Two separate legal and advisory developments reshaped school‑health policy. The U.S. Supreme Court directed the 2nd Circuit to reconsider challenges to New York’s 2019 law that eliminated religious exemptions for required school vaccinations, asking judges to reassess the case in light of recent free‑exercise precedents. At the same time, a federal vaccine advisory committee voted to stop universally recommending the hepatitis B shot at birth for all newborns, instead advising vaccination for infants whose mothers test positive or were not tested—an 8–3 vote that drew immediate pushback from medical societies. Both actions create policy uncertainty for school health offices and pediatric providers.