Children's Health Defense In a Dec. 30, 2025, memo to state health officials, the Centers for Medicare & Medicaid Services said it “does not tie payment to performance on immunization quality measures in Medicaid and CHIP at the federal level.” U.S. Health Secretary Robert F. Kennedy Jr. said the new policy protects medical freedom and informed consent.
The federal government will stop paying physicians based on the number of patients they vaccinate, and is urging state health agencies to stop using similar financial incentives.
In a Dec. 30, 2025, memo to state health officials, the Centers for Medicare & Medicaid Services (CMS) said it “does not tie payment to performance on immunization quality measures in Medicaid and CHIP [Childhood Health Insurance Program] at the federal level.”
Under the new policies, CMS will no longer require states to report how many children are vaccinated, but states may continue to voluntarily provide the data.
CMS stated it will explore options to more strongly encourage informed consent before vaccination and “will also explore how religious exemptions for vaccinations can be accounted for in the data and the subsequent measures.”
U.S. Health Secretary Robert F. Kennedy Jr. welcomed the new policy in a post on X, stating that it protects medical freedom and informed consent.
Thank you, @robbystarbuck, for bringing attention to this update.
Government bureaucracies should never coerce doctors or families into accepting vaccines or penalize physicians for respecting patient choice. That practice ends now.
Under the Trump administration, HHS will… https://t.co/hmKs17svzf
— Secretary Kennedy (@SecKennedy) December 31, 2025
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