TABLE ES-1 Recommended Finance Levels for the National Immunization System (Section 317, Vaccines for Children [VFC] Program, and state-level contributions) ($ in millions)

 

IOM Committee Recommendation

Funding Source

Baseline Annual Avg.a (FY 1994–1999)

FY 2000 Awarda

Rationale for FY 2002 Appropriations

FY 2002 Appropriation

FEDERAL

A.

Section 317

1.

Vaccine purchase awards

160

162

1.

Sustain current spending levels to meet residual needs

160

 

Expenditures (child)

115

N/A

 

Expenditures (adult)

4

N/A

2.

Increase federal assistance to the states to purchase adult vaccines to improve coverage rates

50

2.

Infrastructure awards

Expenditures

271b

187

123

111

3.

Increase annual award to reflect state capacity as reflected in historical expenditure levels

200

 

4.

Increase allocation of federal funds to states that have significant immunization needs

 

 

5.

Maintain a “hold harmless” condition for existing state awards

 

 

Total Section 317 Awards

431

285

 

410

B.

VFC (vaccine purchase and operations)

397

548

 

548c

 

Total Federal Contribution (excluding Medicaid, Medicare)

828

833

 

958



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