More States Protect Access to the COVID Shot as Feds Restrict Eligibility

But the federal government’s new COVID-19 recommendations have sown confusion. Many people are unsure whether their local pharmacy will give them the shot without a prescription — and if so, whether their health insurance will pay for it.

In the 17 states that have acted thus far, governors and state public health officials are trying to clear up that confusion, empower pharmacists to administer the shot and, in some cases, mandate that insurers pay for it.

The latest state to act is Wisconsin. Democratic Gov. Tony Evers signed an executive order Monday directing state health officials to create policies that ease vaccine restrictions, and requiring insurers to keep covering the COVID-19 shot.

“Vaccines save lives, folks. Spreading fear, distrust, and disinformation about safe and effective vaccines isn’t just reckless, it’s dangerous,” Evers said in a news release. “RFK and the Trump administration are inserting partisan politics into health care and the science-based decisions of medical professionals and are putting the health and lives of kids, families, and folks across our state at risk in the process.”

In addition to Wisconsin, ColoradoMassachusetts and Rhode Island have required insurers to cover the shot, and Arizona Democratic Gov. Katie Hobbs’s executive order calls on state insurance regulators to “encourage” insurers to do so.

In many of the states, including Arizona, Colorado, Maine, Massachusetts, New Jersey, New Mexico and Rhode Island, the governor or the chief public health officer issued a standing order clarifying that pharmacies can administer the vaccine without a prescription.

Earlier this month, New York Democratic Gov. Kathy Hochul issued an executive order allowing pharmacies in her state to administer the shot to anyone 3 or older through October 5. The order can be renewed, pending action by the legislature.

And in Connecticut, Delaware and Pennsylvania, state authorities directed pharmacists to follow the vaccine recommendations issued by professional groups such as the American Academy of Pediatrics, the American Academy of Family Physicians and the American College of Obstetricians and Gynecologists.

North Carolina Democratic Gov. Josh Stein issued an order stating that pharmacies can administer the COVID-19 vaccine without a prescription to all adults over 65 and anyone over 18 with a broad range of underlying health conditions. Virginia’s top public health official issued a similar order.

Earlier this month, the Democratic governors of California, Hawaii, Oregon and Washington announced the formation of the West Coast Health Alliance to coordinate vaccine recommendations for their states. The states pledged to use guidelines based on advice from leading medical organizations.

Meanwhile, Republican-controlled Florida doubled down on Kennedy’s antivaccine stance, announcing plans to become the first state to phase out all vaccine mandates, including ending requirements that kids be vaccinated against dangerous diseases before enrolling in schools.

At a news conference earlier this month, Florida Surgeon General Joseph Ladapo said vaccine mandates are “immoral.”

“Every last one of them is wrong and drips with disdain and slavery,” Ladapo said of such requirements.

In Louisiana, Republican U.S. Sen. Bill Cassidy, who is a physician, suggested last week that state Surgeon General Ralph Abraham should issue a blanket prescription for anyone who wants the COVID-19 shot, the Shreveport Times reported.

Republican Gov. Jeff Landry responded angrily on X.

“The last time I checked you have a prescription pad, why don’t you just leave a prescription for the dangerous Covid shot at your district office and anyone can swing by and get one! I am sure big pharma would love you for that one!” Landry wrote.

Shalina Chatlani covers health care and environmental justice for Stateline.The article originally appeared in Stateline. Stateline is part of States Newsroom, the nation’s largest state-focused nonprofit news organization, with reporting from every capital.Stateline journalists aim to illuminate the big challenges and policy trends that cross state borders. You may subscribe to Stateline here.

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