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CDC ACIP Liberalizes Hepatitis B Vaccine Guidance

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“For infants born to HBsAg-negative women: ACIP recommends individual-based decision-making, in consultation with a health care provider, for parents deciding when or if to give the HBV vaccine, including the birth dose. A Parents and health care providers should consider vaccine benefits, vaccine risks, and infection risks. For those not receiving the HBV birth dose, it is suggested that the initial dose is administered no earlier than 2 months of age.”

https://thehill.com/policy/healthcare/5635408-cdc-vaccine-hepatitis-b-newborns/

CDC panel passes recommendation to change hepatitis B vaccine guidance
By Joseph Choi - December 5, 2025

The vaccine advisory panel for the Centers for Disease Control and Prevention (CDC) on Friday voted in favor of changing long-held guidance for newborn hepatitis B vaccinations.

The CDC’s Advisory Committee on Immunization Practices (ACIP) voted 8-3 in favor of altering the recommendation that all newborns receive hepatitis B vaccinations at birth.

The language of the vote was:

“For infants born to HBsAg-negative women: ACIP recommends individual-based decision-making, in consultation with a health care provider, for parents deciding when or if to give the HBV vaccine, including the birth dose. A Parents and health care providers should consider vaccine benefits, vaccine risks, and infection risks. For those not receiving the HBV birth dose, it is suggested that the initial dose is administered no earlier than 2 months of age.”

There was a clear divide in the committee, with a minority of panelists strongly opposed to what they believed was a perceived harm that would stem from the vote and the lack of data supporting a change to the guidance.

“The language offers flexibility, access, coverage at any time. I vote yes,” ACIP member Hillary Blackburn said in her vote.

“This has a great potential to cause and I simply hope that the committee will accept its responsibility when this harm is caused and I vote no,” fellow panel member Joe Hibbelin stated as he gave the final vote.

“We’ve heard ‘do no harm’ is a moral imperative. We are doing harm by changing this wording. And I vote no,” said ACIP member Cody Meissner, who led the opposition to changing the guidance.



   
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President Trump praised the ACIP decision on the Hepatitis B vaccine.  President Trump has not often commented on HHS issues since the election, allowing Secretary Kennedy a great deal of latitude running the department, so it is notable when he comments on HHS goings on:

https://thehill.com/homenews/administration/5636556-trump-hails-cdc-vaccine-decision/

Trump hails vaccine panel’s hepatitis B vote as ‘very good decision’
By Surina Venkat - December 5, 2025

President Trump praised a Centers for Disease Control (CDC) panel’s vote to change guidance for hepatitis B vaccinations as a “very good decision” in a Friday night post on his social platform Truth Social.

“Today, the CDC Vaccine Committee made a very good decision to END their Hepatitis B Vaccine Recommendation for babies, the vast majority of whom are at NO RISK of Hepatitis B, a disease that is mostly transmitted sexually, or through dirty needles,” Trump wrote.

“The American Childhood Vaccine Schedule long required 72 ‘jabs,’ for perfectly healthy babies, far more than any other Country in the World, and far more than is necessary,” Trump said. “In fact, it is ridiculous!”

The Advisory Committee on Immunization Practices (ACIP), a key advisory vaccine panel within the CDC, on Friday voted 8-3 in favor of lifting a recommendation that all newborns receive the hepatitis B vaccination at birth.

Health experts, including a trustee of the American Medical Association, have denounced the vote, warning that it may lead to fewer infants receiving the previously recommended number of vaccinations.

Under the panel’s favored guidelines, the birth dose of the vaccination is only recommended for infants whose mothers test positive for hepatitis B. The acting CDC director needs to endorse the ACIP’s recommendation in order for it to go into effect.

Infants usually need three shots for full immunization: one administered at birth, another shot three months later and a final shot between the age of six to 15 months.

“Many parents and scientists have been questioning the efficacy of this ‘schedule,’ as have I!” Trump’s post continued. “That is why I have just signed a Presidential Memorandum directing the Department of Health and Human Services to ‘FAST TRACK’ a comprehensive evaluation of Vaccine Schedules from other Countries around the World, and better align the U.S. Vaccine Schedule, so it is finally rooted in the Gold Standard of Science and COMMON SENSE!”

Both Trump and Health and Human Services Secretary Robert F. Kennedy Jr. have expressed skepticism toward vaccines. The ACIP’s vote represents the biggest change to vaccination schedules recommended so far under the current administration.



   
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