Health Affairs January 16, 2026
Anna Larson, William Walters, Richard Hughes IV

Editor’s Note

This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation. Articles in this topic offer timely analysis of regulatory, legislative, and judicial developments in health policy under the Trump-Vance Administration and the 119th Congress.

On January 5, 2026, the U.S. childhood immunization schedule, along with pediatric infectious disease preventive care as we know it, ended.

In an unprecedented move, the U.S. Department of Health and Human Services (HHS) held an embargoed press conference. HHS announced a revised Childhood and Adolescent Immunization Schedule that fundamentally restructures recommendations and raises significant concerns for vaccine access and child health.

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