The federal government is ending its recommendation that every infant receive a hepatitis B vaccination at birth, the most substantive change to the childhood immunization schedule yet under US Health Secretary Robert F. Kennedy Jr.

Instead, the Trump administration is leaving the question to “individual decision-making,” according to new guidelines recommended by the US Advisory Committee on Immunization Practices on Friday. If the new guidelines are adopted by the CDC, as expected, most parents will be left to decide on their own in consultation with their doctor. (Mothers who test positive for hepatitis B or whose hep B status is unknown will still be advised to give their baby the shot at birth.)

Key takeaways • The federal government’s vaccine expert committee has voted to end the

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