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Table 5-4 | Calling the Shots: Immunization Finance Policies and Practices | Committee on Immunization Finance Policies and Practices | Division of Health Care Services and Division of Health Promotion and Disease Prevention | Institute of Medicine

TABLE 5-4
State Responses to Section 317 Funding Cutsa

 
State Activities Eliminated or Reduced Other/Notes
Outreach and Educationb Assessment and Surveillance WIC Linkage Registryc State Staffd Local Service- Delivery Expansione Expanded Vaccination Campaignsf
AL               No cuts because of increasing amounts of incentive funds.
AK *   * *   *    
AZ *     * *   * State provided funds for registry, transferred full time equivalents (FTEs) to other program.
AR         *     No major cuts; VFC infrastructure funds increased.
CA *       * *
CO *       * *
CT *   *   * *   State provided funds to build back up.
DE         *     VFC infrastructure funds increased.
DC     * * *
FL *         *
GA   *     *
HI   *     *   *
ID * *         * Changed or increased responsibilities per FTE.
IL *     * * *
IN *     * * *
IA *   * * *
KS           *
KY               Not much impact yet.
LA *   *     *
ME               No information available.
MD * *     * *
MA *   *   *     Shifted some FTEs from federal to state funds.
MI         *     State provided funds for registry.
MN *     * * *   VFC infrastructure funds increased; some contracts forward funded.
MS *   * * *     Redirected some state vaccine purchase funds to registry.
MO           *
MT             * Received block grant funds; moved FTEs to other programs.
NE *         *
NV   *       *
NH *
NJ *   * *   *
NM         *   *
NY               Redirected some state vaccine purchase funds; not much impact yet.
NC * *   *   * *
ND *     *   *
OH         * *   Moved FTEs to other program.
OK * *     *
OR     *         Received other funding sources.
PA *   *   * *
RI *       *     Shared costs with other programs.
SC * *
SD *       *
TN *     * * * * Shared costs with other programs at local level.
TX * * * *   * *
UT * *   *   *   Redirected some state vaccine purchase funds to support local health departments (LHDs).
VT               Shifted costs to other programs.
VA   * * *   *
WA *         *   VFC infrastructure funds increased.
WV     * *   *
WI               LHDs lobbied for state funds.
WY * *           Changed universal policy (i.e., no longer covers insured children).
 

    NOTE: WIC = Special Supplemental Nutrition Program for Women, Infants, and Children. FTE = full-time equivalent. LHD = local health department. VFC = Vaccines for Children.

    a Not a comprehensive (or mutually exclusive) list of state responses, but rather those they chose to highlight.

    b Outreach and education includes such activities as work with coalitions, media campaigns, and provider education.

    c Registry activities include software development and purchase of hardware and other equipment.

    d State staff includes staff cuts as well as vacancies that were not filled.

    e Local service-delivery expansion includes contracts with LHDs, community and migrant health centers, and other partners to extend clinic hours, offer weekend clinics, add nursing staff, and so on.

    f Expanded vaccination campaigns include adult and adolescent campaigns, as well as campaigns focused on specific vaccines (e.g., hepatitis B).

    SOURCE: Freed et al., 1999.