RFK, Jr made the announcement in a video where he stood alongside the NIH director Jay Bhattacharya and FDA commissioner Marty Makary. Notably, nobody from the CDC was present. The FDA approves vaccines, but it’s the CDC that is in charge of recommendations. (It is not clear who the CDC’s acting director actually is, or whether there is one.)
Vaccines are not usually added or removed to the recommended list by the CDC without consulting with ACIP, and they definitely aren’t usually added or removed by tweeting a video.
So far, the CDC’s web page on vaccines recommended in pregnancy still says that “A pregnant woman should get vaccinated against whooping cough, flu, COVID-19, and respiratory syncytial virus (RSV).” The adult and child vaccine schedules still include COVID vaccines.
Why it matters which vaccines are “recommended”
Recommending a vaccine doesn’t just mean expressing an opinion; the Affordable Care Act requires that vaccines recommended by ACIP must be covered by most private insurance and Medicaid expansion plans without any cost sharing. That means no deductible and no copay—so these vaccines must be free to you out of pocket if you fall into a group of people for whom they are recommended.
So taking a vaccine off the recommended list means that it could be prohibitively expensive. GoodRX, which keeps tabs on pharmacy prices, reports that COVID shots may cost $200 or more out of pocket, plus any applicable administration fee that the provider might charge.
Whether or not the vaccine actually gets taken off the list, the recent HHS announcement has another impact: The American College of Obstetricians and Gynecologists said in a statement that “Following this announcement, we are worried about our patients in the future, who may be less likely to choose vaccination during pregnancy despite the clear and definitive evidence demonstrating its benefit.”
The ACOG statement also pointed out a few ways in which removing the vaccines from the recommended list is not “common sense and good science,” as the HHS announcement claimed. ACOG writes: “As ob-gyns who treat patients every day, we have seen firsthand how dangerous COVID infection can be during pregnancy and for newborns who depend on maternal antibodies from the vaccine for protection. We also understand that despite the change in recommendations from HHS, the science has not changed. It is very clear that COVID infection during pregnancy can be catastrophic and lead to major disability, and it can cause devastating consequences for families.”
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