For children, yes, the CDC’s “shared decision-making” guidance preserves the status quo in which Medicaid and U.S. health-insurance companies are legally required to pay for the COVID vaccines. That also means the vaccines will remain available to low-income kids through the federal Vaccines for Children program.

A new, highly transmissible COVID subvariant has been detected in California — heightening the risk of a summer wave as recent moves by the Trump administration threaten to make vaccines harder to get,