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Shared Clinical decision making is not a new thing. It already is part of the protocol for the following vaccination situations:
Meningococcal B (MenB) vaccination for adolescents and young adults aged 16–23 years
Hepatitis B (HepB) vaccination for adults aged 60 years and older with diabetes mellitus
Human papillomavirus (HPV) vaccination for adults aged 27–45 years
Pneumococcal conjugate vaccination (PCV20 or PCV21) for adults aged 65 years and older who have completed the recommended vaccine series with both PCV13 (at any age) and PPSV23 (which was administered at age ≥65 years)
Additional doses of COVID-19 vaccination for people who are moderately or severely immunocompromised

My understanding is that the SCD protocol hasn't significantly impeded folks from getting the vaccinations outlined above. Pharmacists will still want folks to get the vaccine, because pharmacists now that vaccinations can be life saving. So they'll ask you a couple of questions about why you want the vaccine and then they will give it to you, just as they do now for folks who are moderately moderately or severely immunocompromised.

I'm not in any way defending the crazies on the CDC advisory group and the fact that they came within one vote of requiring a prescription for the Covid vaccine is terrifying. But as long as the line can be held against mandating a prescription, the SCD recommendation is likely to be more performative than burdensome.