In a significant move amid ongoing tensions with federal vaccine guidance, governors from California, Oregon, Washington, and Hawaii have announced the formation of the West Coast Health Alliance. This coalition aims to establish independent vaccine recommendations in response to the perceived politicization of the CDC and controversial health policies from the Trump administration. The alliance is a direct counteraction to the shifting national vaccine landscape, with some states expressing concern over the impact of figures like RFK Jr. on public health decisions. As the nation sees a divide in vaccine policies, these West Coast states are committed to upholding scientific integrity and ensuring access to vaccines.