Public Health for all

CDPH Immunization Recommendations Under Assembly Bill 144

Adults

In accordance with California Health and Safety Code section 120164, the California Department of Public Health (CDPH) recommends the following immunizations, after taking into consideration guidance and recommendations from additional medical and scientific organizations, including, but not limited to, the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, and the American Academy of Family Physicians.
These recommendations pertain to all statutes in California law that reference California Health and Safety Code section 120164.
The consequences of Assembly Bill 144 (2025) include, but are not limited to:

Health insurance plans regulated in California are required to cover immunizations recommended by CDPH.
Persons providing immunizations in California as recommended by CDPH have liability protections.
California pharmacists may administer immunizations recommended by CDPH to patients three years and older without a prescription from a physician.

2025-26 Respiratory Virus Vaccine Recommendations

Age/Condition	COVID-19	Influenza (Flu)	RSV
Children	All 6–23 months All 2–18 years with risk factors or never vaccinated against COVID-19 All who are in close contact with others with risk factors [1] All who choose protection [1]	All 6 months and older	All younger than 8 months [2] All 8–19 months with risk factors
Pregnancy	All who are planning pregnancy, pregnant, postpartum, or lactating	All who are planning pregnancy, pregnant, postpartum, or lactating	32–36 weeks gestational age [3]
Adults	All 65 years and older All younger than 65 years with risk factors All who are in close contact with others with risk factors All who choose protection	All	All 75 years and older [3] All 50–74 years with risk factors [3]