For years, Governor Kim Reynolds resisted COVID-19 vaccine mandates, saying she believed “in Iowans’ right to make health care decisions based on what’s best for themselves and their families.”

But as this year’s cold and flu season begins, many Iowans who want to protect themselves and their families from COVID-19 are unable to get a booster shot, because the U.S. Food and Drug Administration restricted access to updated vaccines.

Public health authorities in about two dozen states have issued guidance or standing orders designed to help adults choose to vaccinate themselves or their children against COVID-19. The Reynolds administration has not acted.

Staff for the governor’s office and Iowa Department of Health and Human Services did not respond to several requests for comment over the past ten days.