clinicians are working to encourage pregnant patients to get COVID-19 vaccinations, even though the U.S. Department of Health and Human Services no longer recommends that they should.

Along with being older and having an underlying health condition, pregnancy itself is a risk factor. Pregnant women are more vulnerable to developing severe illness from COVID-19. They’re also at high risk for complications, including preterm labor and stillbirth. The vast majority of medical experts say getting the shot is safe and effective — much safer than having the illness.

But HHS Secretary Robert F. Kennedy Jr. announced in May that the agency would no longer recommend that pregnant women get the vaccine. Before testifying before Congress in June, Kennedy circulated a document on Capitol Hill claiming higher rates of fetal loss after vaccination. But the authors of those studies told Politico that their work had been misinterpreted.

Experts say the federal shift puts the onus on state health agencies to ramp up vaccine guidance and outreach. Clinicians and public health organizations are trying to dispel misinformation and make sure information reaches low-income people and people of color, who had higher maternal death rates during the pandemic. During the first two years of the pandemic, the virus contributed to a quarter of maternal deaths, according to federal data.

“We are severely disappointed,” said Dr. Neil Silverman, a professor of clinical obstetrics and gynecology at the University of California, Los Angeles David Geffen School of Medicine. He has studied vaccines and pregnancy for the past 15 years and specializes in high-risk pregnancies.

Silverman called the federal shift a “public health tragedy on a grand scale.”

RFK Jr. ends COVID vaccine recommendation for healthy children, pregnant people

Vaccinations against COVID-19 help prevent severe illness in pregnant people as well as their newborns, who are too young to get vaccinated, Silverman said. In what’s called passive immunity, vaccinated mothers pass on antibodies to their babies through the placenta and through breast milk.

“State public health agencies are probably going to have to implement vaccine guidance that differs from the federal recommendations. And that’s going to be an interesting can of worms,” said OB-GYN Dr. Mark Turrentine, a professor of obstetrics and gynecology at the Baylor College of Medicine in Texas.

Turrentine serves on a board of the American College of Obstetricians and Gynecologists that focuses on immunization and infectious diseases. He said his recent pregnant patients who had COVID-19 hadn’t gotten the vaccine.

“The change in guidance on the federal level just really makes a lot of confusion, and it makes it very challenging to try to explain to individuals why all of a sudden the difference,” Turrentine said.

A slew of public health organizations have been making a concerted effort to dispel vaccine myths. They include the Society for Maternal-Fetal Medicine, a Washington, D.C.-based nonprofit organization of maternal-fetal experts. At a news briefing the society held this month, clinicians stressed the safety and long-standing science behind COVID-19 vaccines, as well as the shots for RSV and the flu. Cases of RSV and the flu tend to peak in the winter months, while in recent years COVID-19 cases have spiked in the summer and the winter.

Dr. Brenna Hughes, an OB-GYN who chairs the organization’s infectious diseases and emerging threats committee, pointed to survey data from the federal Centers for Disease Control and Prevention showing that less than a third of eligible pregnant patients received COVID-19 shots, and only 38% received RSV shots for the 2023 to 2024 season. Less than half — 47% — received flu shots, and 59% received TDAP (whooping cough) vaccines.

CDC data shows that for last year’s and this year’s season, only between 12% and 14% of pregnant patients got the COVID-19 vaccine.

“The complications from the infection are so much greater than the complications and the very few and typically minor adverse events that might occur from the vaccine,” said microbiologist Sabra Klein, a professor of molecular microbiology and immunology at the Johns Hopkins Bloomberg School of Public Health.

In June, the American College of Obstetricians and Gynecologists and 30 other professional health organizations signed a letter urging insurers to continue covering the COVID-19 shot for pregnant women, and have continued to urge coverage since then.

CVS Caremark, one of the nation’s three major pharmacy benefit managers, told Stateline it will continue covering the vaccine for pregnant women. The Arizona, California and North Carolina state Medicaid agencies also told Stateline they are still currently covering COVID-19 vaccines for pregnant women.

Doulas, midwives and lawmakers challenge erasure of Black women in maternal health care

Dr. Kimberly Fortner, president-elect of the Infectious Diseases Society for Obstetrics and Gynecology, said during the maternal-fetal medicine briefing that she hopes medical groups’ joint messaging will bolster insurers.

“Hopefully by us linking arms, that can then help develop consistency so that insurers will continue to pay for the vaccine,” she said.

Exacerbating disparities

Dr. Ayanna Bennett, director of the District of Columbia Department of Health, said the federal government’s new stance has upended “a system that’s been stable for a very long time.”

Bennett said her agency used federal pandemic aid to shore up vaccine outreach efforts to communities of color. Now that flow of money is ending.

The changes in federal guidance and funding will “almost certainly exacerbate” maternal health disparities, said Marie Thoma, a perinatal epidemiologist and an associate professor in the University of Maryland Department of Family Science who researches pregnancy and COVID-19.

Black and Indigenous women died at higher rates. The virus exacerbated existing racial disparities in maternal health — and created new ones: Latina mothers, who generally see low rates of maternal mortality, saw deaths surge to 28 per 100,000 in 2021. Their rate was about 12 per 100,000 in 2018, according to federal data.

“We are going in with some exposure already that we didn’t have during the start of the pandemic. So, there will be some protection, but now that will erode,” said Thoma. “If we’re not getting vaccines, or if people are hesitant to take them, we could see some increase.”

Silverman said the administration’s efforts to strip mentions of race from government policies makes it difficult for institutions to reach populations at greatest risk. He called the dismissal of decades of data “saddening and infuriating.”

“The politicization of the vaccine process, or access to it, is what concerns me the most,” said Dr. Yvette Martas, a Connecticut OB-GYN who chairs the board of directors of the Hispanic Health Council.

Many women “are trying to navigate an economic system that’s not always in their favor in terms of also providing access to the kind of educational material that they need,” she said.

Not just COVID-19

In June, Kennedy ousted all 17 members of the CDC’s vaccine advisory committee, replacing them with some members who are vaccine skeptics.

The change is creating chaos. Some states have vaccine laws, such as mandates for kids and coverage statutes, that are specifically tied to the committee’s decisions.

The Vaccine Integrity Project at the University of Minnesota called on frontline health workers, health officials and professional societies to “counter the spread of inaccurate and confusing vaccine information.”

At a news briefing this month held by the Association of State and Territorial Health Officials, representatives from Alabama, Connecticut and Washington, D.C., said they will continue to recommend vaccines.

Alabama’s state health officer, Dr. Scott Harris, said clinicians will be instrumental in getting correct vaccination information to patients.

“We don’t think that we necessarily have the same authoritative voice that we might have had a decade ago in trying to guide people in what to do, but we do believe that people trust their health care providers in most cases and are certainly willing to listen to them,” he said at the briefing.

Bennett said she is hopeful that strong, consistent messaging from respected medical organizations will help combat confusion.

“Having established groups like the American Academy of Pediatrics or the American College of Obstetrics and Gynecology make very firm recommendations that keep us essentially not changed from where we have been, I think, should reassure families,” she said.

Stateline reporter Nada Hassanein can be reached at nhassanein@stateline.org.

Stateline is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Stateline maintains editorial independence. Contact Editor Scott S. Greenberger for questions: info@stateline.org.

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Aborted fetal cells are not used to manufacture the measles, mumps and rubella (MMR) vaccine today, though the original rubella vaccine was made using human fetal embryo fibroblast cells obtained from two elective abortions in the 1960s.

The rubella vaccine is one of many vaccines that use the cell lines from those aborted fetuses, meaning they descend from the original fetal cells, but are not taken directly from new fetal tissue. These cells were chosen because the womb’s sterile environment does not contain the viruses often found in animal cells.

During the manufacturing of the MMR vaccine, the vaccine virus is purified and cellular debris and growth reagents are removed, breaking down trace DNA until there is none or almost none left.

Most of the major world religions that oppose abortion, including the Roman Catholic Church, have deemed vaccines permissible to prioritize the health of pregnant women, children and the wider population.

This fact brief is responsive to conversations such as this one.

Sources

• Medical History Pictures: Stanley Plotkin: Pioneering the use of fetal cells to make rubella vaccine
• The College of Physicians of Philadelphia: How are vaccines made? Human cell strains in vaccine development
• American Academy of Pediatrics: Fact Checked: Vaccines do not contain fetal cells, thimerosal
• Johns Hopkins Institute for Vaccine Safety: Religion and vaccines
• Immunize.org: Religious Concerns: Resources & Information
• Children's Hospital of Philadelphia: Vaccine Ingredients: Fetal Cells
• PBS News: Anti-abortion faith leaders support use of COVID-19 vaccines

Are aborted fetal cells used to make the MMR vaccine? 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.

A nurse gives an MMR vaccine at the Utah County Health Department on April 29, 2019, in Provo, Utah. The vaccine is 97% effective against measles when two doses are administered. (Photo by George Frey/Getty Images)

The Wisconsin Department of Health Services (DHS) is urging residents to get vaccinated amid the confirmation of the first measles cases in the state this year and as families begin back-to-school preparation with vaccine rates still down. 

DHS confirmed nine cases of measles in Oconto County over the weekend — the first cases in the state this year. The agency said no public points of exposure have been identified and the risk to the community remains low. 

The first case was confirmed through testing at the Wisconsin State Laboratory of Hygiene, and the eight other cases were confirmed based on exposure and symptoms. Each person was exposed from a common source during out-of-state travel.

Dr. Ryan Westergaard, chief medical officer of DHS’s Bureau of Communicable Diseases, told reporters during a press conference Monday afternoon that given the number of cases across the country, the agency has been preparing for its case investigations and outbreak response for months. 

“While we were surprised that we had our first cases this past week, we were prepared,” Westergaard said. “We’ve been making sure that we have adequate MMR vaccine in stock and have worked in partnership with all of our local and tribal health departments to make sure that we have a solid response that everyone is aware of, and so far for this case,… things have gone well.”

Cases of the highly contagious disease have hit a 33-year high nationally, according to the Centers for Disease Control and Prevention (CDC). There are reports of over 1,300 cases this year, with more than 150 people having been hospitalized for measles. Three people have died this year. 

Measles was declared eliminated in 2000, but decreasing vaccine rates, which have fallen below herd immunity, have led to a resurgence of the disease. Prior to 2025, the last similar outbreak was in 2019 when more than 1,200 cases were confirmed in the U.S. 

Westergaard said the state agency is not considering the nine cases in Wisconsin an outbreak because  the investigation found a common source during out-of-state travel. He said the agency won’t be releasing additional information about the cases due to state privacy laws. The agency has said it is working to identify and notify people who may have been exposed. 

The agency is urging families to get vaccinated in light of the cluster of cases and reported Monday that vaccination rates among students mostly held steady during the 2024-25 school year. Vaccination rates are still below pre-pandemic levels. 

“Vaccination is the first line of defense for your child’s health. Each vaccine is approved only after being proven safe and effective,” Stephanie Schauer, director of the Wisconsin Immunization Program, said in a statement. “Taking time now to ensure your children have received the recommended vaccines will make them less likely to get seriously ill, meaning less time out of school and away from work. And routine vaccines don’t just protect your child — they help keep classrooms and the whole community safe.”

During the 2024-25 school year, 86.4% of students met the minimum immunization requirements — a 2.8 percentage point decrease from the 2023-24 school year. 

“This tells us that most Wisconsin families are protecting their children with vaccines,” Westergaard said at the press conference. “Unfortunately, this level is below where we need to be to protect our state against outbreaks of vaccine-preventable diseases. As we head into the new school year as a physician and as the father of kids who attend public schools, I want to encourage all caregivers to reach out to a trusted health care provider with any questions or concerns that you have to concern to ensure that students are up to date on their vaccines this year.” 

The agency attributed the overall decrease in meeting the immunization requirement to people being unfamiliar with a new meningitis vaccination requirement for 7th and 12th grade students. Without data on the meningitis vaccination, 89.3% of Wisconsin students met the minimum requirements — a 0.1% increase from the 2023-24 school year.

DHS reported in December that families in the state have fallen behind other states when it comes to receiving childhood vaccines including polio, pertussis, diphtheria and tetanus (DTaP), and measles, mumps, and rubella (MMR). When it comes to measles in particular, Wisconsin has one of the lowest vaccination rates in the country.

Measles can spread from person to person through the air, and the vaccines to prevent it are highly effective. One dose of the MMR vaccine provides about 93% protection from measles, while two doses are about 97% effective.

“Our school vaccination data tells us there are children in our schools who are not protected from an outbreak of preventable diseases like measles,” State Health Officer Paula Tran said in a statement. “In public health, we know that 95% of people in a community need to be vaccinated against measles in order to prevent an outbreak, which is why it’s so important to get children the vaccines they need on time.”

Milwaukee city leaders, looking to take preventative steps due to the measles cases, also urged residents to get vaccinated on Monday.

“As a father and as mayor, I take this threat seriously,” Mayor Cavalier Johnson said in a statement. “We’ve seen how quickly diseases can spread when vaccination rates fall behind.”

Children’s Wisconsin President of Pediatrics Dr. Mike Gutzeit emphasized that serious side effects from the MMR vaccine are rare. 

“The risk from measles itself is far greater. When families choose not to vaccinate, they’re not just putting their own children at risk, but also newborns and people with weakened immune systems,” Gutzeit said. “Measles was nearly eliminated in the U.S., but now we’re seeing hundreds of cases and hospitalizations again. We can’t afford to go backward.”

Other vaccine-preventable illnesses surged in classrooms last year, according to DHS. Nearly 3,000 cases of pertussis, or whooping cough, were reported.

The measles cases and data on school vaccine rates come as some Republican lawmakers are seeking to increase awareness of vaccine exemptions. Sen. Rachael Cabral-Guevara (R-Appleton) and Rep. Lindee Brill (R-Sheboygan Falls) recently introduced a bill that seeks to highlight Wisconsin’s vaccine exemptions, saying there isn’t enough transparency around them. Current law already requires that schools and day care providers “inform the person in writing of the person’s right to a waiver.” 

During the 2024–2025 school year, 6.7% of students had a waiver for one or more vaccinations. Of those, 5.8% of students had a personal conviction waiver, 1% had a religious waiver and 0.4% had a health waiver. 

Westergaard said the rate of waivers in Wisconsin is higher than other states. 

“We’re one of only 13 states that has the personal conviction waiver. Many states do not allow that,” Westergaard said, adding that health forms typically include notice of the waiver availability. 

“We feel in public health that knowledge of the exemptions of the waivers is commonplace,” Westergaard said. “We don’t hide them, but our recommendation is that people get their kids vaccinated because we, as a public health entity, feel any risks far outweighed by the benefit, both to individual health and to our community health.”

Westergaard said those with concerns should speak with a trusted physician and be open with their questions. 

“For many families, childhood immunizations are a fact of life, and they’ve accepted them when they’re recommended, but we know other families have questions and concerns,” Westergaard said. “If there are questions you have, if there is information that you’ve seen online or heard that makes you question the safety or the effectiveness, let’s talk about them… There’s near unanimity among people who have seriously reviewed MMR safety data and other childhood vaccine data that they are on balance very safe and very effective and continually monitored for safety and adverse effects.”

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