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President Donald Trump on Monday announced he was signing an executive order calling for revamped 

 that promote his long-held belief that childhood shots should be spaced out into separate medical visits.

The order will recommend separating the measles, mumps and rubella (MMR) vaccine into three different shots administered in separate visits, and direct the nation's health department to improve vaccine research, says a White House fact sheet, first reported by The Daily Caller.

Trump also said in an event at the Oval Office on Monday afternoon that one-year-olds should have their shots separated out into five separate visits, though it wasn't clear whether he was talking about all the vaccines they receive or specific ones.

Public health experts have raised concerns that spacing out shots as Trump suggests can lead to an increased risk that children become infected with a vaccine-preventable disease before returning for another visit. Childhood vaccines — and how and when to give them in combination — go through rigorous studies, and safety tracking continues for years as the shots are used.

Separate measles, mumps and rubella vaccines for children, which Trump said he wants kids to receive, are not currently available in the U.S.

“Today’s executive order does not substitute the longstanding process through which vaccine recommendations have historically been developed — an independent, transparent evaluation of safety, effectiveness and disease burden by scientific experts,” Vaccine Integrity Project’s executive director Michael Osterholm said in a statement in response to today’s White House executive order on vaccines.

Even as the order calls for revised vaccine recommendations, states, not the federal government, have the authority to require vaccinations for schoolchildren. The order will advise states with school vaccine mandates to consider updating their laws to reflect the administration's recommendations, the fact sheet said.

Last December, Trump ordered HHS to review how peer nations approach vaccine recommendations and consider revising U.S. guidance accordingly. The department responded by cutting the number of 

 it recommends for every child, a move that has since been blocked in court.

In the months leading up to Monday's announcement, Trump’s administration had largely pivoted away from talking about vaccine policy in favor of less polarizing topics like healthy eating and efforts to lower drug prices ahead of November’s elections. Polls show most Americans 

still support school vaccine requirements

, though Republicans are less likely than Democrats to see them as important.

Still, Trump has been fixated on connecting autism to vaccines. He has recently ramped up pressure on Health Secretary Robert F. Kennedy Jr. to identify the cause of autism, something Kennedy had pledged to do with new research unveiled last year. Trump publicly prodded the health secretary for an update on autism research in a Cabinet meeting last month.

“How are you doing on the autism research?” Trump asked.

“We will have an answer for you,” Kennedy said.

Scientific consensus and decades of studies have firmly concluded there is no link between childhood vaccines and autism.

Monday's order comes as school years are starting around the country and the nation contends with a measles outbreak that experts say could result in the U.S. losing its 

“Parents deserve clear, evidence-based guidance about how to protect their children, not competing recommendations issued through political processes,” Osterholm said. “When families receive conflicting messages, confidence in vaccination suffers, and children ultimately bear the consequences.”

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Trump has long suspected that the number or timing of vaccines could play a role in autism spectrum disorder, even as scientific consensus and decades of studies have firmly concluded there is no link. 

Trump to sign executive order calling for spacing out childhood shots

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