On December 2, Governor JB Pritzker signed a wide-ranging health measure that formally creates a state-controlled process for issuing vaccine guidelines and expands access to COVID-19 and flu vaccines for young children throughout Illinois.
Speaking at a news conference in Chicago, Pritzker contrasted Illinois’ approach with recent shifts at the federal level, sharply criticizing federal vaccine policymaking as inconsistent and insufficiently protective of public health. The Governor noted that the state is prioritizing clear, science-based recommendations while federal officials move in a different direction.
The new law codifies the process by which Illinois adopts, updates and publishes state vaccine guidelines. It also outlines the role of the Illinois Immunization Advisory Committee, granting members the authority to override decisions from the director of the Illinois Department of Public Health (IDPH) if they believe their recommendations were not adequately considered.
Earlier this fall, IDPH adopted state-specific COVID-19 vaccine guidance under a September executive order from Pritzker. That order directed the state to issue its own recommendations “where federal actions fail to protect the public health,” setting the stage for this legislative change.
Expanded Vaccine Access for Children
A major provision of the new law lowers the minimum age for children to receive COVID-19 and flu vaccines at pharmacies—from age 7 down to age 3. State officials say the change will make it easier for families to obtain timely vaccinations, particularly in communities with limited pediatric care access.
Additional Pharmacy Benefit Manager Changes Included
The bill signed Tuesday also includes technical “clean-up” revisions to earlier legislation regulating pharmacy benefit managers (PBMs). While some insurers raised concerns about potential overreach into federally regulated self-funded plans, industry groups have pledged to maintain coverage for vaccines currently offered through at least 2026.
With the new law in place, Illinois solidifies its move toward a more independent public health strategy—one aimed at offering consistent, locally driven vaccine recommendations and broader access for families across the state.