As respiratory virus season draws near, no federal health official has signed off on recommendations for this year's updated COVID-19 vaccines, leaving the federal vaccination schedule without an update and access to the shots in limbo for some low-income children.
According to reporting by Stat news earlier this week, two immunization program experts—who spoke on the condition of anonymity to avoid reprisal from the Trump administration—said that because there is no sign-off, states are not yet able to order COVID-19 shots for children who receive vaccines through the Vaccines for Children (VFC) program. The federal program provides vaccines to children who are Medicaid-eligible and under- or uninsured, which includes around half of all children in the US.
Typically, federal vaccination recommendations come about after a panel of expert advisors for the Centers for Disease Control and Prevention—the Advisory Committee on Immunization Practices (ACIP)—publicly reviews vaccine data and votes on recommendations for use. Then, the CDC director decides whether to adopt those recommendations. While directors don't always adopt ACIP's recommendations, they usually do—and often on the same day as the ACIP vote. After that, the recommendation becomes part of federal vaccine guidance, and insurance companies and federal programs are required to cover the recommended shots.
