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Initially published on THE DEFENDER
The federal government will no longer financially reward hospitals for reporting the vaccination rates of their staff, the U.S. Department of Health and Human Services (HHS) announced on Aug. 1. According to the press release, the incentive system was “coercive and denied informed consent.”
U.S. Health Secretary Robert F. Kennedy Jr. said:
“Medical decisions should be made based on one thing: the wellbeing of the person — never on a financial bonus or a government mandate. … Doctors deserve the freedom to use their training, follow the science, and speak the truth — without fear of punishment.”
The move repeals a Centers for Medicare & Medicaid Services (CMS) inpatient payment policy created during the Biden administration that tied hospital reimbursement to COVID-19 vaccination reporting.
Under the old policy, hospitals didn’t just collect the data and hold it internally. They published the data on the Centers for Disease Control and Prevention’s (CDC) National Healthcare Safety Network — the “nation’s most widely used healthcare-associated infection tracking system,” where it was used “as a tool for public shaming, not public health,” the press release said.
CMS Administrator Mehmet Oz applauded the repeal.
“Doctors and other providers should have the same autonomy to choose what’s right for their own individual health care needs as the patients for whom they care,” Oz said. “Today’s announcement helps put that power back in their hands.”
HHS said the repeal is part of the agency’s broader efforts to “restore medical autonomy in federally funded programs and root out financial and regulatory pressures that incentivize physicians towards pre-scripted medical decisions rather than individualized, evidence-based care.”
CMS estimated that the annual burden of collecting the data across 3,050 hospitals was between $1,378,600 and $1,608,570.
Trial Site News noted that HHS’ press release didn’t cite evidence supporting the allegation that requiring hospitals to report vaccination data had been used to shame them, but said such evidence may exist.
According to Trial Site News:
“This policy rollback is more than bureaucratic housekeeping — it’s a reflection of a national reckoning. The American people grew weary of the top-down, one-size-fits-all vaccination regime advanced by HHS agencies like the FDA and CDC during the COVID-19 era.
“What was framed as public health became, in the eyes of many, a vehicle for coercion, censorship, and loss of personal agency. … The rise of RFK Jr. to lead HHS isn’t a fluke; it’s a clear mandate from the public demanding medical freedom, transparency, and an end to government overreach disguised as science.”
Jon Fleetwood wrote in a Substack post today that the change suggests HHS may be restructuring how it relates to the medical community. The agency “now favors decentralization and professional freedom over command-and-control enforcement,” he said.
Many hospital workers resisted COVID vaccine
The issue of COVID-19 vaccination mandates for hospital staff has been contentious.
Earlier this year, the Court of Appeals of the State of Kansas ruled that Saint Luke’s Health Systems improperly fired an employee when it rejected her request for a religious exemption from the hospital system’s COVID-19 vaccine mandate.
In 2021, over 100 hospital workers in Texas sued their employer for requiring them to get a COVID-19 shot, alleging the mandate forced them to “subject themselves to medical experimentation as a prerequisite to feeding their families.”
The same year, a New Jersey hospital system fired over 100 employees who refused to get a COVID-19 shot.
In 2023, CMS eliminated COVID-19 mandates for healthcare workers. Since then, healthcare worker COVID-19 vaccination rates have dropped.
Last fall, roughly 85% of healthcare workers declined a COVID-19 booster, according to U.S. Food and Drug Administration Commissioner Marty Makary.
Will HHS eliminate vaccine incentives for pediatricians?
The HHS policy change didn’t reference an incentive program that rewards pediatricians who follow the CDC childhood immunization schedule. Kennedy raised the issue last month during an interview with Tucker Carlson.
But Polly Tommey, program director for Children’s Health Defense’s (CHD) CHD.TV, brought it up during her testimony last month at a U.S. Senate hearing on vaccine injury.
“We need our pediatricians to stop getting bonuses for vaccinating our children,” said Tommey, whose son was injured by a childhood vaccine.
CHD Chief Scientific Officer Brian Hooker, who also has a vaccine-injured son and testified during the Senate hearing, said pediatricians can receive hundreds of dollars for each fully vaccinated child, depending on certain factors.
CHD CEO Mary Holland said in a recent interview with OAN News that vaccine incentives for pediatricians have “completely distorted” pediatric care.
“A pediatrician with a large practice of thousands of children in it can earn hundreds of thousands of dollars, really serious money, by having a 90% or a 95% uptake rate,” Holland said.
AAP tells doctors it’s ok to drop patients if parents refuse to follow vaccine schedule
A recent investigation by The Defender found that high vaccination rates are key to a profitable pediatric practice, according to data from insurance incentive structures and an analysis of a pediatric practice’s income.
The American Academy of Pediatrics (AAP), in a 2016 report on “Countering Vaccine Hesitancy,” told pediatricians that it was an “acceptable option” to dismiss families who refused to vaccinate their children.
The AAP receives funding from numerous vaccine makers, including AstraZeneca, Eli Lilly, GSK, Merck, Moderna and Pfizer, according to data compiled by White Rose Intelligence.
Last month, the AAP sued Kennedy and other HHS officials over the decision to no longer recommend COVID-19 vaccines for healthy kids and pregnant women.
On July 28, the AAP issued a policy statement urging states to eliminate all non-medical exemptions to vaccination requirements for school kids, including religious and conscience-based exemptions.
When The Defender asked HHS if it planned to eliminate financial pressure tied to pediatric vaccination reporting, an HHS spokesperson said the agency “continues to evaluate solutions that align with current public health priorities and the best available scientific evidence.”

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