The US Advisory Commission on Immunization Practices (ACIP), whose members were selected by Secretary of Health Robert F. Kennedy Jr., voted to change the hepatitis B vaccination recommendation. The committee suggests that newborns of mothers who test negative for hepatitis B should not be automatically vaccinated within 24 hours of birth, but that this should be decided on an individual basis after consultation with a physician. According to the proposal, the postpartum dose should only be given to children of mothers with a positive test or if the mother has not been tested. If the family decides to refuse vaccination at birth, vaccination against hepatitis B should be started at the earliest at the age of two months. This recommendation has yet to be formally approved by the CDC director. The current schedule of universal newborn vaccination since 1991 has been associated with a 99% reduction in acute hepatitis B infections in US children between 1990 and 2019, representing more than 1,019 new infections. The commission's proposal is similar to the current procedure in the United Kingdom, where newborns of mothers with hepatitis B are vaccinated within 24 hours and other children from 8 weeks of age.