As parents, caregivers, and community members, we strongly oppose the changes proposed in this Request for Information (RFI), which threaten our children’s health, create confusion for parents, and add financial strain on families.
An Unfair Burden on Working Families
Breaking up combination shots into separate visits or recommending children only receive one shot per visit creates huge problems for families:
- No Paid Leave: Most working parents lack paid time off. Expecting them to miss work for up to 26 doctor visits in their child's first year of life is not realistic.
- Clinic Delays & Care Deserts: Complicated extra rules lead to longer wait times and fewer open appointments. This hurts rural and low-income families the most.
- Cost & Confusion: Federal policy should make health care simpler, cheaper, and more accessible—not harder, more expensive, and more confusing.
Preserving Parent Trust, Science, and Guaranteed Coverage
Parents need clear, dependable guidance when making health choices for their children. For decades, federal vaccine guidelines have provided stability because Congress established a rigorous process led by the Advisory Committee on Immunization Practices (ACIP). Bypassing ACIP and demanding unnecessary new clinical trials for proven vaccines creates artificial doubt and risks taking away free vaccine coverage. Under current law, insurance and government programs must cover routine vaccines at no cost. Changing these rules will force families to pay high bills for basic care.
Shared Decision-Making Belongs in Doctor's Offices, Not as a Substitute for Public Health Defaults
Pediatricians and parents already work together to make choices for each child. However, individual choices should not replace clear health rules for everyone. High vaccination rates are vital to protect those who cannot be vaccinated, including newborn babies, elderly relatives, and immunocompromised family members. Delaying shots leaves infants unprotected during their most vulnerable months and erodes the community immunity protecting our children in daycares and schools.
We urge HHS to keep politics out of vaccine rules. Respect ACIP's role, rely on medical experts, and keep basic vaccines free for all families.