US cuts the number of vaccines recommended for every child
U.S. health officials have cut the number of vaccines recommended for all children from the national immunization schedule, making several routine shots optional or limited to high-risk groups.
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WASHINGTON (AP) — The U.S. took the unprecedented step Monday of cutting the number of vaccines it recommends for every child.
The change is effective immediately, meaning that the U.S. Centers for Disease Control and Prevention will now recommend that all children get vaccinated against 11 diseases.
What’s no longer broadly recommended is protection against flu, rotavirus, hepatitis A, hepatitis B, some forms of meningitis or RSV. Instead, protections against those diseases are only recommended for certain groups deemed high risk, or when doctors recommend them in what’s called “shared decision-making.”
Secretary of Health and Human Services, Robert F. Kennedy, Jr., speaks during an event on prescription drug prices in the Roosevelt Room of the White House, Friday, Dec. 19, 2025, in Washington. (AP Photo/Evan Vucci)
Trump administration officials said the overhaul, a move long sought by Health Secretary Robert F. Kennedy Jr., won’t result in families who want the vaccines losing access to them, and said insurance will continue to pay. But medical experts said the decision creates confusion for parents and could increase preventable diseases.
States, not the federal government, have the authority to require vaccinations for schoolchildren. While CDC requirements often influence those state regulations, some states have begun creating their own alliances to counter the Trump administration’s guidance on vaccines.
The change comes as U.S. vaccination rates have been slipping and the share of children with exemptions has reached an all-time high, according to federal data. At the same time, rates of diseases that can be protected against with vaccines, such as measles and whooping cough, are rising across the country.
Review came at the request of President Trump
The U.S. Department of Health and Human Services said the overhaul was in response to a request from President Donald Trump in December. Trump asked the agency to review how peer nations approach vaccine recommendations and consider revising U.S. guidance accordingly.
HHS said its comparison to 20 peer nations found that the U.S. was an “outlier” in both the number of vaccinations and the number of doses it recommended to all children. Officials with the agency framed the change as a way to increase public trust by recommending only the most important vaccinations for children to receive.
“This decision protects children, respects families, and rebuilds trust in public health,” Kennedy said in a statement Monday.
Trump, reacting to the news on his Truth Social platform, said the new schedule is “far more reasonable” and “finally aligns the United States with other Developed Nations around the World.”
Among those left on the recommended-for-everyone list are vaccines against measles, whooping cough, polio, tetanus, chickenpox and human papillomavirus, or HPV. The guidance reduces the number of recommended vaccine doses against HPV from two or three shots depending on age to one for most children.
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