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.

2026-27 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 to reduce risk of severe illness	All 6 months and older [2]	All younger than 8 months [3] All 8–19 months with risk factors
Pregnancy	All who are planning pregnancy, pregnant or postpartum	All who are planning pregnancy, pregnant or postpartum	All who are 32–36 weeks gestational age [3,4]
Adults	All 65 years and older All 19–64 years with risk factors All who are in close contact with others with risk factors [1] All who choose to reduce risk of severe illness	All	All 75 years and older [4] All 50–74 years with risk factors [4]
Healthcare Workers	All	All	All who meet criteria above

[1] COVID-19 vaccine is available for persons 6 months and older.

[2] Two doses given at least 4 weeks apart are recommended for ages 6 months–8 years who are getting flu vaccine for the first time.

[3] Protect infants with either prenatal RSV vaccine or infant dose of nirsevimab or clesrovimab.

[4] RSV vaccination during pregnancy or for adults is currently recommended once rather than annually.

Children and adolescents through age 18 years

CDPH recommends immunization of children and adolescents in accordance with the American Academy of Pediatrics (AAP) immunization schedule (PDF) (version September 2, 2026). Reproduced with permission from the American Academy of Pediatrics.

Adults age 19 years and older

CDPH recommends immunization of adults in accordance with the American Academy of Family Physicians (AAFP) adult immunization schedule (PDF) (version March 1, 2026). Reproduced with permission from the American Academy of Family Physicians.

CDPH recommends immunization of adults in accordance with the American Academy of Family Physicians (AAFP) immunization schedule (PDF) (version 3/1/2026). You’re being redirected to a third-party website that isn’t maintained or operated by the California Department of Public Health (CDPH). CDPH isn’t responsible for the content or privacy practices of external websites.

People who are pregnant and were recently pregnant

Both the AAP and AAFP schedules include the same maternal immunization recommendations as those in the American College of Obstetricians and Gynecologists (ACOG) Immunization Schedule.

These are the California Department of Public Health Immunization Recommendations, as required under Assembly Bill 144 (2025) and California Health and Safety Code Section 120164. The new law creates a baseline immunization recommendation for California based on the federal Advisory Committee on Immunization Practices (ACIP) immunization recommendations in effect on January 1, 2025. CDPH is authorized to update recommendations as needed taking into consideration guidance from professional organizations, such as the American Academy of Pediatrics (AAP), the American Academy of Family Physicians (AAFP), and the American College of Obstetricians and Gynecologists (ACOG). As ACIP and CDC publish new recommendations, refer to this webpage for official CDPH recommendations.