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Oregon Gov. Tina Kotek weighs standing order to protect COVID-19 vaccine pharmacy access

Oregon Gov. Tina Kotek weighs standing order to protect COVID-19 vaccine pharmacy access


Oregon Governor Tina Kotek is currently navigating a path to enhance access to COVID-19 vaccinations amidst evolving federal guidelines that have caused confusion and restricted accessibility for many residents. In response to concerns regarding recent changes introduced by the U.S. Food and Drug Administration (FDA), Governor Kotek and the Oregon Health Authority (OHA) are actively exploring the implementation of a standing order that would ease these restrictions, ensuring that Oregonians can continue to receive vaccinations without the requirement of a prescription at pharmacies.

### Current Situation

The backdrop for this discussion is a recent tightening of federal guidelines regarding COVID-19 vaccines, which has spurred action among various states, particularly in the West Coast Health Alliance, a coalition initiated by governors of Washington, California, and Oregon. These states aim to maintain access to essential health services against a backdrop of increasing political turmoil surrounding the Centers for Disease Control and Prevention (CDC). Notably, a significant decision by U.S. Health and Human Services Secretary Robert F. Kennedy Jr. led to the removal of key members of the CDC’s Advisory Committee on Immunization Practices, stirring concern among health experts regarding the transparency and efficacy of federal vaccination strategies.

On August 30, 2025, the FDA introduced new restrictions limiting access to the COVID-19 booster shot, which had previously been available to anyone aged six months and older. The updated guidelines now restrict access primarily to individuals aged 65 and over, as well as younger individuals with specific underlying health conditions that increase the risk of severe illness.

### Oregon’s Response

In light of these changes, the OHA has implicit recognition of the challenges they present. As OHA spokesperson Jonathan Modie noted, they are reviewing existing regulations and statutes to determine next steps aimed at ensuring continued vaccine access—specifically through pharmacies. The introduction of a standing order for vaccines mirrors the actions taken in Washington, where individuals six months and older can receive the vaccine without a prescription through pharmacies or nursing staff.

As of now, the Oregon Board of Pharmacy is awaiting further federal guidance, expected to be clarified at the Advisory Committee’s meeting scheduled for September 18-19, 2025. The Board acknowledges the confusion caused by the recent federal changes, emphasizing the urgent need for clarity to mitigate barriers to vaccination during a critical respiratory season.

### Impact on Pharmacies

Several major pharmacy chains, including CVS and Kaiser Permanente, have stated their ongoing commitment to provide the COVID-19 vaccine in Oregon. CVS has confirmed that while some individual appointments may be canceled, vaccinations are still available statewide. Kaiser Permanente’s spokesperson underscored their dedication to making the upcoming COVID vaccine accessible at no cost to both children and adults.

### Legislative Involvement

The evolving situation has prompted interest among lawmakers, such as Rep. Rob Nosse of Portland, who is actively exploring ways to preserve access to vaccinations. His statements reflect an awareness of the pressing nature of the changes and the importance of a responsive legislative framework to ensure public health needs are met.

### Moving Forward

As discussions unfold, key stakeholders—including the OHA, pharmacies, healthcare providers, and lawmakers—are focusing on ensuring Oregonians can access vaccines swiftly and effectively. The need to adapt to the dynamic landscape of federal guidance is paramount, as is the necessity of efficient communication with the public regarding these changes.

### Conclusion

The potential standing order spearheaded by Governor Kotek signals an important step towards safeguarding public health in Oregon amid shifting federal guidelines. As stakeholders collaborate to address these challenges, it is crucial for the state to balance adherence to federal requirements while prioritizing the health and wellbeing of its residents. The forthcoming federal guidelines will play a pivotal role in determining the exact nature of Oregon’s vaccination strategy moving forward. Continued vigilance and proactive measures will be essential in ensuring that all Oregonians have unfettered access to the vaccinations necessary to protect against COVID-19 and its variants.

This situation serves as a reminder of the ongoing complexities surrounding public health policy in the United States, particularly during times of crisis. The outcome of these discussions in Oregon could set a precedent for other states grappling with similar issues, illustrating the necessity for states to be agile and receptive to the health needs of their populations in a rapidly changing environment.

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