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OCR for page 239
Appendix C
Survey of State
Vaccine Finance Practices
In 2001, the IOM Committee on the Evaluation of Vaccine Purchase
Financing in the United States commissioned a survey from Dr. Gary
Freed and his colleagues at the Division of General Pediatrics, University
of Michigan. The purpose of this survey was to describe how state health
departments finance, purchase, and distribute vaccines; address vaccine
shortages; regulate immunization insurance benefits; and allocate scarce
resources among vaccine purchase, delivery, and infrastructure invest-
ment. This survey was a follow-up to a prior survey of state immuniza-
tion program practices regarding the scope, structure, financing, and op-
eration of state immunization efforts, conducted by Dr. Freed for an earlier
IOM committee (Freed et al., 2000~.
The University of Michigan team contacted immunization program
managers and project directors of the 50 states and the District of Colum-
bia. Interviews were conducted via telephone and mail during the sum-
mer of 2002 and were completed by 48 states. The CDC National Immuni-
zation Program provided the names of immunization program managers
and project directors in each state, and the IOM sent each a cover letter
explaining the nature of the survey interview. CDC also provided state-
level background information and documentation, such as copies of grant
awards and site visit data. Topics addressed in the interviews included
the following:
· Breakdown of funds from VFC, Section 317, state, and any other
resources used for vaccine purchase overall
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240
FINANCING VACCINES IN THE 21ST CENTURY
· Changes to the current system of vaccine financing or any new vac-
cine financing strategies
· Estimates of annual needs for public-sector purchase each year for
the child, adolescent, and adult populations
· Adequacy of VFC funding
· Process by which vaccines are ordered from the federal contract
· Purchases of vaccines outside the federal contract
· Distribution to providers and provider choice for publicly pur-
chased vaccines
· Stockpiles and shortages
The report on the survey, State-Level Perspectives on Vaccine Purchase
Financing, is available through the IOM's public record file.
Representative terms from entire chapter:
immunization program
