President Donald Trump signed an executive order on Monday targeting childhood vaccine recommendations. The directive calls for health agencies to promote the practice of spacing out childhood shots into separate medical appointments. A primary focus of the order includes splitting the combined measles, mumps, and rubella (MMR) vaccine into three distinct doses.

Trump continues to suggest a link between vaccine schedules and autism spectrum disorder. This position contradicts a broad scientific consensus that has found no evidence of such a connection after decades of research. The White House fact sheet on the order also directs federal agencies to increase vaccine-related research.

Public health experts warn that altering established vaccination schedules could heighten risks for children. Medical organizations, such as the American Academy of Pediatrics, maintain that the current combined schedule is safe and effective. Experts note that delaying shots leaves children vulnerable to preventable diseases during the time between visits.

While the federal order advises states to update their own school mandates to align with these new recommendations, states retain the primary authority over vaccination requirements for students. Earlier administration attempts to alter vaccine guidelines were halted by a federal judge. This new move presents a potential conflict for health officials, as the administration seeks to reshape long-standing medical protocols over the objections of mainstream public health guidance.