Commonwealth Fund December 15, 2025
Amy Killelea, Justin Giovannelli, Madison Harden, Abigail Knapp

TOPLINES

Amid growing concern about the credibility of recent federal preventive care and vaccine recommendations, states are exploring how to protect access to scientifically backed services

As states move away from federal recommendations for preventive care and vaccines, they risk creating a patchwork of standards and uneven access to services

Federal policy and personnel changes have sharply eroded the reliability of the federal expert bodies responsible for identifying high-value preventive and vaccine services.

ACIP, USPSTF, and HRSA have historically engaged in rigorous and transparent scientific review processes. State and federal policymakers have embedded their recommendations in laws and regulations governing insurance coverage and public health. But recent events have cast doubt on whether these bodies can continue to be relied...

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