The Brief

A key federal vaccine advisory panel whose members were recently replaced by Health Secretary Robert F. Kennedy Jr. is expected to vote to recommend delaying, until age 4, the hepatitis B vaccine that's currently given to newborns, according to two former senior officials at the Centers for Disease Control and Prevention.

"There is going to likely be a discussion about hepatitis B vaccine, very specifically trying to dislodge the birth dose of hepatitis B vaccine and to push it later in life," said Demetre Daskalakis, the former director for the National Center for Immunization and Respiratory Diseases. "Apparently this is a priority of the Secretary's."

The vote is expected to take place Thursday during the next meeting of the CDC's Advisory Committee on Immunization Practices, or ACIP. The meeting is scheduled for September 18-19 at a CDC office in Atlanta, Georgia.

For more than 30 years, the CDC has advised that infants get the first of three shots of the hepatitis B vaccine at birth. In that time, the potentially fatal disease has been virtually eradicated among American children. Between 1990 and 2022, case rates plummeted 99 percent among people age 19 and younger.

Pediatricians warn that waiting until age 4 to begin vaccination opens the door to more children contracting the virus.

"Age four makes zero sense," said pediatrician Eric Ball, who practices in Orange County, California. "We recommend a universal approach to prevent those cases where a test might be incorrect or a mother might have unknowingly contracted hepatitis. It's really the best way to keep our entire population healthy."

In addition to the hepatitis B vaccine, the panel will also discuss and vote on recommendations for the combined measles, mumps, rubella, and varicella vaccine, and COVID vaccines.

Pediatricians worry changes to the schedules of these vaccines will limit access for many families, because ACIP's recommendations generally determine whether insurance plans and federal programs pay for the vaccines.

Typically, ACIP would undertake an analysis of the data before recommending a change to vaccine guidelines. As of the end of August, this process had not begun for the hepatitis B vaccines, Daskalakis and another former official said.

"This is an atypical situation. There's been no work group to discuss it," Daskalakis said.

The second former official spoke to NPR and KFF Health News on condition of anonymity.

In an email, a Health and Human Services spokesman, Andrew Nixon, wrote, "ACIP exists to ensure that vaccine policy is guided by the best available evidence and open scientific deliberation. Any updates to recommendations will be made transparently with gold standard science."

The draft agenda for the upcoming ACIP meeting was released to the public Sunday, only a few days before the meetings are scheduled to begin.

At the last ACIP meeting in June, chairman Martin Kulldorff, one of the new members handpicked by Kennedy, questioned the need to vaccinate every newborn, citing only two of the many ways the virus can spread.

Dr. Martin Kulldorff speaks during a June 25 meeting of the Advisory Committee in Immunization Practices at the CDC in Atlanta.

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Kulldorff is a former Harvard Medical School professor who became known for opposing some public health measures during the COVID-19 pandemic.

"Unless the mother is hepatitis B positive, an argument could be made to delay the vaccine for this infection, which is primarily spread by sexual activity and intravenous drug use," Kulldorff said.

The infection requires direct exposure to infected bodily fluids like blood and semen. The disease has no cure and can lead to serious conditions like cirrhosis and liver cancer later in life. The CDC advisory panel may maintain the recommendation to inoculate newborns whose mothers are considered at high risk of the disease, the former officials said.

Protection from birth

In 1991, federal health officials determined it was advisable for newborns to receive their first dose of the hepatitis B vaccine within 24 hours of birth, which blocks the virus from taking hold if transmitted during delivery.

While parents may opt out of the shots, many daycare centers and school districts require proof of hepatitis B vaccination for enrollment.

The prospect of altering the recommendation has left some people living with the virus deeply unsettled.

"I am goddamn frustrated," said Wendy Lo, 52, who lives in the San Francisco Bay area. Lo says she has probably had hepatitis B since birth. Years of navigating the psychological, monetary, medical and social aspects of chronic hepatitis B has impacted almost every aspect of her life.

"I would not want anyone to have to experience that if it can be prevented," she said.

Lo only learned she had the disease due to a routine screening in order to study abroad in college as a young adult.

Lo credits the vaccines with protecting all the members of her close family from infection.

"I shared with my partner, 'if you get vaccinated, we can be together,'" she said. He got the vaccine, which protects him from infection, "so I'm grateful for that," she said.

The CDC estimates half of people with hepatitis B do not know they are infected. It can range from an acute, mild infection to a chronic infection, often with few or no symptoms.

Most people with chronic hepatitis B were born outside of the U.S. Asians and Pacific Islanders, followed by Black people, have the highest rates of newly reported chronic infections.

When her children were born, Lo was adamant that they receive the newborn dose, a decision she says prevented them from contracting the virus.

The earlier an infection occurs, the worse the lifetime consequences, according to the CDC. When contracted in infancy or early childhood, hepatitis B is far more likely to become a chronic infection, silently damaging the liver over decades.

Those who become chronic carriers can also unknowingly spread the virus to others and face an increased risk of long-term complications including cirrhosis and liver cancer, which may not become evident until much later in life.

Treatments like the antivirals Lo now takes weren't available until the 1990s. Decades of the virus replicating unchecked damaged her liver. Every six months she gets scared of what her blood tests may reveal.

"Now I'm in my 50s, one of my big concerns is liver cancer. The vaccine is safe and effective, it's life-saving, and it protects you against cancer. How many vaccines do that?" Lo said.

Thirty years of universal vaccination

After a vaccine was approved in the 1980s, public health officials initially focused vaccination efforts on so-called "high-risk" adults.

"I, and every other doctor, had been trained in medical school to think of hepatitis B as an infection you acquired as an adult. It was the pimps, the prostitutes, the prisoners, and the healthcare practitioners who got hepatitis B infection. But we've learned so much more," said William Schaffner, professor of infectious diseases at the Vanderbilt University School of Medicine and a former voting member of ACIP.

As hepatitis B rates remained stubbornly high in the 1980s, scientists realized an entire vulnerable group was missing from the vaccination regime – newborns. The virus is often spread from an infected mother to baby in late pregnancy or during birth.

"We may soon hear 'let's just do a blood test on all pregnant women.' We tried that. That doesn't work perfectly either," Shaffner said.

Some doctors didn't test, he said, and some pregnant women falsely tested negative, while others acquired hepatitis B later in pregnancy, after they had already been tested. In 1991, Schaffner was a liaison member to the ACIP group that voted to recommend universal vaccination for hepatitis B before an infant leaves the hospital.

"We want no babies infected. Therefore, we'll just vaccinate every mom and every baby at birth. Problem solved. It has been brilliantly successful in virtually eliminating hepatitis B in children," he said.

In 1990, there were 3.03 cases of hepatitis B per 100,000 in those 19 years old and under in the U.S., according to the CDC.

Since the federal recommendation to vaccinate all infants, cases have dramatically decreased. CDC data shows that in 2022, the rate of cases among those ages 19 was less than 0.1 per 100,000.

While hepatitis B is often associated with high-risk behaviors such as injected drug use or multiple sexual partners, health experts caution that it is possible for the virus to be transmitted in ordinary situations, especially among young children.

The virus can survive for up to seven days outside the body. During that time, even microscopic traces of infected blood on a school desk or playground equipment can pose a risk.

If the virus comes into contact with an open wound or the mucous membranes of the eyes, an infection can occur. This means that unvaccinated children who are not considered "high risk" can still be exposed in everyday environments.

Future access uncertain

If the CDC significantly alters its recommendation, health insurers would no longer be required to cover the cost of the shot if given before the new recommended age. That could leave parents to pay out of pocket for a vaccine that has long been provided at no charge.

Children who get immunizations through the federal Vaccines for Children program would lose free access to the shot as soon as any new ACIP recommendations get approved by the acting CDC director.

The two former CDC officials said that plans were underway to push back the official recommendation for the vaccine as of August, when they both left the agency, but may have changed.

Schaffner is still a liaison member of ACIP, and hopes to express his support for universal newborn vaccination at the next meeting.

"The liaisons have now been excluded from the vaccine work groups. They are still permitted to attend the full meetings," he said.

He intends to speak up if he can, because he's worried about the next generation of babies and the doctors who care for them.

"We'll see cases of hepatitis B once again occur. We'll see transmission into the next generation," he said. "And the next generation of people who wear white coats will have to deal with hepatitis B, when we could have cut it off at the pass."

This story was produced in partnership with KFF Health News, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs of KFF.

NPR Health Correspondent Will Stone contributed to this story. Copyright 2025 KFF Health News

If there's room for agreement on anything in Washington, it's that lawmakers need to do something to make homeownership more affordable. On Tuesday, legislators on both sides of the aisle clinched the final vote in the House to pass the largest piece of housing legislation in decades.

The bill, called the 21st Century Road to Housing Act, passed 358-32 in the House. The Senate approved it Monday with similarly overwhelming bipartisan support. It now heads to President Trump's desk for his signature.

In an interview with NPR, Sen. Elizabeth Warren, D-Mass., a co-sponsor of the bill, said housing affordability has become a priority for Congress.

"Every time every member of Congress goes back home they hear how urgent it is to bring down home prices. And that's what the bill does," she said.

A number of factors have made homes out of reach for many U.S. buyers. According to the real estate broker Redfin, a family needs an income of about $117,000 a year to afford the typical home on the market, almost $30,000 more than what most U.S. households earn.

Mortgage rates have also risen over the past several years, and that boosts the monthly cost of ownership. Rates had been falling earlier this year, but the war in Iran raised the cost of borrowing, and the nationwide average is now about 6.5%. Families also have less purchasing power, as inflation has outstripped wages.

But the main issue this bill tries to address is that the U.S. does not have enough houses to keep up with demand. Realtor.com estimated that last year the U.S. was short by more than 4 million housing units.

"Supply is the key problem here," said Jeanna Kenney, assistant professor of economics, finance and real estate at Villanova University. "Anything you can do to make supply easier is going to be helpful in the long term."

Ban on corporate investors that buy hundreds of homes

Rather than making a single change, the bill is a hodgepodge of provisions designed to either encourage housing construction or make it easier for home seekers to buy. The flashiest part of the package is a ban that prevents corporate investors from buying up more single-family homes to rent out. If one of those groups already owns at least 350 houses, it won't be able to buy others.

This provision was one of the most contested as the bill worked its way through the legislative process. Some politicians endorsed it as a move to stop corporate landlords from being able to outbid families and buy up large chunks of local housing markets with cash offers.

But nationally, these investors make up only about 3% of the single-family rental market. And some experts warn the ban could actually limit the supply of available homes, because investors often buy and fix up homes that would otherwise fall out of the market. "It chills investment, and we need more investment in housing stock, not less," said Ross Marchand, executive director of the right-leaning think tank the Taxpayers Protection Alliance.

Still, Warren hailed the investor ban, pointing out that investors are buying up a large slice of the market in some parts of the country, such as Atlanta. "If you don't live in a neighborhood where private equity has already moved in, believe me, you're on their list," Warren said.

Streamlining regulations for homebuilders

While the legislation doesn't provide new federal dollars for homebuilding, it streamlines some of the regulations homebuilders must follow to get existing federal financing.

For example, it allows builders to skip the environmental review when a housing project is going up between two buildings that have already gone through the process.

A different provision creates a grant program for communities to develop "pattern books" of preapproved housing designs, so builders won't need as many approvals to get up to code.

Another is aimed at making manufactured homes more affordable by getting rid of the rule that those houses must have a permanent chassis, or a steel frame that makes them movable. Manufactured homes are often installed onto permanent foundations, and housing policy experts say that removing the chassis requirement could cut $5,000 to $10,000 off construction costs and allow for designs that could more easily incorporate a second story or basement.

"Not having that chassis immediately wipes several thousand dollars off that price — and this is already a type of home that is significantly less expensive than a traditional stick-built home," said Kate Wood, a lending expert at the financial advice website NerdWallet. (Stick-built is a real estate term for wooden homes that are constructed on site, rather than prefabricated.)

The bill also encourages local governments to speed up the homebuilding process by giving more federal dollars to places that build more housing. "If you don't build more housing, you should lose those incentives. And they should go to the places where you're building more housing," said the bill's co-sponsor, Sen. Tim Scott, R-S.C., on the Senate floor Monday ahead of the chamber's vote.

What federal legislation can't do 

Washington lawmakers have a limited role when it comes to homebuilding — local governments have a much bigger say over construction. So do private builders, who are facing external challenges like the high cost of labor and supplies.

And Congress doesn't get a vote on mortgage rates. With rising inflation, the Fed might actually raise interest rates later this year.

But this is still the largest housing affordability bill to come out of Congress in decades, and researchers and those in the housing industry say it could help make homeownership more accessible.

"Honestly, the dream of homeownership is simply just that — a dream for so many Americans," said Amanda Crist, the vice president of member engagement at Greater Nashville Realtors. She said that anything that helps improve affordability "is absolutely necessary."

Sen. Warren put it this way: "It has just been more than 30 years since the federal government has done anything but sit by and say, 'Damn, the price of housing sure has gone up.' Finally, we are actually moving."
Copyright 2026 NPR

The Los Angeles City Council decided Tuesday to put off the full effects of a major new state housing law by allowing low-rise apartment buildings in some neighborhoods where such housing has long been banned.

All council members voted in favor of those plans except for Traci Park, who was absent from the meeting.

California’s Senate Bill 79 is set to take effect July 1. The law overrides local limits on housing development by allowing apartment buildings between five and nine stories tall near train stations and rapid bus stops.

However, cities are allowed to postpone those changes until 2030 by developing their own incremental plans for more housing. L.A. elected leaders have chosen to delay. They’re doing so through the city’s new Low-Rise Ordinance, which aims to allow buildings up to four stories tall in 57 neighborhoods near transit lines.

Why it matters

L.A. lawmakers have tried many approaches to bring down L.A.’s high rents. But they have consistently voted to stop apartment developers from encroaching on the nearly three-quarters of city residential land reserved for single-family homes.

Pushed by state lawmakers, city leaders are now having to accept some changes in single-family neighborhoods located near public transit lines.

The reaction

Some local officials and homeowners have expressed frustration over new state limits on their ability to stop development in low-density zones. But advocates for more development said the council’s decision will help address high rents by allowing more housing in areas that have long been off-limits to new apartments.

“The City Council voted to open up high-resource single-family neighborhoods near transit stations,” said Scott Epstein, policy director with Abundant Housing L.A. “This reform is long overdue and will help build a future where Angelenos of all incomes can find homes in the neighborhoods of their choice.”

Where will the projects be allowed?

Officials with the city’s planning department said residents can see whether Low-Rise Ordinance projects will be allowed in their neighborhood by clicking on this interactive map and making two selections from the “layer list” menu: “Opportunity Station Sites Eligible for Low Rise” and “Sites Eligible for Low Rise Outside of Opportunity Station.”

The map shows that some of the areas eligible for new apartment buildings under this plan include Westside neighborhoods within a half-mile of the E Line’s Westwood/Rancho Park station, pockets of the San Fernando Valley near G Line stops, and parts of Eagle Rock along Colorado Boulevard’s planned North Hollywood to Pasadena rapid bus line.

Is this a done deal?

Both plans — the decision to delay full SB 79 implementation, and the new Low-Rise Ordinance — now go to Mayor Karen Bass for final approval. Council members are also considering some tweaks they say would help Low-Rise Ordinance projects get built.

Those changes would include letting developers build denser projects if they reserve more units for low-income renters, as well as rules that would let developers build ground-level parking instead of costlier underground parking. The council’s planning committee voted Tuesday to forward those suggestions to the full City Council for further debate.

There’s a new tool to fight illegal fireworks this Fourth of July: drones.

“A drone’s real-time aerial view can help officers assess situations faster, improve safety, support faster response times and ensure the right resources are sent where they’re needed most,” the Anaheim Police Department stated in an Instagram post.

Anaheim's department is the latest law enforcement agency using the technology to quickly identify illegal fireworks use. The Downey City Council is expected to vote Tuesday night on potential new fines and new rules that would allow local law enforcement to use drones to patrol neighborhoods for illegal fireworks usage.

How it works

Here's how the tech is put to use: Seconds after authorities receive a call reporting illegal fireworks activity, drones can take to the air, hovering above neighborhoods and businesses to find a specific location and an offender. The surveillance devices are equipped with night vision and zoom lenses that allow first responders to record high definition videos right from their Real Time Crime Center at the station.

Then, officers can determine whether to send out a patrol car or issue a citation for the incident.

Why it matters

The city’s drone usage comes as law enforcement agencies across Southern California brace for the annual flood of complaints about illegal firework use at this time of the year. Drones make the most effective use of time and resources, experts say.

“We'll typically see about 2,000 calls and about 300 related to fireworks,” Anaheim’s chief communications officer Mike Lyster explained about the Fourth of July. “It really is a better use of resources on what is always a very, very busy holiday for us.”

Drones allow officials to collect enough evidence to issue these citations. In Anaheim, the punishment starts at $1,000 and climbs to $3,000 by the third offense. But authorities say the goal is to curb illegal fireworks use altogether due to the risk of injury and wildfires.

Lyster hopes that people will think twice about using illegal fireworks this holiday — not just because of the fines — but because of its negative impact on local communities.

“The Palisades fire was ultimately started by illegal fireworks, and sadly, not in our city, but in our neighboring city, a young Anaheim girl died in an illegal fireworks incident last year,” Lyster said.

Where are drones already in use?

More cities are testing this method in order to crack down on illegal firework use. Sacramento, San Bernardino and Riverside are just a few of the other areas that have adopted this technology in recent years.

How do I know what's legal?

If you have any questions about what is legal or not in your community, a quick Google search can help.

Each county goes by different regulations for the types of fireworks you can use — if at all.

For example, parts of Anaheim allow “safe and sane” fireworks to be used only on the Fourth of July between 10 a.m and 10 p.m. This includes non-explosive, non-aerial devices like fountains, sparklers and smoke balls. State-approved fireworks will have a State Fire Marshal seal.

LAist staffer Anjanette Gile also contributed to this report.

The story first appeared on The LA Local.

Your neighborhood has a reporter. Have you met them yet?

On Saturday, coffee shops across L.A. are turning into places where you can tell a journalist exactly what’s been bugging you about your block … while drinking amazing coffee.

From Boyle Heights to Silver Lake to Inglewood to Long Beach, local reporters will be set up at neighborhood coffee shops from from 10 a.m. to 3 p.m. — to hear what’s on your mind. Got a tip about a pothole that’s been eating tires for years? A landlord the city keeps ignoring? A community hero nobody’s written about? We want to hear it all!

It’s part of Local News Day LA, a pop-up series organized by The LA Local that connects you with your local reporter and give you a chance to become the source instead of just the reader.

LAist has been meeting community members in person through LAist Listens tabling events by popping up at local businesses.

See below for the full list of participating media outlets and coffee shops — The LA Local and our media partners hope you’ll join us:

LAist will be joining The LA Local and other local media partners for Local News Day LA on June 27.

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The LA Local

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Where to find a journalist

1. The LA Local – Koreatown, Pico Union, Westlake will be hosted by Open Market
2. The LA Local – Inglewood and South LA will be hosted by Asteroid Vinyl Cafe
3. Boyle Heights Beat will be hosted by Picaresca Cafe
4. CalMatters will be hosted by Yia Caffe 
5. Calo News will be hosted by Cruzita’s Deli and Cafe
6. The Eastsider will be hosted by Rosebud Coffee (Highland Park location)
7. LAist will be hosted by Cafe Calle
8. Los Angeles Radio Collective will be hosted by Spoke Bicycle Cafe
9. LA Sentinel will be hosted by Patria Coffee
10. LA Taco will be hosted by Cafecito Organico (Silverlake location)
11. LA Public Press will be hosted by Holy Grounds Coffee & Tea
12. Long Beach Post will be hosted by Wrigley Coffee
13. Q Voice News will be hosted by Hot Java
14. USC Annenberg Media will be hosted by South LA Cafe (Western location)

Come enjoy a cup of coffee (or tea) with us while supplies last.