Dr. Vicky Pebsworth, from left, Massachusetts Institute of Technology professor Retsef Levi, Case Western Reserve University Professor Catherine Stein and Dr. Raymond Pollak, listen to presentations during an Advisory Committee on Immunization Practices (ACIP) meeting to discuss childhood vaccine schedule changes at the Centers for Disease Control and Prevention in Atlanta, Georgia, U.S., December 4, 2025.
Alyssa Pointer | Reuters
Health and Human Services Secretary Robert F. Kennedy Jr.’s hand-picked vaccine committee voted on Friday to do away with the long-standing, universal recommendation that all babies receive a hepatitis B shot at birth, issuing weaker guidance for certain infants.
The committee, called the Advisory Committee on Immunization Practices, or ACIP, recommended that parents use individual decision-making, in consultation with a health-care provider, for babies whose mothers test negative for hepatitis B.
The Centers for Disease Control and Prevention currently recommends that every baby get vaccinated against hepatitis B within 24 hours of birth, regardless of their mother’s testing status.
Eight members voted yes, while three voted no. Some advisors strongly pushed back on the new guidance ahead of the vote.
“This has a great potential to cause harm, and I hope that the committee accepts the responsibility when this harm is caused,” said Dr. Joseph Hibbeln, psychiatrist and voting member.
Dr. Cody Meissner, a professor of pediatrics at the Dartmouth Geisel School of Medicine, said he hopes that pediatricians will continue to administer the birth dose within the first 24 hours of delivery and before discharge from the hospital.
“To follow any other course is not in the interest of infants,” he said.
Meissner added that more children will be injured and will catch hepatitis B infections. Hepatitis B, which can be passed from mother to baby during childbirth, can lead to liver disease and early death. Infants are more vulnerable to developing chronic hepatitis B infections, which have no cure.
“We will see hepatitis B come back,” he said. “The vaccine is so effective. It does not make sense in my mind to change the immunization schedule.”
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