Calling the Shots: Immunization Finance Policies and Practices

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Calling the Shots: Immunization Finance Policies and Practices (2000)
Institute of Medicine (IOM)

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. "Immunization Finance Policies and Practices." Calling the Shots: Immunization Finance Policies and Practices. Washington, DC: The National Academies Press, 2000.

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Calling the Shots: Immunization Finance Policies and Practices

TABLE 5–6 Composition of CDC Immunization Appropriations, 1995– 1999, Amounts and Shares (fiscal years; dollars in thousands)

Type	1995	1996	1997	1998	1999
Grants
DA^a: Vaccine purchase	151,893	139,393	139,393	119,393	139,629
State operations	23,800	23,800	23,800	23,800	23,467
Parent/patient notification	2,900	2,900	2,900	2,900	2,859
Surveillance and response	5,100	5,100	5,100	5,100	5,029
Infrastructure	108,400	108,400	88,400	42,400	41,806
Program-based incentives	33,000	33,000	33,000	33,000	32,537
Assessment activities	3,500	3,500	3,500	3,500	3,451
Immunization information systems	8,232	8,232	8,232	0	0
Adult/adolescent vaccination	0	0	0	0	0
Adult immunization	0	0	0	0	0
Other grants	22,552	23,576	23,361	30,741	30,311
Subtotal, Section 317 grants	359,377	347,901	327,686	260,834	279,089
Program operations
Prevention activities	38,660	37,917	37,825	37,825	38,439
Polio technical assistance	5,727	11,227	19,277	19,277	30,874
Polio vaccine	4,116	16,000	28,000	28,000	35,565
Measles technical assistance	0	0	0	0	7,944
Measles vaccine	0	0	0	0	7,944
Adult adolescent vaccination	0	0	0	0	0
Vaccine R&D^b^/A&Ec/lab support	24,130	23,146	23,146	23,146	22,525
Vaccine safety	4,451	4,451	4,451	4,451	4,389
National Immunization Survey	16,000	16,000	16,000	16,000	12,472
Immunization information systems	1,029	1,004	1,004	1,004	0
Information /education	4,244	4,244	4,244	4,244	4,185
Interagency group research	6,000	6,000	6,000	6,000	5,916
Subtotal, program operations	104,357	119,989	139,947	139,897	170,253
Administrative rescission	0	0	0	0	-1,394
Total, Section 317 program	463,734	467,890	467,633	400,731	447,948
^aDirect Assistance. ^bResearch and development. ^cAssessment and evaluation. SOURCE: Information provided by CDC.

total NIP budget in FY 1995) to $170 million (38 percent of the total budget in FY 1999). In the same period, the grants portion of the budget (which includes state infrastructure and vaccine purchase grants, research support, and congressionally mandated studies) decreased by 20 percent (from $359 million or 77 percent of the total in FY 1995 to $279 million or 62 percent of the total in FY 1999).