How has the ACIP recommendation for vaccination of smokers 19 through 64 changed in 2022?

In the pneumococcal vaccine recommendations for adults that were updated January 28, 2022, the many risk groups for pneumococcal disease were combined into one group with regard to vaccine recommendations. All are recommended to receive either PCV20 alone or PCV15 followed by PPSV23 one year later. ACIP no longer recommends the use of PPSV23 alone for any adult. Cigarette smokers age 19 through 64 who received PPSV23 in the past may now receive a dose of either PCV20 or PCV15 at least one year after their dose of PPSV23.