Some state officials are taking action to ensure people can access COVID-19 vaccines after federal regulators withdrew emergency authorization and issued limited updated approvals for the shots, ahead of the Centers for Disease Control and Prevention’s vaccine advisers meeting on Sept. 18 and Sept. 19 to consider who should receive them.

Here are the states that have issued orders, updated regulations, or fresh guidance.

California

The California Department of Public Health said on Sept. 3 that it is continuing to recommend COVID-19 vaccination access for all people aged 6 months and older. Officials also said they were forming an alliance with several other states to promote science-based vaccine recommendations.

“California stands together with our public health and medical professional colleagues to uphold integrity and support our mission to protect the health of our communities,” the state’s public health officer, Dr. Erica Pan, said in a statement.

Colorado

State officials said on Sept. 3 that Colorado’s chief medical officer issued an order enabling pharmacists to administer COVID-19 vaccines without prescriptions.

Connecticut

Health officials on Sept. 9 issued COVID-19 vaccine recommendations that diverge from the CDC’s updated vaccination schedule. They referenced recommendations from several groups, including the American Academy of Pediatrics. Connecticut is also part of a new regional coalition on health with Massachusetts and some other states.

Hawaii

Hawaii joined California, Oregon, and Washington state in the West Coast Health Alliance, Gov. Josh Green, a Democrat and physician, said in a Sept. 4 statement.

Massachusetts

Officials said on Sept. 4 that the Massachusetts health commissioner will decide moving forward which vaccines can be administered by pharmacists in Massachusetts. They also released an order letting pharmacists administer COVID-19 vaccines to residents aged 5 and older, and unveiled a bulletin requiring insurers to cover vaccines recommended by the commissioner.

Minnesota

Gov. Tim Walz, a Democrat, in an executive order dated Sept. 8, told the Minnesota Department of Health to “work to support access to, and accurate information about, all available vaccines.” Health Commissioner Dr. Brooke Cunningham said in a statement that the department would “work to protect vaccine access.” Officials said the COVID-19 vaccine remains broadly available in the state.

Nevada

The Nevada Board of Pharmacy on Sept. 5 issued guidance that says Nevada residents can receive a COVID-19 vaccine at pharmacies, even if they do not have a prescription.

New Jersey

The New Jersey Department of Health said in an executive order issued on Sept. 8 that any individual at least 6 months of age can receive a COVID-19 vaccine. It also issued an order enabling pharmacists to administer the vaccines without a prescription.

“At a time when COVID-19 cases are increasing across the country and as part of my Administration’s dedication to evidence-based public health action, I am committed to ensuring everyone in New Jersey who wants to receive a COVID-19 vaccination can receive a dose this fall from trusted health professionals,” Gov. Phil Murphy, a Democrat, said in a statement.

New Mexico

Officials on Sept. 5 said they were recommending COVID-19 vaccination for any resident who wants one, and that pharmacists can now prescribe and administer them even without a prescription. The steps will “ensure New Mexicans have access to the vaccine if they choose,” Cheranne McCracken, executive director of the New Mexico Board of Pharmacy, said in a statement.

New York

Gov. Kathy Hochul, a Democrat, on Sept. 5 signed an executive order that lets pharmacists in the state administer COVID-19 vaccines without a prescription to people aged 3 and older. Hochul’s order “provides access to the COVID vaccine for New Yorkers who choose to get vaccinated,” New York Health Commissioner Dr. James McDonald said in a statement.

Oregon

Oregon formed an alliance with California and Washington state, Oregon Gov. Tina Kotek, a Democrat, said on Sept. 3.

She said in a joint statement with California Gov. Gavin Newsom and Washington Gov. Bob Ferguson: “The CDC has become a political tool that increasingly peddles ideology instead of science, ideology that will lead to severe health consequences. California, Oregon, and Washington will not allow the people of our states to be put at risk.”

Pennsylvania

The Pennsylvania Board of Pharmacy said pharmacists can follow recommendations from some nongovernmental groups that are recommending COVID-19 vaccination for nearly all individuals, Gov. Josh Shapiro, a Democrat, said on Sept. 3.

Washington State

In early September, the state formed a health alliance with California and Oregon. In an order dated Sept. 4, health officials said that health care providers could administer COVID-19 vaccines to individuals aged 6 months and older.

Vermont

The state joined other northeastern states in the regional coalition, which has not yet issued recommendations on COVID-19 vaccines.

And here’s a look at other states that have addressed the matter:

Arizona

Gov. Katie Hobbs, a Democrat, told a recent briefing that she was concerned about new COVID-19 vaccine guidance.

“We’re going to look at the options we have to keep Arizonans safe,” she said.

Arizona officials have not exercised any of those options as of yet.

Delaware

Insurance Commissioner Trinidad Navarro, in a Sept. 10 statement, endorsed vaccines and conveyed statements from insurers who have committed to continuing to cover COVID-19 vaccines.

Florida

Surgeon General Dr. Joseph Ladapo has backed limiting recommendations for COVID-19 vaccination, and earlier this year called for officials to go further and completely remove the Pfizer and Moderna vaccines from the CDC’s childhood immunization schedule. More recently, Ladapo said he’s working to end all vaccine mandates in the state, starting with the removal of requirements for four types of vaccines.

Georgia

The Georgia Department of Public Health on Sept. 3 said it is awaiting recommendations from the CDC and its vaccine advisory panel, known as ACIP.

Kentucky

The Kentucky Board of Pharmacy said in guidance dated Sept. 2 that even though state law says pharmacists can administer vaccines pursuant to the federal vaccination schedule, the regulation “does not limit practice” and that pharmacists can administer COVID-19 vaccines to people with prescriptions.

Maine

Officials say they are assessing federal changes to COVID-19 clearance. They said their goal “will be to prevent any medically-unnecessary restriction of vaccines, so that Maine people may be able to consult with their health care provider and decide what is in the best interest of their health.”

Maryland

Gov. Wes Moore, a Democrat, signed legislation that took effect in June that compels insurance providers to cover vaccines recommended by ACIP as of the end of 2024. Officials said on Sept. 5 that COVID-19 vaccines are available from most providers across the state, including pharmacies.

Michigan

Health officials said in July they’re still recommending COVID-19 vaccines for all individuals aged 6 months and older. They have not taken any steps to ensure access following the FDA’s recent moves.

New Hampshire

Gov. Kelly Ayotte, a Republican, told WMUR-TV on Sept. 5 that New Hampshire would not join with other northeastern states and that New Hampshire’s epidemiologist will issue vaccine recommendations soon.

North Carolina

The North Carolina Department of Health and Human Services said it is waiting for ACIP to issue recommendations on the updated COVID-19 vaccines, and until the guidance comes, pharmacies can only administer them to adults who have a prescription.

Louisiana

After Sen. Bill Cassidy (R-La.) called for Louisiana’s surgeon general to write a blanket prescription for residents for COVID-19 vaccines, Gov. Jeff Landry said in a post on X that the COVID-19 vaccine is “dangerous.” Louisiana Surgeon General Dr. Ralph Abraham shared the post.

West Virginia

The director of the West Virginia Board of Pharmacy said on Aug. 30 that pharmacists can administer vaccines to individuals aged 3 and older who have a prescription. Broader access may come after ACIP meets, he said.

Virginia

Health officials said on Sept. 5 that pharmacists can administer COVID-19 vaccines to adults with a prescription.

“At this time, Virginians can contact their healthcare provider to ask about receiving the COVID vaccine or to request a prescription for administration at their pharmacy,” they said.