West Coast states break from CDC; form alliance to issue their own guidance


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Summary

State policy divergence

California, Oregon and Washington have formed the West Coast Health Alliance to coordinate public health policy independently from the Centers for Disease Control and Prevention (CDC).

Disagreement over CDC

The governors of California, Oregon and Washington stated that the new alliance is a response to what they describe as the "Trump administration’s destruction of the CDC’s credibility and scientific integrity." The alliance intends to release its own guidance on childhood vaccines, flu and COVID shots in the coming weeks.

CDC leadership changes

The article reports that the Trump administration removed CDC Director Susan Monarez after reported disagreements with Secretary of Health and Human Services Robert F. Kennedy Jr. over vaccine policy.


Full story

Three West Coast states are breaking away from the Centers for Disease Control and Prevention (CDC) over vaccine guidelines. The governors of California, Oregon and Washington announced a new West Coast Health Alliance to coordinate public health policy independently of the CDC.

The governors said in a statement: “The new alliance represents a unified regional response to the Trump administration’s destruction of the CDC’s credibility and scientific integrity.”

California Gov. Gavin Newsom said the alliance will provide “guidance grounded in science, not ideology.”

The alliance plans to release its own guidance on childhood vaccines, flu and COVID shots in the coming weeks.

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Florida’s opposite stance

While California, Oregon and Washington have created their own alliance, Florida seems to be taking an opposite stance. On Wednesday, the Sunshine State announced that it is ending all vaccine mandates for children, a move endorsed by Florida Gov. Ron DeSantis.

A spokesman for the Department of Health and Human Services told The New York Times in a statement that it will “ensure policy is based on rigorous evidence and gold standard science, not the failed politics of the pandemic.”

Shakeup at the CDC

All these changes come after last week’s shakeup at the CDC, when the Trump administration pushed out Director Susan Monarez. The move came after she reportedly clashed with Department of Health and Human Services Secretary Robert F. Kennedy Jr. on vaccine policy.

Four top officials resigned in solidarity with her, and Monarez is working with her lawyers to fight the dismissal. Federal employees staged a mass walkout of CDC offices in protest, and over one thousand health workers signed on to a petition calling for RFK’s resignation.

Meanwhile, the White House announced Jim O’Neill, the deputy secretary of the Department of Health and Human Services, will step in as acting head of the CDC.

Who is in charge is not the only thing changing at the CDC. At the end of August, The Washington Post reported that at least 600 people were being laid off.

Jason K. Morrell (Morning Managing Editor), Devan Markham (Morning Digital Producer), Emma Stoltzfus (Video Editor), and Matt Bishop (Digital Producer) contributed to this report.
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Why this story matters

Changes to vaccine policy coordination by West Coast states, a shift in CDC leadership, and diverging state health approaches highlight evolving dynamics in U.S. public health governance and trust in federal agencies.

Public health autonomy

The creation of the West Coast Health Alliance reflects states’ decisions to set health policies independently, emphasizing regional approaches amid concerns over federal guidance.

Federal versus state policy

The contrasting actions between West Coast states and Florida demonstrate differing responses to vaccine mandates and public health strategies at the state and federal levels.

Leadership and trust in institutions

Recent leadership changes at the CDC and critiques of its credibility underscore broader debates about scientific integrity and public trust in national health agencies.

SAN provides
Unbiased. Straight Facts.

Don’t just take our word for it.


Certified balanced reporting

According to media bias experts at AllSides

AllSides Certified Balanced May 2025

Transparent and credible

Awarded a perfect reliability rating from NewsGuard

100/100

Welcome back to trustworthy journalism.

Find out more

Bias comparison

  • Media outlets on the left frame the West Coast Health Alliance as a necessary shield against the "destruction" and "blatant politicization" of the CDC under the Trump administration, emphasizing protecting vaccine access through science-based public health measures, exemplified by calls to "protect" residents and highlighting state initiatives like pharmacist vaccine administration.
  • Not enough unique coverage from media outlets in the center to provide a bias comparison.
  • Media outlets on the right depict the alliance as a partisan, almost personal project of Gavin Newsom, employing emotionally charged phrases like "mind blowing hypocrisy" and skeptically framing the coalition as “counter CDC” credibility, while spotlighting past Democratic vaccine skepticism and applauding Florida’s lifting of mandates.

Media landscape

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190 total sources

Key points from the Left

  • The governors of California, Oregon and Washington formed the West Coast Health Alliance to address health policy concerns amidst rising COVID-19 cases and political interference at the CDC.
  • The alliance aims to provide unified recommendations for immunizations and credible information on vaccine safety while ensuring residents receive information grounded in scientific evidence.
  • The governors emphasized that the CDC's recent actions, including the dismissal of experienced leaders, pose a threat to public health and safety.
  • California State Health Officer Erica Pan and Washington State Secretary of Health Dennis Worsham highlighted the importance of science in public health, stating that current federal policies risk lives for political agendas.

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Key points from the Center

No summary available because of a lack of coverage.

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Key points from the Right

  • Democrat governors of California, Oregon and Washington announced a new health alliance to improve vaccine access and recommendations, citing concerns about the Trump administration's impact on scientific integrity.
  • The Western Health Alliance will create immunization guidelines based on respected medical organizations and will begin coordinating health recommendations shortly.
  • The governors condemned Health and Human Services Secretary Robert F. Kennedy Jr. for dismissing experts on vaccine practices and stated that their alliance aims to provide consistent scientific guidance.
  • Governor Gavin Newsom emphasized that the alliance is necessary to maintain scientific integrity in public health, especially in light of federal actions they deem politically motivated.

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