Four Democratic-led Western states announced joint recommendations Wednesday about who should be vaccinated for seasonal respiratory viruses, including the flu and COVID-19, saying the Trump administration has jeopardized public health by politicizing the U.S. Centers for Disease Control and Prevention. California, Oregon, Washington and Hawaii early this month formed the West Coast Health Alliance in an effort to combat what they describe as the “weaponization” of federal health agencies to advance antivaccine policies, despite decades of scientific research showing that vaccines are safe and effective. Their recommendations came a day before a panel of CDC advisers was due to begin meeting to review recommendations for some vaccines.

There’s bipartisan support in Congress for extending tax credits that have made health insurance more affordable for millions of people since the COVID-19 pandemic. But the credits are still in danger of expiring as Republicans and Democrats are at odds over how to do it. Democrats have been pushing for months to extend the subsidies. They were first put in place in 2021 and extended a year later, when they controlled Congress and the White House, for low income people who get their health insurance through the Affordable Care Act. And some Republicans are now open to keeping the tax credits.

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FILE - President Donald Trump puts the cap on a pen after signing a coronavirus aid package to direct funds to small businesses, hospitals, and testing, in the Oval Office of the White House, Friday, April 24, 2020, in Washington. (AP Photo/Evan Vucci, File)

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FILE - IOC President Thomas Bach looks at the empty stand during a visit to the National Stadium, the main venue for the Tokyo Olympic and Paralympic Games postponed until 2021 due to the coronavirus pandemic, in Tokyo, on Nov. 17, 2020. (Behrouz Mehri/Pool Photo via AP, File)

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A sign advertises seasonal flu and COVID-19 vaccines at a CVS Pharmacy in Miami, Tuesday, Sept. 9, 2025. (AP Photo/Rebecca Blackwell)

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FILE - A London Underground sign at Westminster station with the Queen Elizabeth Tower in the background that holds the bell known as Big Ben in London, March 15, 2021. (AP Photo/Alastair Grant, file)

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Co-owner Marc Ost at Eric's Rx Shoppe, and Michelle Santo unpack and log a shipment of COVID-19 vaccines at the store in Horsham, Pa., Tuesday, Sept. 2, 2025. (AP Photo/Matt Rourke)

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Co-owner Eric Abramowitz at Eric's Rx Shoppe unpacks a shipment of COVID-19 vaccines at the store in Horsham, Pa., Tuesday, Sept. 2, 2025. (AP Photo/Matt Rourke)

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FILE - Pharmacist Kenni Clark injects Robert Champion, of Lawrence, Mass., with a booster dosage of the Moderna COVID-19 vaccine during a vaccination clinic at City of Lawrence's "The Center," Dec. 29, 2021, in Lawrence, Mass. (AP Photo/Charles Krupa, File)