Weakening

• Trump 2.0 policies terminated or overhauled HHS advisory committees, including ACIP with all members replaced in January 2026 by RFK Jr., leading to weakened hepatitis B and COVID-19 vaccine recommendations. • NIH advisory councils have not met, with the director's committee disbanded for over a year; USPSTF has not met since March 2025. • Senator Murray criticized leadership for prohibiting NIH grant processes; new ACIP includes controversial figures like an Alzheimer's patient from the withdrawn aducanumab trial.

The Environmental Protection Agency proposed Friday to relax air pollution limits on ethylene oxide, a chemical classified as a human carcinogen since 2016 and used to sterilize medical equipment including catheters and syringes. The EPA stated that current Biden-era standards "actively threaten" manufacturers' abilities to sterilize equipment and jeopardize domestic medical device supply chains. Public health advocates, including the Alliance of Nurses for Healthy Environments, warned that people living near commercial sterilization facilities face elevated lifetime cancer risks, while medical device manufacturers argue the standards could disrupt critical supplies. The proposal marks the latest EPA action under President Donald Trump to relax pollution limits and reduce costs for industry.

The EPA proposed on March 13, 2026, to relax air pollution standards for ethylene oxide used in sterilizing medical devices like catheters and syringes, reversing Biden-era cancer risk findings. The agency cites threats to domestic supply chains for essential equipment. Industry leaders like Scott Whitaker of the Advanced Medical Technology Association praised the move for ensuring uninterrupted sterile supplies while protecting communities. The change aligns with broader Trump EPA efforts to cut industry costs, with public comments expected next.