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President Trump's Gold Standard Vaccine Executive Order

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President Donald J. Trump signed an Executive Order today to recognize new vaccine recommendations which maximize parental choices over vaccinations for their children.  He is using the term "Gold Standard" to distinguish today's recommendations from those of Executive Order 14407, which was signed on May 29th before the Advisory Committee on Immunization Practices (ACIP) blew up.  This XO will probably be numbered EO 14418:

https://www.whitehouse.gov/presidential-actions/2026/08/delivering-gold-standard-childhood-vaccine-recommendations-for-americans/

DELIVERING GOLD STANDARD CHILDHOOD VACCINE RECOMMENDATIONS FOR AMERICANS
Executive Orders
August 10, 2026

By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered:

Section 1. Purpose and Policy. Pursuant to the Presidential Memorandum of December 5, 2025 (Aligning United States Core Childhood Vaccine Recommendations with Best Practices from Peer, Developed Countries), the Department of Health and Human Services (HHS) completed a scientific assessment, which identified a set of consensus vaccines that are consistently recommended in all peer countries and found that the United States currently recommends more childhood vaccines than any peer nation, including more than twice as many vaccine doses as some European nations (scientific assessment). The scientific assessment also found that, instead of implementing vaccination mandates, most peer nations maintain high childhood vaccination rates through public trust and education. In the United States, by contrast, individual States set mandatory vaccination requirements that children must meet to attend school.

Executive Order 14407 of May 29, 2026 (Realigning United States Core Childhood Vaccine Recommendations With Best Practices From Peer, Developed Countries), committed the Federal Government to ensuring that Americans are receiving the best scientifically supported medical advice in the world, as well as to protecting religious liberty and parental authority. However, implementation of my Administration’s prior directives regarding childhood vaccines has been delayed due to litigation over the composition of the Advisory Committee on Immunization Practices and separate updates to the Federal vaccine schedule. Therefore, I am taking further action to reaffirm that it is the policy of the United States that the core childhood vaccine recommendations should be aligned with scientific evidence and best practices from peer, developed countries while preserving access to vaccines currently available to Americans. Further, it is the policy of my Administration that Federal programs and funding should support maximal parental choice over childhood vaccines, consistent with the Federal Government’s constitutional and statutory obligations and the fundamental principles of personal autonomy and informed consent.

Sec. 2. Recommendations for Childhood and Adolescent Vaccines. (a) Based on consultation with my advisors and review of available scientific evidence, it is hereby declared that the United States recognizes Gold Standard Childhood Vaccine Recommendations informed by the three distinct categories of childhood immunization recommendations identified in the scientific assessment, as specified below:

(i) immunizations recommended for all children: measles, mumps, rubella, diphtheria, tetanus, pertussis, polio, Haemophilus influenzae type B, pneumococcal disease, human papillomavirus, and varicella;

(ii) immunizations recommended for certain high-risk groups or populations: respiratory syncytial virus monoclonal antibodies, hepatitis A, hepatitis B, meningococcal B, meningococcal ACWY, and dengue; and

(iii) immunizations based on shared clinical decision-making: hepatitis A, hepatitis B, rotavirus, meningococcal disease, influenza, and COVID-19.

(b) The Gold Standard Childhood Vaccine Recommendations also recognize that the combined measles, mumps, rubella (MMR) vaccine should be administered in three separate single-disease shots once such products are domestically available and that, to the maximum extent feasible, all childhood immunizations should be administered at separate medical visits.

(c) Each executive department and agency shall review the Gold Standard Childhood Vaccine Recommendations and take any appropriate steps to advance them, to the fullest extent allowable by law.

(d) States and territories are advised to review the Gold Standard Childhood Vaccine Recommendations and consider updating relevant laws and regulations that define the scope of immunization requirements for contexts such as school enrollment and attendance based on the scientific assessment and best practices from peer, developed countries.

(e) The United States will routinely reassess the Gold Standard Childhood Vaccine Recommendations according to the findings of the HHS Task Force on Safer Childhood Vaccines as specified in section 3 of this order.

Sec. 3. Improving Vaccine Research and Options for American Parents. The Secretary of HHS, through the HHS Task Force on Safer Childhood Vaccines, shall, within 90 days of the date of this order, present plans to the President through the Assistant to the President for Domestic Policy to, to the extent appropriate and consistent with applicable law:

(a) offer options to administer core childhood vaccines, starting with MMR, as single vaccines rather than combination products/doses, including by working with the private sector and other countries as appropriate, while guaranteeing continued availability of combination vaccines and those vaccines recommended for shared clinical decision-making;

(b) assess the ideal timing and sequencing of all core childhood vaccines and adjust the Federal childhood and adolescent vaccine schedule as appropriate based on gold‑standard science;

(c) develop additional alternative adjuvants to aluminum and conduct comparative safety and efficacy studies;

(d) ensure continuous evaluation of the risk/benefit profiles of all childhood vaccines based on United States and international data; and

(e) improve vaccine safety monitoring, transparency, and research.

Sec. 4. Maximizing Parental Choice over Childhood Vaccines. (a) The Attorney General shall take appropriate measures to further meritorious legal actions challenging State laws that conflict with States’ constitutional and Federal statutory obligations related to parental authority, religious freedom, disability accommodations, and equal protection under the law, including, to the extent applicable under Federal law, States’ obligations to provide religious and medical exemptions from childhood and adolescent immunization requirements.

(b) The Departments of Justice, Education, and HHS shall take appropriate action to ensure that their contractors and grantees, including States and localities, are compliant with their constitutional and Federal statutory obligations related to parental authority, religious freedom, disability accommodations, and equal protection under the law, including, to the extent applicable under Federal law, their obligations to provide religious and medical exemptions from childhood and adolescent immunization requirements.

Sec. 5. General Provisions. (a) Nothing in this order shall be construed to impair or otherwise affect:

(i) the authority granted by law to an executive department or agency, or the head thereof; or

(ii) the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.

(b) This order shall be implemented consistent with applicable law and subject to the availability of appropriations.

(c) This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

(d) The costs for publication of this order shall be borne by the Department of Health and Human Services.

DONALD J. TRUMP

THE WHITE HOUSE,

August 10, 2026.



   
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The White House Fact Sheet on this Executive Order:

https://www.whitehouse.gov/fact-sheets/2026/08/fact-sheet-president-donald-j-trump-delivers-gold-standard-childhood-vaccine-recommendations-for-americans/

Fact Sheet: President Donald J. Trump Delivers Gold Standard Childhood Vaccine Recommendations for Americans
The White House
August 10, 2026

DELIVERING GOLD STANDARD CHILDHOOD VACCINE RECOMMENDATIONS: Today, President Donald J. Trump signed an Executive Order to recognize Gold Standard Childhood Vaccine Recommendations that maximize parental choices over vaccinations for their children and align three categories of childhood immunizations with scientific evidence and best practices from peer, developed countries.

  • The Order provides recommendations that give parents more information and options when making immunization decisions for their children.
  • The Order recommends all children get immunizations to provide protection for 11 diseases – a decrease from the 18 diseases recommended by the Centers for Disease Control and Prevention in 2024. Immunizations no longer recommended for all children are now recommended for shared clinical decision-making, ensuring that parents have all options available to them.
  • The Order recommends separating out the combined MMR vaccine into three single-disease shots and recommends administering all vaccines during separate medical visits to give parents more options regarding the timing and frequency of this vaccine administration.
  • States that enact school vaccine requirements are advised to consider the Gold Standard Childhood Vaccine Recommendations and consider updating their laws to reflect the recommendations.
  • All Federal agencies are advised to advance the Gold Standard Childhood Vaccine Recommendations based on their relevant authorities to ensure Americans have the best scientific information.
  • The Order maximizes parental choice over childhood vaccines by promoting State compliance with constitutional and Federal law related to parental authority, religious freedom, disability accommodations, and equal protection under the law, including States’ obligations to provide religious and medical exemptions from childhood and adolescent immunization requirement.
  • The Order directs the Secretary of Health and Human Services (HHS), through the HHS Task Force on Safer Childhood Vaccines, to present plans to the President to improve vaccine research and options for American parents, including continuous evaluation of the risk and benefit profiles of all childhood vaccines based on U.S. and international data.

ENSURING AMERICANS ARE RECEIVING THE BEST MEDICAL ADVICE IN THE WORLD: HHS’ January 2026 scientific assessment compared U.S. childhood immunization recommendations with those of peer nations, analyzed vaccine uptake and public trust, evaluated clinical and epidemiological evidence and knowledge gaps, and examined vaccine mandates.

The scientific assessment found that the United States currently recommends more childhood vaccines than any peer nation, including more than twice as many vaccine doses as some European nations, and identified a set of consensus vaccines that are consistently recommended in all peer countries.

  • In 1980, American children following the CDC immunization schedule received 23 vaccine doses in 7 shots against 7 different diseases. In 2024, the recommended number of routine vaccines had risen to at least 84 vaccine doses in at least 57 shots for 17 diseases, plus the RSV monoclonal antibody immunization for a total of 18 diseases. This is more than other developed nations.
  • The scientific assessment recommends prioritizing 11 routine childhood vaccines, while preserving flexibility for parents and doctors to make individualized decisions for higher-risk children through shared clinical decision-making.
  • The scientific assessment also found that, instead of implementing vaccination mandates, most peer nations maintain high childhood vaccination rates through public trust and education.
  • The U.S. is among a minority of peer nations with childhood vaccine mandates (enacted by individual U.S. states) for school entry.
  • By signing today’s Executive Order, President Trump is reaffirming his commitment to gold standard science, ensuring Americans receive the best possible medical advice, and empowering patients and doctors with maximum flexibility.

MAKING OUR CHILDREN HEALTHY AGAIN: President Trump is committed to building a healthier future for America, starting with our youngest generation.

  • In February 2025, President Trump signed an Executive Order establishing the President’s MAHA Commission, tasking the Commission with investigating and addressing the root causes of America’s escalating health crisis, with an initial focus on childhood chronic diseases.
  • The Trump Administration ended the blanket recommendation for all children to get the COVID-19 vaccine, updating its recommendation to be based on shared clinical decision-making between patients and clinicians.
  • In May 2025, the MAHA Commission released the Make Our Children Healthy Again Assessment, summarizing what is known and what questions remain regarding the childhood chronic disease crisis.
  • In September 2025, the MAHA Commission released the Make Our Children Healthy Again Strategy, a sweeping plan with more than 120 initiatives to reverse the failed policies that fueled America’s childhood chronic disease epidemic. The strategy prioritized development of a vaccine framework that ensures America has the best childhood vaccine schedule.
  • In December 2025, President Trump signed a Presidential Memorandum beginning the process to align U.S. core childhood vaccine recommendations with best practices from peer, developed countries.
  • At President Trump’s direction, HHS conducted the aforementioned scientific assessment on childhood vaccination recommendations.
  • In May, President Trump signed an Executive Order realigning United States core childhood vaccine recommendations with best practices from peer, developed countries.


   
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The immediate, hostile reaction from the American Academy of Pediatrics (AAP), the wholly owned subsidiary of Big Pharma, and their purchased tool, soon to be former, Sen. Cassidy:

https://thehill.com/policy/healthcare/6021511-aap-blasts-trump-vaccine-directive/

American Academy of Pediatrics calls Trump vaccine order ‘dangerous’
By Max Rego - August 10, 2026

The president of the American Academy of Pediatrics blasted President Trump’s Monday executive order calling for fewer childhood vaccines.

“As measles cases reach a 35-year high in the U.S. and with cold and flu season quickly approaching, today’s executive order on vaccines is not only disheartening but dangerous,” Dr. Andrew Racine said in a release.

“Instead of ensuring every family can access life-saving vaccines for measles, influenza, RSV and more, federal leaders are once again spreading misleading claims,” he added.

Earlier Monday, Trump signed an executive order recommending pediatricians split up the measles, mumps and rubella (MMR) shot across three separate visits for children.

The “Gold Standard Childhood Vaccine Recommendations” order divides vaccines into three categories: those recommended for all children, recommended for children at high risk of infection or recommended after consultation with a physician.

Under Trump’s guidelines, all children should receive separate vaccines for measles, mumps, rubella, diphtheria, tetanus, pertussis, polio, Hib, pneumococcal disease, HPV and varicella, commonly known as chicken pox.

But only high-risk children should receive respiratory syncytial virus monoclonal antibodies, hepatitis A, hepatitis B, meningococcal B, meningococcal ACWY and dengue vaccines, according to the president’s order.

While states set their own childhood vaccination schedules, federal policy typically guides them. Echoing the name of his executive order, Trump said in the Oval Office his recommendations recognize “gold standard vaccine recommendations.”

The president added, “Decades ago, children received only a small fraction of the vaccines required today. In those times, people were much [healthier], and of course, the high rates of autism now observed did not exist.

“So there’s a reason for such epidemic rates of autism, and we’re going to bring it back to where it was.”

But Racine pushed back against Trump’s claims, noting there is no scientifically proven link between childhood vaccines and autism.

“There is no new evidence to justify significant changes to childhood immunization guidance,” he said. “Dozens of studies involving millions of people show there is no link between vaccines and autism, and yet federal leaders continue to promote this outdated, disproven idea to scare families.”

Racine argued the executive order “will do nothing to support families of children with autism or advance understanding” of the condition. Instead, he said the new recommendations are intended to “sow confusion so that more people doubt the importance of vaccines.”

Racine later added, “On-time immunization keeps our kids and our communities healthy and thriving. If parents have questions about vaccines, I encourage them to talk with their child’s pediatrician or clinician.”

Outgoing Sen. Bill Cassidy (R-La.), a medical doctor, decried Trump’s executive order as “wrong” and said the president “does not have the expertise to make these changes.”

Cassidy wrote on social media, “Breaking up vaccines will mean children have to get more shots to get the same protection, not fewer shots. It will increase hesitancy and make children less safe.

“Parents should listen to their child’s pediatrician about vaccines rather than listening to an inaccurate executive order. This is so wrong.”

Note that AAP fails to mention the far worse measles statistics in Canada, where AAP approved vaccine recommendations are ruthlessly enforced against the population.


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