Realigning United States Core Childhood Vaccine Recommendations With Best Practices From Peer, Developed Countries

Executive Order 14407 is an executive action signed by President Donald J. Trump that tells the Department of Health and Human Services (HHS), the Centers for Disease Control and Prevention (CDC), and the Advisory Committee on Immunization Practices (ACIP) to review U.S. childhood vaccine recommendations. It says the United States should align its core childhood vaccine schedule with scientific evidence and best practices from peer, developed countries while preserving access to vaccines now available and protecting religious freedom and parental authority (Sec. 1). It directs executive departments and agencies to align immunization actions, regulations, funding, and coverage with the CDC- and ACIP-recommended schedule, including vaccine coverage rules for private insurance, Medicaid, the Children's Health Insurance Program, and the Vaccines for Children Program (Sec. 2(c)). This matters because it could affect what vaccines children get, who pays for them, and how much say parents and doctors have in vaccination decisions.