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5 questions parents may have after Trump's latest vaccine move
President Trump signed an executive order Monday related to childhood vaccines in an Oval Office ceremony, flanked by top health officials and a conservative commentator who talked about her child and her current pregnancy. Those attendees called the move "historic" and "a big deal."
But what's different today when it comes to childhood vaccine policy in the U.S.? Not much. There's no new research, no new vaccines available and no immediate change to insurance coverage or school requirements.
And so far, pediatrician Dr. Jennifer Shu in Atlanta says parents in her practice aren't asking her about what the executive order means for their kids.
"At the very beginning, when the administration started making changes, people were concerned about — gosh, are we no longer going to have access to certain vaccines?," she says. "But I'm not hearing that anymore."
She says since some of the biggest swings from the White House – including an effort to reduce the number of federally-recommended vaccines for children – were blocked by courts and never took effect, "I'm feeling like a lot of parents are kind of wanting to see what the final result is before they get too concerned."
Still, the potential for confusion is real, she says. Here are the answers to five questions parents might be having about the executive order.
1. Are the same shots still available?
"Yes — as of right now, yes," Shu says. All of the shots in the childhood vaccine schedule backed by pediatricians are still available.
The Trump administration has tried — first through a panel of hand-picked advisors and then unilaterally — to change the list and timing of these vaccines, but has not been successful so far. The new executive order calls for certain things to be researched and reports to be written, but it makes no immediate changes.
All of that highlights the limits of the federal government in this area, says Jen Kates, senior vice president and director of the Global and Public Health Policy Program at the nonpartisan health research organization KFF.
"It's up to states and individual parents," she says. "States are going to make these decisions about school entry and then parents can make their own decisions about timing." In fact, she explains, "in all states but five, parents can opt out of vaccines or they can get a nonmedical exemption.
"So parents actually have quite a bit of choice already, and nothing about this will diminish or expand their choice," she adds.
2. Does this affect which vaccines are covered by insurance?
No, health insurance coverage is unchanged for all vaccines in the American Academy of Pediatrics' vaccine schedule. Nearly all families can receive vaccinations with no copays, including families without health insurance.
In a statement from May, AHIP, the trade association that represents health insurance companies, said that health plans would cover vaccines recommended by the CDC through the end of 2027.
3. Why is this vaccine order happening now?
It's not entirely clear why this executive order is being rolled out now, especially so close to the November midterms elections, since some Republican pollsters have warned vaccine changes are politically hazardous. The timing also intersects with the beginning of the school year.
At the signing, Trump seemed to indicate that his administration was making another move in this area because it matters a lot to him, and because past efforts have been blocked in the courts.
"I believed in this a long time," Trump explained as he signed the executive order Monday. When vaccinating his own children, Trump told reporters, he made extra doctors' appointments to spread out the number of shots they got at one time. "It's inconvenient, it's five stops, but it's something that I think will have a huge impact on autism," he added.
The executive order does not actually address autism and vaccines, but Trump made multiple references to it at the press conference, as did Health Secretary Robert F. Kennedy Jr., a longtime anti-vaccine activist. The links between autism and vaccines have been debunked by many studies.
"There's nothing new," Shu says. "Nothing has changed with the science." She adds that the effort to change the vaccine schedule is "based on misinformation."
4. What's the idea behind spacing out children's shots?
Shu says she does see families who ask about spacing out the vaccine schedule the way Trump describes doing with his own children.
"What I tell parents is that splitting the vaccines has not been studied — putting the vaccines together as scheduled has been proven to be safe and effective," she says. "And sometimes combining vaccines at one visit may help some work better together."
Spacing the vaccines out has downsides, she adds. "Splitting them up leaves a kid more vulnerable to certain infections if they get exposed before they're fully protected by the vaccine, it means more visits to the doctor's office, it means more time off that the parents take — things like that."
5. Could the MMR shot be split into three shots?
Maybe, but it would take a while. The executive order calls for the measles, mumps and rubella vaccine to be divided into three separate shots, but right now separate shots for those vaccines are not available in the U.S. A White House official told reporters on background Monday that the administration would be working with private drugmakers to explore making those available.
"There's no evidence whatsoever that that vaccine should be split, in fact, it raises all kinds of challenges and potential downsides," Kates from KFF says. She points out that one of the complaints raised by Trump is that children get too many shots, yet this change would increase the numbers of shots for the same amount of protection.
Kates adds that Trump's statements during the press conference about the dangers of the MMR shot could have a bigger impact on public health than the policy specifics of splitting up these vaccines. KFF polling shows most parents are supportive of vaccines, Kates says, but even a small group that becomes concerned or confused about vaccines can make a difference when it comes to public health.
"As we can see with the measles outbreak, as soon as you start to bring vaccine coverage down, even a slight amount, that is where you start to see breakthrough [infections] — that's the risk here," she says.
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Trump’s unfinished ballroom faces uncertain path after latest legal blow
President Donald Trump has dug himself a hole.
The future of construction on his sprawling East Wing ballroom is uncertain after a divided appeals court ruled Friday that he is unlawfully constructing the project.
What happens next could be up to the nation's highest court — to which Trump said he'd appeal — potentially Congress and maybe even his successor.
"There is no clear path to this being resolved one way or the other while he is president. The likelihood that we have a hole in the ground because of political realities — not because of construction realities — is very high through the end of his term," said Greg Werkheiser, a historic preservationist and lawyer who is embroiled in a separate lawsuit with the White House over another Trump pursuit, an effort to paint the nearby Eisenhower Executive Office Building.
The ballroom — like many of Trump's construction projects around Washington, DC — is unpopular with the public. But it's a major priority for the president, who has championed it at every opportunity and been involved in design details big and small.
"The entire Complex, Military and all, is largely built, fabricated, and paid for. Much is already on site, or being delivered," Trump wrote on Truth Social after Friday's ruling, blasting the court and asking why the nation's top historic preservation group didn't sue before construction started.
Nearly six months of construction
Planning for the ballroom began in the early months of Trump's second term, with the White House formally announcing it on July 31, 2025.
The announcement made no mention of demolishing the East Wing, which for decades served as headquarters for first ladies and their staff, nor did it frame the project as a national security imperative — an argument Trump didn't begin making until February 2026.
In late October 2025, the East Wing was razed and workers began a monthslong excavation effort resulting in a very large hole in the ground. The National Trust for Historic Preservation launched a legal challenge in December.
In late February 2026, crews began work on the foundation, filling in that hole with the below-ground portion of the building, which will house a highly secretive underground bunker complex aimed at modernizing aging underground infrastructure.
So far, according to a CNN analysis of photos and floor plans, the above-ground construction of the ballroom has been limited to pouring heavily reinforced concrete columns, walls and floors. The areas where the concrete frame has been completed include new offices for the first lady, some of the kitchen and some entry halls. Above the ground floor, crews have built four towering walls, almost to the planned height of the building, and begun assembling formwork to pour the floor of the actual ballroom.
Construction has progressed at a rapid pace, but the new structure isn't close to being occupiable.
As the scope of the project has evolved, so has the price tag. The ballroom was initially introduced at "approximately $200 million," with Trump emphasizing it would be privately paid for as the cost ticked up to $300 and then $400 million.
Then this spring, Senate Republicans requested $1 billion that would go, in part, toward security related to the project, although that effort ultimately failed, with some in Trump's own party worried about the optics of funding a ballroom while Americans are struggling. The funding picture became more complicated when a project summary, obtained by the Washington Post in June, estimated its price at $600 million, more than half of which would come from taxpayers.
What happens next
The crux of the legal challenge isn't the 90,000-square-foot structure, its placement atop the South Lawn or even the 2025 demolition of the historic East Wing. Instead, it's the processes Trump ignored along the way: bypassing congressional approval and breaking ground before required reviews and assessments were completed.
The president maintains the project isn't subject to any oversight. But it's become mired in a complicated legal battle without a clear resolution ahead.
This state of uncertainty, Werkheiser told CNN, "illustrates that the morass he's gotten himself into with all these projects. It's not that he can't do them. It's just that he refuses to do them legally, and that makes it that much more difficult for him to execute them than they would be if he just followed the rules in the first place."
On Friday, the appeals court said Trump must stop construction until Congress approves the project, but the judges paused their ruling for two weeks so the administration could have a chance to appeal to the Supreme Court — which Trump vowed to do "immediately." Once that request is in, the justices will have to decide whether they will let the lower-court ruling take effect for now.
Separately, the Supreme Court will also have to decide whether it will review the lower-court ruling against the project at all. Should the justices take up the case, recent divisions within the court's conservative supermajority suggest that a win for Trump isn't guaranteed.
Some White House officials have questioned what will happen if the Supreme Court declines to take up the case, but the overall sentiment from top legal advisers is that the administration is well-positioned to win the case and it's not time to be concerned yet, according to a person familiar with the matter.
If Trump secures a victory, construction could continue on a project whose completion he's estimated by summer 2028, a few months before the end of his second term.
It's also possible that the court finds Trump must secure congressional approval before the project can resume, which would set up a major political test for the president's party. Approval would become especially unlikely if Democrats gain power of either chamber in the November midterms.
And public opinion isn't on the president's side: In a recent CNN poll, 58% of Americans said they were dissatisfied or angry about Trump's projects around DC, like the ballroom and renovations at the Lincoln Memorial Reflecting Pool.
Trump began messaging the ballroom as a national security necessity in late February. He zeroed in on that message after Friday's ruling, saying it's "being built for the protection of our Country and, additionally, all future Presidents" and highlighting some of the features of the underground bunker, including bomb shelters, medical facilities and top-secret military facilities.
But the appeals court said Trump could continue work on the below-ground complex even while construction of the above-ground ballroom is paused, with the judges noting that the president could, for example, "put a fully protective covering over the underground construction and other exposed portions of the construction site" to ensure the bunker isn't unprotected.
Experts suggested to CNN that even if ballroom construction is legally forced to come to a halt, work on the bunker could proceed to eliminate the national security threat Trump has warned exists and also shore up the hole from any health and safety hazards.
"Hypothetically, if you stop construction now, you could redesign this and have an underground facility and reconstruct the East Wing on top of it and just close off the site. There are other alternatives beyond completing the ballroom," said Bryan Clark Green, an architectural historian who previously served on the National Capital Planning Commission, one of the review boards that approved the ballroom in April after being stacked with Trump loyalists.
Trump's construction obsession
Trump, a former real estate developer, has made construction his second job as president — one he believes is part of his legacy, sources familiar with his thinking have said.
"The thing I do best in life is build," he told reporters during a May field trip to observe the ballroom construction.
The president lashe
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