a4:3:1:3=Four or more doses of diphtheria, tetanus, and pertussis vaccine; three or more doses of poliovirus vaccine; one or more doses of a measles-containing vaccine; and three or more doses of Hemophilus influenzae type b vaccine.
bChildren in this survey period were born between February 1995 and May 1997.
SOURCE: CDC, 1999e.
ment measures will count the immunization status of the patient regardless of service-delivery setting). These reports have stimulated advisory notices by the HCFA and CDC warning that patterns of deliberate referral are subject to penalties (Richardson, 1999; Richardson and Orenstein, 1999).
Impact of State Program Cutbacks and Budget Reductions
Federal budget cutbacks in the Section 317 program during FY 1996, 1997, 1998, and 1999 were significant (see Figure 5–2). In some cases, grantees saw their infrastructure support budgets reduced by one-third