Federal Peer Reviews Reset Clinical Standards

When a federal agency produces a transparent, peer‑reviewed umbrella report that judges the evidence base weak, it can serve as a de‑facto national checkpoint on contested medical practices, prompting insurers, state regulators, and hospital systems to re‑examine coverage, consent, and practice guidelines. Peer‑review supplements that resolve anonymity and methodological critiques make it harder for professional societies to dismiss such reports as political. — A credible federal peer review can materially shift pediatric care policy and the balance of authority between federal agencies, medical societies, and state regulators on sensitive interventions.