State leaders are going their own way in making vaccine policies this fall — which means your ability to get a COVID-19 shot may soon depend on where you live.

New York has declared a " statewide disaster emergency " to preserve access to COVID vaccines. Massachusetts is making insurers pay for vaccines recommended by the state and not solely those recommended by the Centers for Disease Control and Prevention. New Mexico is taking steps to ensure that pharmacists can continue to give out vaccines.

Some states are banding together to form regional health coalitions . Oregon, Washington, California and Hawaii have formed the West Coast Health Alliance to coordinate their vaccine recommendations. States in the Northeast are considering a public health collaboration .

The moves ar

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