Where AAP and CDC Differ
Both the AAP and CDC continue to recommend vaccinations against diseases such as diphtheria, tetanus, whooping cough, polio, measles, mumps, rubella, HPV, and chickenpox.
However, the CDC now recommends that vaccines for RSV, hepatitis A, hepatitis B, meningococcal disease, dengue, influenza, and COVID 19 be reserved primarily for children in high risk categories. For others, the CDC advises parents to decide through shared clinical decision making with healthcare providers.
The AAP rejected that narrower approach, arguing it creates confusion and increases the risk of preventable illness. The organization continues to recommend routine vaccination for most children, with the exception of the dengue vaccine, which it limits to specific age groups in regions where the disease is endemic and only for children previously infected. The AAP noted that dengue vaccine distribution in the U.S. was halted last year due to low demand.
Insurance Coverage and Access
Despite the CDC’s updated guidance, pediatric experts say vaccines not explicitly recommended for all children should remain covered by insurance.
Kravitz said families should not face financial barriers if they choose to vaccinate their children, noting that insurers typically follow physician recommendations and preventive care standards.
