Implementing The President’s “Department of Government Efficiency” Workforce Optimization Initiative (Trump EO Tracker)

This order requires that the United States recognizes Gold Standard Childhood Vaccine Recommendations informed by the three distinct categories of childhood immunization recommendations identified in the scientific assessment: (i) immunizations recommended for all children; (ii) immunizations recommended for certain high-risk groups or populations; (iii) immunizations based on shared clinical decision-making. Within 90 days of the order, the order directs the Secretary of HHS to offer options to administer core childhood vaccines as single vaccines rather than combination products/doses; assess the ideal timing and sequencing of all core childhood vaccines; develop additional alternative adjuvants to aluminum; ensure continuous evaluation of the risk/benefit profiles of all childhood vaccines; and improve vaccine safety monitoring, transparency and research. The order further directs the Attorney General to take appropriate measures to further meritorious legal actions challenging State laws that conflict with States’ constitutional and Federal statutory obligations related to parental authority, religious freedom, disability accommodations and equal protection under the law.

Directs federal agencies not to issue or accept documents recognizing U.S. citizenship for certain persons born in the U.S. when neither parent is a U.S. citizen, including where a parent is an “alien enemy,” foreign government employee (e.g. an ambassador or foreign embassy employee and a national of the country they work for), involved in commercial birthright citizenship or fraud, involved in a commercial transaction with a surrogate parent in the U.S., or where the birth occurs in a U.S. territory or territorial waters where citizenship is not conferred by federal statute. 

Directs the Departments of State and Homeland Security to take actions to prevent foreign nationals from entering the United States on nonimmigrant visas for the purpose of giving birth, including denying or revoking visas and permanently barring entry of any individuals entering or attempting to enter the U.S. to engage in birth tourism, and taking action against individuals or entities that facilitate "birth tourism."

Establishes the President’s Military Spouse Commission to advise the President on policies affecting military spouses and families, develop recommendations addressing housing, employment, healthcare, education and deployment-related challenges, and provide recurring reports on military family quality-of-life issues.