A newly formed, multistate coalition represents the largest coordinated pushback to federal public health guidance under Health Secretary Robert F. Kennedy Jr. to date.

Preceded by similar, more regional approaches, including a Northeast collaborative that Pennsylvania joined in mid-September, the Governors Public Health Alliance includes 14 states and one territory, all led by Democrats.

Though the governors of neighboring states New York, Maryland, Delaware and New Jersey are all involved, Pennsylvania is not part of the new alliance, a spokesperson for Gov. Josh Shapiro said Thursday. The spokesperson declined further comment on the Governors Public Health Alliance.

The alliance is supported by GovAct, a nonpartisan initiative that, per an Oct. 15 news release, “supports national coo

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