As Health Secretary Robert F. Kennedy, Jr.'s dismantling of federal vaccine policy continues to roil the Centers for Disease Control and Prevention, some Democratic-led states have struck out on their own, setting up new systems to help them assess the science and maintain immunization access for their residents.

This story was produced in partnership with KFF Health News .

Four western states — California, Hawaii, Oregon and Washington — are creating a collaborative aimed at preserving access to vaccines . Several northeast states are considering a similar alliance .

New York's governor declared a " statewide disaster emergency " and issued an order that allows pharmacists to give the COVID vaccine without a prescription. Minnesota made a similar change, and Massachuse

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