Kennedy fired all members of the panel in June and has since appointed vaccine skeptics to the committee, which is set to meet on Sept. 18-19 and discuss the shot. Days later, Oregon joined Washington, California and Hawaii to form a “West Coast Health Alliance” aimed at safeguarding vaccine access regardless of shifting federal policies. “Oregon does not have the same authority, but there may be indirect pathways that allow for an action of this kind,” Bezerra said. The pharmacy board completed rulemaking by August to be able to respond promptly to forthcoming guidance from the Sept. 18-19 vaccine advisory meeting. Washington law allows the state’s health secretary or designee to issue a standing order, but Oregon law doesn’t explicitly allow the Oregon Health Authority to do so.