In a significant move, governors from the West Coast states, including California, Oregon, and Washington, have issued their own COVID-19 vaccine recommendations, seeking to counter the perceived politicization of health guidelines by the federal government. As the fall vaccination season approaches, these states have expressed distrust in the CDC’s guidance and have opted for a unified approach to prioritize public health. California, specifically, is distancing itself from federal recommendations and is considering establishing its own vaccine agency to better serve its residents. This coalition aims to provide clear and independent vaccine guidance for COVID-19, flu, and RSV, amidst ongoing confusion regarding federal policies. With the upcoming winter season, the West Coast Health Alliance is taking a proactive stance by recommending vaccinations for all adults and children, ensuring that local needs and safety take precedence over political considerations.