The American College of Cardiology recommended Tuesday that all people with heart disease should get annual COVID-19 and flu vaccine doses, breaking with guidance from the Centers for Disease Control and Prevention under Health and Human Services Secretary Robert F. Kennedy Jr. 

The ACC’s 14-page Concise Clinical Guidance blends independent recommendations from the American Heart Association with last year’s recommendations from the CDC, but it marks the latest move from a nongovernment physicians association to issue its own guidelines in the midst of an uncertain future for vaccines under Kennedy’s leadership.