The Democratic governors of Oregon, Washington, California and Hawaii released a set of immunization guidelines for their states on Wednesday.

The guidelines recommend broad access to the COVID-19 vaccine for everyone over 6 months of age, stating that the shot should be available to “all who choose protection.”

These recommendations come as part of the newly formed Western States Health Alliance, which was created after state leaders said the U.S. Centers for Disease Control and Prevention had been compromised by politics.

“Our states are united in putting science, safety, and transparency first — and in protecting families with clear, credible vaccine guidance,” Oregon Gov. Tina Kotek, California Gov. Gavin Newsom, Washington Gov. Bob Ferguson and Hawaii Gov. Josh Green wrote in a joint statement. “The West Coast Health Alliance stands united in protecting public health and always putting safety before politics.”

In Oregon, the new guidelines appear to be a step toward eliminating the requirement that patients obtain a prescription to get the 2025-2026 COVID-19 booster shot.

Last month, the Food and Drug Administration approved updated COVID-19 vaccines from Pfizer and Moderna that were reformulated in the spring to better match the variants currently in circulation. That approval was limited to adults 65 and older, and for people 5 through 64 years with at least one underlying condition that puts them at high risk for severe outcomes from COVID-19.

Officials at the U.S. Health and Human Services then spent months delaying another step that usually precedes FDA approval: a public review of the safety and efficacy of the shots by the CDC and a key group of experts known as the Advisory Committee on Immunization Practices, or ACIP.

Guidelines from ACIP for the 2025-2026 COVID-19 booster shots are still pending, which has meant that in Oregon and more than a dozen states, most pharmacies have required a doctor’s prescription before they will give the COVID-19 shot. The group is set to meet on Thursday and Friday.

Oregon’s Board of Pharmacy, meanwhile, is holding an emergency meeting on Wednesday at 11:30 a.m. to discuss a change in protocol for vaccine administration around fall respiratory viruses, including COVID-19. That change could allow pharmacists to administer vaccines without a prescription, regardless of what ACIP decides.

The recommendations from these four states pit Democratic governors who have promised to provide universal access to updated COVID-19 shots against top federal officials at Health and Human Services who have sought to restrict them to groups at higher risk, citing practices in Europe.

Officials at HHS have lambasted the health alliance, saying that states run by Democrats are the ones who undermined trust in public health with their pandemic-era decisions.

“ACIP remains the scientific body guiding immunization recommendations in this country, and HHS will ensure policy is based on rigorous evidence and Gold Standard Science, not the failed politics of the pandemic,” HHS Communications Director Andrew Nixon said in a written statement.

The recommendations from the West Coast Health Alliance include the 2025–26 COVID-19, influenza and RSV vaccines. The recommendations for the latter two appear to align with current guidelines from the CDC.

According to the press release, the recommendations were developed by health officers from the four states. They are based on guidelines issued by the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists and the American Academy of Family Physicians.

Last year, only 20% of Oregonians got the COVID-19 booster shot, according to the state health authority.

The uptake rate was higher among some groups, like those 65 and up and native Hawaiians and Pacific Islanders, who are at greater risk of hospitalization due to COVID-19.

News Source : https://www.opb.org/article/2025/09/17/west-coast-governors-oregon-california-washington-hawaii-vaccine-covid-flu/