the client’s plan for immunization services provided in the clinical setting. This integration of public health and health financing is important because it reduces missed opportunities for immunization and allows the cost of immunizations to be charged to those who are responsible for the care of public program beneficiaries.
Nationally, state vaccine purchases account for 12 percent of all expenditures under the federal contract; VFC accounts for 65 percent, and Section 317 for 22 percent (information provided by CDC).
Since the inception of VFC, state approaches to vaccine purchase and immunization delivery have fit one of three models: VFC only, enhanced VFC, or universal purchase (see Table 3–7).
The VFC program provides federally purchased vaccine for all eligible children (Medicaid enrollees aged 18 and younger, uninsured children, Native American children) at participating public and private sites. Underinsured children may receive VFC vaccine at federally qualified health centers (FQHCs) and rural clinics only. In 19 states, all children, including those not eligible for VFC, may receive state-supplied vaccines at public clinics. Section 317 and state revenues pay for the vaccines administered in public settings to children who do not qualify for VFC (information provided by CDC).