Tensions persist around vaccine policy and public health governance in the United States, marked by sharp divides between federal and state authorities. Recent upheavals within the Centers for Disease Control and Prevention, including leadership turnover linked to vaccine advisory disagreements, have sparked bipartisan criticism and calls for agency accountability. Parallelly, states on the West Coast move to uphold consistent vaccine recommendations amidst shifts in federal guidance, illustrating ongoing challenges in the coordination of public health policy and communication.