Overview

• California, Oregon, Washington and Hawaii issued coordinated recommendations for COVID-19, flu and RSV that follow major medical groups, including COVID shots for all children 6–23 months, adults 65 and older, pregnant people and others at risk.
• Massachusetts released state-specific COVID-19 guidance that recommends vaccination for children 6–23 months, adults 65 and older, pregnant people and higher‑risk groups while allowing healthy adults 19–64 to receive a shot, and it maintains a standing order for pharmacists to vaccinate.
• At least 17 states have acted to preserve broader access through standing orders and insurer directives, with moves in Arizona, Colorado, Connecticut, New Mexico, New York, Pennsylvania, Rhode Island, Virginia, Washington and others.
• Wisconsin this week directed its health department to recommend the updated COVID-19 vaccine for everyone over 6 months and instructed the state insurance regulator to require coverage without cost‑sharing.
• A Washington Post–KFF poll found one in six parents delayed or skipped routine childhood vaccines after a severe measles year, as a reconstituted CDC advisory panel meets later this week and former CDC chief Susan Monarez testified about her firing over vaccine guidance.