Overview
- ACIP voted 8–3 to drop the decades‑old birth‑dose recommendation, keeping immediate vaccination for infants of mothers who test positive or whose status is unknown.
- For mothers who test negative, the guidance endorses shared decision‑making and allows starting the series at two months, with a separate vote suggesting antibody testing during the series.
- The panel was reconstituted by HHS Secretary Robert F. Kennedy Jr.; President Trump praised the move, while Republican Sen. Bill Cassidy urged the CDC not to adopt it.
- Major medical groups and experts, including the American Academy of Pediatrics and former CDC leaders, criticized the change as unsafe and warned it could erode protections for infants.
- Several states, including California, Connecticut and Wisconsin, signaled they will continue recommending the birth dose, as models project large increases in preventable infections if the dose is delayed.