(The Center Square) – Maryland officials are moving forward with legislation that would keep state vaccine guidance and insurance coverage in place after recent updates to the federal childhood immunization schedule.
Earlier this month, federal health officials updated the U.S. childhood vaccine schedule after a presidential directive ordered a review of American recommendations compared with those used by other developed nations. Federal officials said the revised schedule reduces the number of routine childhood vaccines while maintaining access and insurance coverage.
Gov. Wes Moore announced a proposal that would give the Maryland Department of Health authority to issue official recommendations for immunizations, screenings, and preventive services based on scientific and clinical guidance, even if federal recommendations change.
Under the proposal, Maryland’s health secretary would be allowed to rely on guidance from independent medical organizations, including pediatric, family medicine, and obstetrics groups, when issuing recommendations. Federal guidance could still be considered, but would not be required.
Federal officials said the updated vaccine schedule organizes childhood immunizations into three categories: vaccines recommended for all children, vaccines recommended for certain high-risk groups, and vaccines based on shared decision-making between families and physicians.
Vaccines for diseases such as measles, polio, tetanus, pertussis and chickenpox remain recommended for all children.
Over the past several years, Maryland has expanded how residents can access vaccines, including through pharmacies and insurance coverage requirements.
In November, Maryland launched a free adult vaccine program that provides recommended immunizations at local health departments for uninsured and underinsured residents age 19 and older.
The bill is expected to be introduced during the 2026 legislative session and would require approval by the General Assembly before taking effect.
