(NEW YORK) — Four Western U.S. states have come together to issue unified vaccine recommendations for the upcoming respiratory illness season, and California has enacted a new law to base the state’s immunization guidance on independent medical organizations, rather than the U.S. Centers for Disease Control and Prevention.

The West Coast states including California, Washington, Oregon, and Hawaii — all led by Democratic governors — banded together earlier this month to create the West Coast Health Alliance (WCHA), citing what they called an erosion of trust in the CDC.

“The alliance represents a unified regional response to the Trump Administration’s destruction of the U.S. CDC’s credibility and scientific integrity,” stated a press release Wednesday from California Gov. Gavin Newsom.

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