Doctors will no longer receive financial rewards tied to childhood vaccination rates under key government programs. The announcement, first detailed in a December 30 memo from the Centers for Medicare & Medicaid Services (CMS), states that the agency “does not tie payment to performance on immunization quality measures in Medicaid and CHIP [the Children’s Health Insurance Program] at the federal level.” CMS urged states to discontinue similar incentives and eliminated mandatory reporting of childhood immunization data, though voluntary reporting remains an option. The memo also signaled efforts to strengthen informed consent and accommodate religious exemptions.
U.S. Health and Human Services Secretary Robert F. Kennedy, Jr. welcomed the directive, posting: “Government bureaucracies should never coerce doctors or families into accepting vaccines or penalize physicians for respecting patient choice. That practice ends now.” Advocates such as Children’s Health Defense CEO Mary Holland called it a welcome step toward treating vaccines like other medical interventions, free from metric-driven pressure. Pediatrician Dr. Michelle Perro noted that tying compensation to specific decisions can erode trust in care.
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