Health Secretary Robert F. Kennedy Jr. has stopped mandating health care providers report the immunization status of patients.
Kennedy decided to stop requiring doctors to list vaccinations children have received, the Centers for Medicare & Medicaid Services (CMS) said in a Dec. 30, 2025, letter to state health officials.
Doctors participating in Medicaid and the Children’s Health Insurance Program were previously required to report how many children received specific vaccines by their second birthday, and other shots by the time they turn 14 years old.
Kennedy also eliminated a requirement that doctors report the immunization status of pregnant women, according to the notice.
“Government bureaucracies should never coerce doctors or families into accepting vaccines or penalize physicians for respecting patient choice. That practice ends now,” Kennedy, head of the Department of Health and Human Services (HHS), of which CMS is a part, said in a post on X. “Under the Trump administration, HHS will protect informed consent, respect religious liberty, and uphold medical freedom.”
Federal law requires that doctors report certain measures while caring for the approximately 78 million people on Medicaid or the Children’s Health Insurance Program, and that states convey that data to CMS. The reporting was voluntary when first implemented. It began being mandated in fiscal year 2024.
Hellbound and Down 