Nationwide, the rules on COVID shots are uneven: the supply of COVID-19 vaccines remains steady, but access is confusing. Federal guidance from the Centers for Disease Control and Prevention (CDC) now flags vaccines mainly for adults 65+ or those with certain health conditions.

Insurance coverage has lapsed for some populations and mixed messaging has left people hesitant — even as the flu, RSV and the next COVID variant loom this winter. In some states, pharmacies require prescriptions.

Part of the confusion comes from the CDC’s Advisory Committee on Immunization Practices (ACIP), which issues vaccine recommendations.

In September, ACIP narrowed its guidance for COVID-19 shots and pharmacies across the country reported uncertainty about eligibility and insurance coverage. Although fede

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