(ATLANTA) — The Centers for Disease Control and Prevention’s vaccine advisory committee voted 8-3 on Friday to remove the universal recommendation for the hepatitis B vaccine at birth.

The Advisory Committee on Immunization Practices (ACIP) voted to make vaccine recommendations based on the mother’s testing status.

The recommendations state that if a mother tests negative for hepatitis B, parents should decide, with the guidance of their health care provider, whether the shot is right for their newborn — referred to as “individual-based decision-making,” according to a document with the ACIP voting language.

The vote includes that newborns who do not receive the hepatitis B birth dose get an initial dose no earlier than 2 months old.

The voting language document emphasized there is no

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