New York and several other Northeastern states are forging a regional public health coalition to issue vaccine recommendations and coordinate public health efforts in a rebuke to the Trump administration’s shifts on health policy.

Gov. Kathy Hochul announced New York’s involvement in the initiative on Thursday morning.

“By standing with our partners across the Northeast, we are ensuring that New Yorkers have the protection and the information they need to stay safe and healthy,” she said in a statement.

The effort is similar to the West Coast Health Alliance — a bloc of four Democratic-controlled Western states, including California — that issued its own vaccine guidance this week.

Both the Western and Northeastern regional coalitions reflect efforts to shore up public health efforts and give a government stamp of approval to vaccines at a time when federal public health institutions are in retreat.