The National Association of Pediatric Nurse Practitioners (NAPNAP) is deeply disturbed by HHS’ announcement that it will revise the CDC’s Child and Adolescent Immunization Schedule based on a presidential directive rather than decades of rigorous scientific research and independent expert review. Modeling the U.S. schedule after Denmark’s and shifting several critical vaccines from the universal recommendation list to risk-based or shared clinical decision-making poses a serious threat to children’s health and undermines public confidence in our nation’s vaccine safety and effectiveness.

Despite HHS’ assertions, the scientific evidence and extensive safety monitoring data supporting vaccines have not changed. Vaccines remain the most effective tool for preventing the spread of life-threatening infectious diseases. Importantly, all vaccines, including those now designated for shared clinical decision-making, will continue to be covered without out-of-pocket costs for families through ACA-regulated private insurance plans and federal programs such as Medicaid and the Vaccines for Children (VFC) program. Families are encouraged to consult their trusted pediatric nurse practitioner, pediatrician, or other pediatric health care provider for evidence-based vaccine guidance to protect their children.

In August 2025, NAPNAP’s Executive Board voted to endorse the American Academy of Pediatrics’ evidence-based Child and Adolescent Immunization Schedule and to recommend that our members follow its guidance when educating families and responding to questions from parents and caregivers. Along with the vast majority of leading health care organizations, NAPNAP will continue to rely on the AAP’s evidence-based recommendations to safeguard the health of children in the U.S.

 

Jan. 6, 2026