Overview

• California, Oregon and Washington announced the West Coast Health Alliance to coordinate evidence‑based immunization recommendations and public information.
• State leaders said the effort responds to politicization at federal agencies after the firing of the CDC director and the removal of all 17 ACIP members.
• The alliance plans to align guidance with respected medical societies and to finalize shared principles in the coming weeks, while allowing state‑specific policies.
• The shift raises immediate questions about pharmacy vaccination rules and insurer coverage when state recommendations diverge from CDC and ACIP positions.
• Other Northeastern states are exploring similar coalitions, as federal regulators have narrowed access to updated COVID‑19 shots and an ACIP meeting is set for Sept. 18–19.