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Date version: July 17, 2009
Draft 2009-H1N1 Influenza Vaccination Program Financing Policy Recommendations
For consideration by NVAC July 27, 2009
The recommendations proposed below are based on the principles outlined in the NVAC vaccine financing recommendations of September 2008 (available at: www.hhs.gov/nvpo/nvac/CAVFRecommendationsSept08.html) and detailed in “Assuring Vaccination of Children and Adolescents without Financial Barriers: Recommendations from the National Vaccine Advisory Committee.”
ASSUMPTIONS: The federal government will purchase all doses of 2009-H1N1 influenza vaccine manufactured for distribution in the United States, and will work through each state to distribute vaccine to the public and private sectors. The federal government will provide funds to states to help implement the vaccination program, including funds to cover the cost of vaccine administration in clinics organized by the public sector.
Recommendation #1 – first dollar coverage for administration of 2009-H1N1 influenza vaccine
Recommendation #2 – reimbursement rates for administration of 2009-H1N1 influenza vaccine
Recommendation #3 – reimbursement
Recommendation #4 – community vaccinators
Recommendation #5 – community vaccinators
Recommendation #6 – funding to states
NVAC encourages the Financing Subgroup of CDC’s H1N1 Vaccine Implementation Steering Committee to continue pursuing its full scope of work, with particular attention to developing a policy on reimbursement of 2009-H1N1 influenza vaccine administration for uninsured adults. NVAC requests an update on additional issues related to financing the administration of 2009-H1N1 influenza vaccine at its August 24, 2009 meeting.
a Section 1115 of the Social Security Act provides the Secretary of Health and Human Services broad authority to authorize experimental, pilot, or demonstration projects likely to assist in promoting the objectives of the Medicaid statue. Flexibility under Section 1115 is sufficiently broad to allow states to test substantially new ideas of policy merit. Waiving the state by state requirement to file an exemption to Medicaid allows community immunizers the ability to roster bill for Medicaid beneficiaries not already covered by the Vaccines for Children Program (i.e. adults).
b HR 2346 Supplemental Appropriations Act 2009 was signed into law on June 24, 2009.
Last revised: July 23, 2009