ST. PETERSBURG, Fla. (AP) — Florida plans to become the first state to eliminate vaccine mandates, a longtime cornerstone of public health policy for keeping schoolchildren and adults safe from infectious diseases.
State Surgeon General Dr. Joseph Ladapo, who announced the decision Wednesday, cast current requirements in schools and elsewhere as “immoral” intrusions on people's rights that hamper parents' ability to make health decisions for their children.
“People have a right to make their own decisions, informed decisions,” Ladapo, who has frequently clashed with the medical establishment, said at a news conference in Valrico. “They don’t have the right to tell you what to put in your body. Take it away from them.”
Florida's move, a significant departure from decades of public policy and research that has shown vaccines to be safe and the most effective way to stop the spread of communicable diseases, especially among schoolchildren, is a notable embrace of the Trump administration's agenda led by Health Secretary Robert F. Kennedy Jr., a longtime anti-vaccine activist.
Dr. Rana Alissa, chair of the Florida Chapter of the American Academy of Pediatrics, said removing vaccines puts students and school staff at greater risk.
“When everyone in a school is vaccinated, it is harder for diseases to spread and easier for everyone to continue learning and having fun,” Alissa said in an email. “When children are sick and miss school, caregivers also miss work, which not only impacts those families but also the local economy.”
Democratic state Rep. Anna Eskamani, who is running for Orlando mayor, said in a social media post that scrapping vaccines “is reckless and dangerous” and could cause outbreaks of preventable disease.
“This is a public health disaster in the making for the Sunshine State,” Eskamani said on the social platform X.
Amid turmoil at the U.S. Centers for Disease Control and Prevention caused by Kennedy's extensive restructuring and downsizing, the Democratic governors of Washington, Oregon and California announced Wednesday that they had created an alliance to safeguard health policies, contending that the administration is politicizing public health decisions. The partnership plans to align immunization plans based on recommendations from respected national medical organizations, according to a joint statement from the states' governors.
Vaccines have saved at least 154 million lives globally over the past 50 years, the World Health Organization reported in 2024. The majority of those were infants and children.
“Vaccines are among the most powerful inventions in history, making once-feared diseases preventable,” said Dr. Tedros Adhanom Ghebreyesus, WHO director-general.
In Florida, vaccine mandates for child day care facilities and public schools include shots for measles, chickenpox, hepatitis B, diphtheria-tetanus-acellular pertussis, polio and other diseases, according to the state Health Department’s website.
Ladapo didn't give a timeline for the changes but said the department can scrap its own rules for some vaccine mandates, though others would require action by the Florida Legislature. He did not specify any particular vaccines but repeated several times that the effort would end “all of them. Every last one of them.”
The American Medical Association issued a statement saying Florida’s plan to end vaccine mandates “would undermine decades of public health progress.”
“While there is still time, we urge Florida to reconsider this change to help prevent a rise of infectious disease outbreaks that put health and lives at risk,” said Dr. Sandra Adamson Fryhofer, an AMA trustee.
Under Republican Gov. Ron DeSantis, Florida resisted imposing COVID vaccines on schoolchildren during the pandemic, requiring “passports” for places that draw crowds, school closures and mandates that workers get the shots to keep their jobs.
“I don’t think there’s another state that’s done as much as Florida. We want to stay ahead of the curve,” the governor said.
DeSantis also announced the creation of a state “Make America Healthy Again” commission Wednesday modeled after similar initiatives that Kennedy established at the federal level.
The commission would look into such things as allowing informed consent in medical matters, promoting safe and nutritious food, boosting parental rights in medical decisions about their children and eliminating “medical orthodoxy that is not supported by the data,” DeSantis said. The commission will be chaired by Lt. Gov. Jay Collins and Florida first lady Casey DeSantis.
The commission's work will help inform a large “medical freedom package” to be introduced in the Legislature next session, which would address the vaccine mandates required by state law and make permanent the recent state COVID decisions relaxing restrictions, DeSantis said.
FILE - Florida Surgeon General Dr. Joseph Ladapo gestures as speaks to supporters and members of the media before a bill signing by Gov. Ron DeSantis, Nov. 18, 2021, in Brandon, Fla. (AP Photo/Chris O'Meara, File)
WASHINGTON (AP) — Venezuelan opposition leader María Corina Machado said she presented her Nobel Peace Prize medal to President Donald Trump at the White House on Thursday even as he has questioned her credibility to take over her country after the U.S. ousted then-President Nicolás Maduro.
The Nobel Institute has said Machado could not give her prize to Trump, an honor that he has coveted. Even if it the gesture proves to be purely symbolic, it was extraordinary given that Trump has effectively sidelined Machado, who has long been the face of resistance in Venezuela. He has signaled his willingness to work with acting President Delcy Rodríguez, who had been Maduro’s second in command.
“I presented the president of the United States the medal, the Nobel Peace Prize," Machado told reporters after leaving the White House and heading to Capitol Hill. She said she had done so "as a recognition for his unique commitment with our freedom.”
Trump has raised doubts about his stated commitment to backing democratic rule in Venezuela, giving no timetable on when elections might be held. Machado indicated that he had provided few specifics on that front during their discussion.
She did not provide more information on what was said, and the White House did not say if Trump accepted the medal or offer other details of its own.
After a closed-door meeting with Trump, Machado greeted dozens of cheering supporters waiting for her near the White House gates, stopping to hug many.
“We can count on President Trump,” she told them without elaborating, prompting some to briefly chant, “Thank you, Trump.”
Before her visit to Washington, Machado had not been seen in public since she traveled last month to Norway, where her daughter received the peace prize on her behalf. She had spent 11 months in hiding in Venezuela before she appeared in Norway after the ceremony.
The jubilant scene after her meeting with Trump stood in contrast to political realities in Venezuela. Rodríguez remains in charge of day-to-day government operations, along with others in Maduro’s inner circle. In her first state of the union speech Thursday, the interim president promoted the resumption of diplomatic ties between the historic adversaries and advocated for opening the state-run oil industry to more foreign investment after Trump pledged to seize control of Venezuelan crude sales.
Trump has said it would be difficult for Machado to lead because she “doesn’t have the support within or the respect within the country.” Her party is widely believed to have won 2024 elections rejected by Maduro.
White House press secretary Karoline Leavitt called Machado “a remarkable and brave voice” but also said the meeting didn’t mean Trump’s opinion of her changed, calling it “a realistic assessment.”
Leavitt told reporters that Trump supported new Venezuelan elections “when the time is right” but did not say when he thought that might be.
Leavitt said Machado had sought the face-to-face meeting without setting expectations for what would occur. She spent about two and a half hours at the White House.
“I don’t think he needs to hear anything from Ms. Machado," the press secretary said while the meeting was still going on, other than to have a ”frank and positive discussion about what’s taking place in Venezuela.”
After leaving the White House, Machado went on to a closed-door meeting with a bipartisan group of senators.
Sen. Chris Murphy, D-Conn., said Machado told them that “if there’s not some progress, real progress towards a transition in power, and/or elections in the next several months, we should all be worried.”
“She reminded us that Delcy Rodríguez is, in many ways, worse than Maduro,” he added.
Asked if Machado had heard any commitment from the White House on holding elections in Venezuela, Murphy said, “No, I don’t think she got any commitment from them."
Sen. Bernie Moreno, an Ohio Republican, was exultant following the meeting, saying Machado "delivered a message that loud and clear: What President Trump did was the most important, significant event in Latin America. That getting rid of Maduro was absolutely essential.”
Machado's Washington stop coincided with U.S. forces in the Caribbean Sea seizing another sanctioned oil tanker that the Trump administration says had ties to Venezuela. It is part of a broader U.S. effort to take control of the South American country’s oil after U.S. forces captured Maduro and his wife less than two weeks ago at a heavily guarded compound in the Venezuelan capital of Caracas and brought them to New York to stand trial on drug trafficking charges.
Leavitt said Venezuela's interim authorities have been fully cooperating with the Trump administration and noted that Rodríguez's government said it planned to release more prisoners detained under Maduro. Among those released were five Americans this week.
Trump said Wednesday that he had a “great conversation” with Rodríguez, their first since Maduro was ousted.
Just hours after Maduro's capture, Trump said of Machado that “it would be very tough for her to be the leader.” Machado had steered a careful course to avoid offending Trump, notably after winning the peace prize, and had sought to cultivate relationships with him and key administration voices like Secretary of State Marco Rubio.
The industrial engineer and daughter of a steel magnate, Machado began challenging the ruling party in 2004, when the nongovernmental organization she co-founded, Súmate, promoted a referendum to recall then-President Hugo Chávez. The initiative failed, and Machado and other Súmate executives were charged with conspiracy.
A year later, she drew the anger of Chávez and his allies again for traveling to Washington to meet President George W. Bush, whom Chávez considered an adversary.
Almost two decades later, she marshaled millions of Venezuelans to reject Chávez’s successor, Maduro, for another term in the 2024 election. But ruling party-loyal electoral authorities declared him the winner despite ample credible evidence to the contrary. Ensuing anti-government protests ended in a brutal crackdown.
Garcia Cano reported from Caracas, Venezuela. Associated Press writers Lisa Mascaro, Stephen Groves, Michelle L. Price and Matthew Lee in Washington, and Megan Janetsky in Mexico City contributed to this report.
Venezuelan opposition leader Maria Corina Machado is welcomed at the Capitol before a meeting with senators, from left, Sen. John Curtis, R-Utah, Sen. Ruben Gallego, D-Ariz., Sen. Dick Durbin, D-Ill., Sen. Alex Padilla, D-Calif., and Sen. Chris Murphy, D-Conn., as the Nobel Peace Prize recipient visits American leaders two weeks after President Donald Trump toppled Venezuelan president Nicolas Maduro in a stunning military raid, at the Capitol in Washington, Thursday, Jan. 15, 2026. (AP Photo/J. Scott Applewhite)
Venezuelan opposition leader María Corina Machado, center, leaves the Capitol, Thursday, Jan. 15, 2026, in Washington. (AP Photo/Allison Robbert)
Venezuelan opposition leader Maria Corina Machado, center, is welcomed by Sen. Dick Durbin, D-Ill., left, Sen. Ruben Gallego, D-Ariz., far left, and Sen. Alex Padilla, D-Calif., right, as the Nobel Peace Prize recipient visits American leaders at the Capitol in Washington, Thursday, Jan. 15, 2026. (AP Photo/J. Scott Applewhite)
Venezuelan opposition leader María Corina Machado gestures to supporters on Pennsylvania Avenue as she leaves the White House after meeting with President Donald Trump Thursday, Jan. 15, 2026, in Washington. (AP Photo/Pablo Martinez Monsivais)
Venezuelan opposition leader María Corina Machado waves to supporters on Pennsylvania Avenue as she leaves the White House after meeting with President Donald Trump Thursday, Jan. 15, 2026, in Washington. (AP Photo/Pablo Martinez Monsivais)
Venezuelan opposition leader María Corina Machado smiles on Pennsylvania Avenue as she leaves the White House after meeting with President Donald Trump Thursday, Jan. 15, 2026, in Washington. (AP Photo/Pablo Martinez Monsivais)
Venezuelan opposition leader María Corina Machado waves to supporters on Pennsylvania Avenue as she leaves the White House after meeting with President Donald Trump Thursday, Jan. 15, 2026, in Washington. (AP Photo/Pablo Martinez Monsivais)
FILE - U.S. President George Bush, right, meets with Maria Corina Machado, executive director of Sumate, a non-governmental organization that defends Venezuelan citizens' political rights, in the Oval Office of the White House, Washington, May 31, 2005. (AP Photo/Charles Dharapak, File)
FILE - Opposition leader Maria Corina Machado gestures to supporters during a protest against President Nicolas Maduro the day before his inauguration for a third term, in Caracas, Venezuela, Thursday, Jan. 9, 2025. (AP Photo/Ariana Cubillos, file)
