Health and Human Services Secretary Robert F. Kennedy Jr., joined by President Donald Trump, delivers an announcement on “significant medical and scientific findings for America’s children” in the Roosevelt Room of the White House on Sept. 22, 2025 in Washington, D.C. Federal health officials suggested a link between the use of acetaminophen during pregnancy as a risk for autism, although many health agencies have noted inconclusive results in the research. (Photo by Andrew Harnik/Getty Images)

WASHINGTON — A majority of Americans disapprove of Health and Human Services Secretary Robert F. Kennedy Jr.’s job performance and the federal government’s evolving vaccine policy, according to a poll released Thursday by the nonpartisan health organization KFF.

In addition, the vast majority of those surveyed have heard the unproven claims made by President Donald Trump, Kennedy and others in late September that taking acetaminophen, also known as Tylenol, during pregnancy could be one possible environmental factor in a child later being diagnosed with autism.

A total of 77% of the people KFF polled said they knew of the statements, though whether people believe the claims, which have yet to be established by the medical community, varied.

Only 4% of those surveyed said it is “definitely true” that taking Tylenol during pregnancy increases the risk of the child developing autism, and 35% said the claim is “definitely false.” Thirty percent said it is “probably true” and 30% said it is “probably false.”

Combined, 65% said it’s either probably or definitely false to say that taking acetaminophen during pregnancy increases the chance of a child developing autism, a complex disorder that experts believe is the result of both genetic and environmental factors.

When broken down by political party, 86% of Democrats, 67% of independents and 43% of Republicans said the claims were either probably or definitely false.

The survey shows 59% somewhat or strongly disapprove of how Kennedy is handling his new role at the top of the country’s public health infrastructure.

The level of support changes considerably depending on political party affiliation, with 86% of Democrats, 64% of independents and 26% of Republicans disapproving.

A slightly higher number, 62%, either somewhat or strongly disapprove of the United States’ vaccine policy.A similar trend emerged when those polled were broken up by political parties. Eighty-eight percent of Democrats, 67% of independents and 31% of Republicans somewhat or strongly disapproved of vaccine policy.

The survey shows a declining share of Americans have faith in the Centers for Disease Control and Prevention to provide trusted information about vaccines, compared with previous KFF polls in September 2023 and earlier this year.

A total of 63% of respondents two years ago trusted the CDC on vaccines, but that has declined to 50%.

Democrats’ faith in the CDC’s vaccine recommendations has dropped from 88% two years ago to 64%, independents have gone from 61% to 47% and Republicans have remained relatively steady, only going from 40% to 39%.

Across political parties, a person’s own doctor as well as the American Academy of Pediatrics and the American Medical Association remain broadly trusted for vaccine information.Eighty-three percent said they trust their doctor or health care provider, 69% believed information from the American Academy of Pediatrics and 64% had faith in the AMA.

The poll of 1,334 adults took place from Sept. 23 to Sept. 29 and had a margin of error of plus or minus 3 percentage points for the full survey. Questions broken down by a person’s political ideology had a margin of error of plus or minus 6 percentage points.

The CDC says people age 65 and older should talk to their doctor about COVID 19 vaccines. (Photo by George Frey/Getty Images)

The Centers for Disease Control and Prevention on Monday updated its adult and child immunization schedules to to recommend COVID-19 shots for people 65 and older after they consult with their health care providers.

The CDC also is recommending in its updated immunization schedules that toddlers receive the chickenpox vaccines as a standalone immunization rather than in combination with measles, mumps, and rubella (MMR) shot.

The CDC announced what it called the return to “individual-based decision-making to COVID-19 vaccinations” in a press release on its website Monday morning.

The immunization schedules adopt recent recommendations by the Advisory Committee on Immunization Practices (ACIP), which has been overhauled by Health Secretary Robert F. Kennedy Jr., who fired  all 17 former members of the vaccine panel earlier this year and replaced them with his own appointees.

RFK Jr. fired everyone on a key vaccine panel. Here’s who he replaced them with.

“Informed consent is back,” said Acting Director of the CDC and Deputy Secretary of Health and Human Services Jim O’Neill. “CDC’s 2022 blanket recommendation for perpetual COVID-19 boosters deterred health care providers from talking about the risks and benefits of vaccination for the individual patient or parent. That changes today,” he continued.

“I commend the doctors and public health experts of ACIP for educating Americans about important vaccine safety signals. I also thank President Trump for his leadership in making sure we protect children from unintended side effects during routine immunization.”

According to the CDC press release, individual-based decision-making “means that the clinical decision to vaccinate should be based on patient characteristics that, unlike age, are difficult to incorporate in recommendations, including risk factors for the underlying disease as well as characteristics of the vaccine itself and the best available evidence of who might benefit from vaccination.

“Individual-based-decision-making,” the release continues,” allows for immunization coverage through all payment mechanisms including entitlement programs such as the Medicare, Medicaid, Children’s Health Insurance Program, and the Vaccines for Children Program, as well as insurance plans regulated by the Affordable Care Act.”

Vaccines greatly reduce rates of death and disease around the world. The American Academy of Pediatrics, American Academy of Family Practitioners, American College of Obstetricians and Gynecologists, American Medical Association, American Nurses Association, American Pharmacists Association, National Academy of Medicine, and World Health Organization endorse the use of vaccines.

The health insurance trade group AHIP issued a statement last month saying health plans would continue to cover all ACIP-recommended vaccinations, including updated formulations of the COVID-19 and influenza vaccines, with no cost-sharing for patients through the end of 2026.

Health insurance group says vaccines in Florida still a covered benefit

The Florida Board of Pharmacy met briefly last month to affirm that Florida patients don’t need a prescription from their physician before receiving a vaccine. That’s because Florida law authorizes certain pharmacists who work in collaboration with physicians to administer vaccines.

Chickenpox

Meanwhile, the “new recommendation of standalone chickenpox vaccination for toddlers through age three follows evidence presented to ACIP by the CDC Immunization Safety Office’s that healthy 12–23 months old toddlers have increased risk of febrile seizure” from the combined chickenpox-MMR vaccine compared to those given immunization for chickenpox separately.

“The combination vaccine doubles the risk of febrile seizures without conferring additional protection from varicella compared to standalone vaccination,” the CDC statement says. Febrile seizures are brought on by high fevers.

A U.S. Department of Education employee leaves the building with their belongings on March 20, 2025 in Washington, D.C., amid mass layoffs.  (Photo by Win McNamee/Getty Images)

WASHINGTON — The Trump administration began posting plans over the weekend that detail how hundreds of thousands of federal workers will be furloughed during a government shutdown, while others will keep working without being paid. 

The updated guidance gives the clearest picture yet into how President Donald Trump and White House budget director Russ Vought hope to reduce the size and scope of government when given increased authority over the federal workforce during a funding lapse. 

A shutdown will begin Wednesday unless Republicans and Democrats in Congress reach agreement on a stopgap spending bill. Congressional leaders were set to meet Monday afternoon with Trump, but it was unclear if any agreement would result that would avert a shutdown.

The Defense Department’s plan shows it would keep about 406,500 of its 741,500 civilian employees working without pay during the shutdown, with the remaining going on furlough. 

The nearly 2.1 million military personnel housed within the department would continue to work throughout a shutdown but would not be paid until after it ends. 

The plan says the Defense Department believes operations to secure the U.S. southern border, Middle East operations, Golden Dome for America defense system, depot maintenance, shipbuilding and critical munitions are the “highest priorities” in the event of a shutdown. 

Medical and dental services, including private sector care under the TRICARE health care program, would largely continue at the Defense Department, though “(e)lective surgery and other routine/elective procedures in DoW medical and dental facilities are generally not excepted activities, unless the deferral or delay of such procedures would impact personnel readiness or deployability.”

Thousands of workers to be sent home from HHS

The Health and Human Services Department plans to furlough about 32,500 of its nearly 80,000 employees during a shutdown. 

The various components of HHS — including the Centers for Disease Control and Prevention, Centers for Medicare and Medicaid Services, Food and Drug Administration, and National Institutes of Health — have individual plans for a shutdown. 

The Centers for Medicare and Medicaid Services plans to retain 3,311, or 53%, of its employees during a shutdown and “will maintain the staff necessary to make payments to eligible states for the Children’s Health Insurance Program (CHIP).”

The CDC plans to have 4,891, or 35.88%, of its employees as well as those at the Agency for Toxic Substances and Disease Registry keep working. 

The contingency plans says that “(r)esponses to urgent disease outbreaks and continuing efforts to support the President’s Emergency Plan for AIDS Relief (PEPFAR), World Trade Center (WTC) Health Program, the Energy Employees Occupational Illness Compensation Program Act (EEOICPA), and the Vaccines for Children (VFC) program” would continue during a shutdown. 

The CDC would not be able to undertake several other activities, including providing “guidance to state and local health departments implementing programs to protect the public’s health (e.g., opioid overdose prevention, HIV prevention, diabetes prevention).”

Departments with plans

Here is a list of the departments that have posted updated contingency plans in September:

• Defense Department contingency plan
• Education Department contingency plan
• Health and Human Services contingency plan
• Homeland Security Department contingency plan
• Labor Department contingency plan
• Justice Department contingency plan
• Social Security Administration contingency plan
• Treasury Department contingency plan

Here is a list of the departments that hadn’t posted updated contingency plans as of Monday afternoon:

• Agriculture Department contingency plan
• Commerce Department contingency plan
• Energy Department contingency plan
• Housing and Urban Development contingency plan
• Interior Department contingency plan
• State Department contingency plan
• Transportation Department contingency plan
• Veterans Affairs Department contingency plan

States Newsroom’s Washington, D.C. Bureau reached out to the  departments that didn’t have contingency plans posted to ask when those might become public.

A spokesperson for the USDA wrote in an email the department “is prepared for all contingencies regarding Department operations, including critical services and supports.” 

A State Department spokesperson said leadership “is undergoing all necessary planning efforts to sustain critical missions.”

Federal employees who work  without pay will be paid after the shutdown concludes. 

According to the Office of Personnel Management — the executive branch’s chief human resources agency — “after the lapse in appropriations has ended, employees who were furloughed as the result of the lapse will receive retroactive pay for those furlough periods.” 

The Government Employee Fair Treatment Act of 2019 requires furloughed government employees to receive back pay as a result of a government shutdown. 

That law does not apply to federal contractors, who face uncertainty in getting paid during a shutdown. 

Ashley Murray, Ariana Figueroa, Shauneen Miranda and Jacob Fischler contributed to this report.