Timely receipt of MMR1 remained unchanged across the study period, at about 54%.
Officials in the Americas have reported 11,313 cases so far this year.
A further 5% drop in coverage could substantially increase outbreak magnitudes in Texas, while restricting non–medical exemptions could increase US uptake.
In another vote, ACIP reversed itself and removed the MMRV vaccine from the Vaccines for Children program.
The committee removes a long-standing ACIP recommendation that said parents may choose the MMRV vaccine for kids 12 to 47 months old.
Eighty-six percent of cases have been linked to one of 38 reported outbreaks.
National data-collection and reporting system addresses measles surveillance gap, the authors say.
Earlier this month, RFK Jr said he does not believe the federal government should mandate any vaccine.
Also, Georgia reports a new case in an unvaccinated person with multiple public exposures in Fulton County.
Utah officials confirm a measles outbreak linked to a large high school cycling event.
