RFK Jr. faces Senate pressure over his Gardasil stake and his January 2025 promise not to discourage vaccination, following his September 14 keynote at an anti-vaccine group. His new SPECTRA initiative and the IACC's $747 million autism research plan, adopted August 29, now prioritize contested therapies over genetics. Watch for Klomp's HHS Deputy confirmation and November midterm results, which will influence vaccine policy.