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CNI

Illinois will not change child vaccine guidelines after Trump executive order

State to follow recommendations from leading pediatric medical group

Ben SzalinskibyBen Szalinski
August 12, 2026
in Health
A A
Needle drawing from vaccine container.

Lauren Ellenburg, a nurse, prepares a combination measles, mumps and rubella vaccine for a 12-month-old at Tiger Pediatrics in Easley, S.C., on March 17, 2026. (AP Photo/Mary Conlon)

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Article Summary

  • Illinois will not follow new vaccine guidelines that were part of an executive order signed by President Donald Trump.
  • The state will instead follow policy it adopted earlier this year that is recommended by the American Academy of Pediatrics, which calls for all children to receive the MMR, flu, COVID-19 and hepatitis shots.
  • Trump’s order calls on states to update laws to reflect his policy, which says the MMR vaccine should be separated and lowers the emphasis on other vaccines. But states are not bound by these changes.

This summary was written by the reporters and editors who worked on this story.

The Illinois Department of Public Health is not adopting new federal child vaccine guidelines and will continue following recommendations by a leading pediatric medical group.

President Donald Trump signed an executive order on Monday that calls for giving the measles, mumps and rubella vaccine, better known as MMR, in three separate shots at three different appointments. It also lowers recommendations for several vaccines such as Hepatitis A and B, meningococcal disease, the flu and COVID-19 into recommend for “certain high-risk groups” or “based on shared clinical decision-making” rather than for all children.

It advises states to follow what Trump calls the “Gold Standard Childhood Vaccine Recommendations” and update laws to reflect it. Even as the order calls for revised recommendations, states, not the federal government, have the authority to require vaccinations for schoolchildren.

Gov. JB Pritzker said in a statement the executive order is a “thoughtless piece of paper” that “does not reverse decades of research and scientific evidence about protecting kids.”

American Academy of Pediatrics recommendations

Instead, Illinois will continue following guidelines outlined by the American Academy of Pediatrics, which the state’s Immunization Advisory Committee previously unanimously adopted in February.

“The Illinois Department of Public Health is committed to ensuring Illinois residents have reliable access to vaccines and guidance supported by the most up-to-date science,” IDPH Director Dr. Sameer Vohra said in a statement. “IDPH will continue to be guided by science and work closely with clinical and community leaders to provide recommendations that allow Illinoisians to make the best choices to keep themselves and their families safe and healthy.”

Those guidelines recommend children receive the Hepatitis B series, at least one COVID-19 and flu shot, first dose of MMR and two doses of Hepatitis A by the time they turn 2. They recommend children receive a second MMR dose between ages 4 and 6 and receive annual flu and COVID shots after turning 2.

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Vohra said he’s especially concerned about the order calling for splitting the MMR vaccine into multiple visits, which he says is not supported by science.

Public health experts have raised concerns that spacing out shots like Trump suggests can lead to an increased risk that children become infected with a vaccine-preventable disease before returning for another visit. Childhood vaccines — and how and when to give them in combination — go through rigorous studies, and safety tracking continues for years as the shots are used.

Speaking about the order at the Oval Office on Monday, Trump repeatedly suggested the number or timing of vaccines could play a role in rising rates of autism spectrum disorder, even as scientific consensus and decades of studies have firmly concluded there is no link.

Several changes to the childhood vaccine schedule have already been attempted by the Trump administration but have been blocked by a federal judge.

Illinois-specific actions

Illinois has taken several steps since Trump and Health Secretary Robert F. Kennedy Jr. took office and set their sights on changing the nations vaccine policies to conform to their views.

Pritzker signed a new state law in December, which allows IDPH to create more of its own vaccine guidelines for Illinoisians. Pritzker signed a similar executive order in September.

The law also required state-regulated insurance companies to cover vaccines recommended by IDPH. Federal changes to stop recommending some vaccines made it more likely some insurance companies would stop covering certain shots for people who still wanted them.

Szalinski reported from Springfield on Illinois’ actions. The Associated Press contributed reporting on the president’s actions and news conference to this story.

Capitol News Illinois is a nonprofit, nonpartisan news service that distributes state government coverage to hundreds of news outlets statewide. It is funded primarily by the Illinois Press Foundation and the Robert R. McCormick Foundation.

Tags: American Academy of PediatricsDonald TrumpIllinois Department of Public Health (IDPH)Illinois Immunization Advisory CommitteeimmunizationJB PritzkerRobert F. Kennedy Jr.Sameer Vohravaccine
Ben Szalinski

Ben Szalinski

Statehouse ReporterBen joined CNI in November 2024 as a Statehouse reporter covering the General Assembly from Springfield and other events happening around state government. He previously covered Illinois government for The Daily Line following time in McHenry County with the Northwest Herald. Ben is also a graduate of the University of Illinois Springfield PAR program. He is a lifelong Illinois resident and is originally from Mundelein. Contact Ben

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Illinois will not change child vaccine guidelines after Trump executive order

by Ben Szalinski, Capitol News Illinois
August 12, 2026

Capitol News Illinois
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