The “Gold Standard Childhood Vaccine Recommendations” Trump signed Monday calls for lowering the number of universally recommended shots to 11 from 17. Alterations to vaccine policy are made through recommendations of an expert Centers for Disease Control and Prevention panel that are ratified by the agency. The move thrusts vaccine policy back into the national spotlight after months of more muted messaging from the administration. Earlier efforts by HHS Secretary Robert F. Kennedy Jr. to change the childhood vaccine schedule were blocked by the courts. At the White House, health policy adviser Heidi Overton said the order was a response to the court order freezing the administration’s vaccine agenda.