The Trump administration is rolling out a bold new plan to overhaul federal childhood vaccine policy, ditching one-size-fits-all guidelines for a personalized approach. Under the new executive order, vaccines are split into three tiers: universal, high-risk-specific, and those requiring shared decision-making between parents and doctors — all based on a child’s unique health, environment, and exposure risks. Supporters say this empowers informed consent and better fits individual needs, while critics fear it could undermine CDC standards and confuse best practices around timing. Real changes in clinics will hinge on how the CDC translates these directives — but for now, the push is clear: tailor vaccines to kids, not just schedules.

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