Pennsylvanians should follow vaccine recommendations issued by medical organizations on a state-sanctioned list rather than adhering to guidance from the federal government, Gov. A proposal to recommend that babies get a hepatitis B vaccine at 1 month rather than at birth was postponed. Changes in federal vaccine guidelines have caused confusion about access to immunizations and whether health insurers will cover the cost of vaccines. Shapiro said Monday that private health insurers in Pennsylvania will continue to pay for all vaccines covered under the CDC panel's 2024 recommendations. Last week, Pennsylvania also joined the Northeast Public Health Collaborative, a newly-formed coalition of states aimed at maintaining evidence-based medical practices and vaccination recommendations in the face of disrupted federal guidance.