President Donald Trump issued an executive order on Monday aimed at altering the U.S. childhood vaccine schedule. The order would nix the current combined measles, mumps and rubella (MMR) vaccine in favor of giving a shot for each disease individually.
The order, a draft of which was obtained by the Washington Post, directs Secretary of Health and Human Services Robert F. Kennedy, Jr., to “present plans” to the president to break up the MMR vaccine into its separate constituents. On Monday Trump falsely suggested that, for the combined vaccines, “there could be a possibility they’re quite lethal, and separately, it looks like they are not at all lethal but just very effective.” Overwhelming evidence shows that the MMR vaccine is both safe and effective, with a low risk of adverse events.
The order directs federal agencies to classify childhood vaccines into three categories: vaccines recommended for all children; vaccines “recommended for certain high-risk groups or populations”; and immunizations given “based on shared clinical decision-making.” It’s unclear whether the order will have any real effect on the nation's vaccine schedule, which is set by the U.S. Centers of Disease Control and Prevention.
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Vaccines in the executive order’s first group—those recommended for all children—include vaccines for measles, mumps, rubella, diphtheria, tetanus and pertussis, as well as human papillomavirus (HPV) and polio, among other conditions.
Vaccines in the second group—those for at-risk populations—include vaccines for respiratory syncytial virus (RSV) and hepatitis A and B, and more, according to the executive order. Among those in the third category—vaccines recommended based on decision-making in consultation with a doctor—include vaccines for hepatitis A and B, COVID, influenza, and others.
“To the maximum extent feasible,” the order states, “all childhood immunizations should be administered at separate medical visits.”
The president also suggested, without evidence, that childhood vaccinations could be a cause of rising autism rates. “We do not know exactly what the cause is with respect to autism,” Trump said. “It is essential to our research efforts that we have the very best vaccine recommendations in the entire world, so we're reducing them.” The overwhelming majority of medical experts agree—and the scientific evidence shows—that the causes of autism are multifaceted and may include genetic as well as environmental factors and that rising rates may be attributable to better diagnostics.
In a statement, Michael Osterholm, director of the Vaccine Integrity Project and an epidemiologist at the University of Minnesota, urged parents to trust the science. “Parents should continue to rely on the evidence-based immunization recommendations developed by trusted medical and public health experts, including the American Academy of Pediatrics [AAP]," he said. “Today’s Executive Order does not change the underlying scientific evidence supporting childhood immunization.”
“We encourage parents to discuss questions about vaccination with their pediatrician or other trusted healthcare provider,” Osterholm said.
David Mandell, a professor of psychiatry at the University of Pennsylvania, notes that separating vaccinations into multiple visits will place a “tremendous burden” on already strained primary care pediatricians and will make the process of getting vaccinated “much more challenging” for families. “My fervent hope is that pediatricians and families choose to follow [the AAP’s] vaccination schedule rather than the decidedly unscientific and dangerous one that this executive order puts forward,” Mandell says.
The order is the Trump administration’s latest attempt to overhaul and curtail the childhood vaccine schedule. In January the CDC moved to reduce the number of recommended vaccines for children to those that protect against 11 diseases; previously, the CDC had recommended children receive inoculations for 17 diseases. That action was blocked by a federal judge in March.
Editor’s Note (8/10/26): This is a breaking news story and will be updated.