The Florida Department of Health's proposed Rule 64D-3.046 would drop hepatitis B, varicella, Hib, and pneumococcal vaccines from school entry, add a moral or ethical exemption, and let parents opt out of Florida SHOTS. The Legislature declined the policy in 2026; the agency is doing it by rule. Comments close Monday, September 14. Dr. Orr revisits the two horns of the dilemma he described in 2019 and the third way that lives in the exam room.