1. Kansas Immunization Program Immunization Program Guidelines for Vaccine Use by LHD’s October 2010

2. Objectives Understand VFC, 317, and State Vx. Funding Discuss the pros and cons of discretionary funding. Articulate the reasons why discretionary funds need to be targeted underserved children.

3. 3 POTS OF MONEY VFC Entitlement Funds 317 Discretionary Funds State Funding (Discretionary)

4. Vaccines for Children (VFC) Federal Entitlement Program Funds based on documented need. Strict Eligibility Criteria VFC Budget Nationally: $4 Billion

5. VFC Ops Guide Module 2 - Eligibility Medicaid eligible : A child who is eligible for the Medicaid program.(For the purposes of the VFC program the terms Medicaid-eligible and Medicaid-enrolled are equivalent and refer to children who have health insurance covered by a state Medicaid program) Uninsured : A child who has no health insurance coverage Indian (American Indian or Alaska Native): As defined by the Indian Health Care Improvement Act (25 U.S.C. 1603) Underinsured: Children who have commercial (private) health insurance but the coverage does not include vaccines, children whose insurance covers only selected vaccines(VFC - eligible for non-covered vaccines only), or children whose insurance caps vaccine coverage at a certain amount--once that coverage amount is reached, these children are categorized as underinsured.

6. Web Site VFC Operations Guide: http://www.cdc.gov/vaccines/programs/vfc/operations-guide.htm or GOOGLE “VFC Operations Guide”

7. 317 Vaccine Funding 317 funds are “discretionary.” Considered a “safety net” Subject to yearly appropriation

8. How many children can be fully vaccinated with 317 funds? 1999:~750,000 children 2008~215,000 children

9. Kansas SGF Appropriations: FY 2008: $869,932 FY 2009: $836,080 FY 2010: $807,058 FY 2011: $807,058

10. Vaccine Cost vs. 317 & State Funding Vx. Costs 317 & State Funds

11. 8%

12. Kansas Law Requires To the extent that funds are available, vaccines required for school entry must be provided. A sliding fee scale may be applied.

13. 317 & State funds restricted to: Underserved children/adolescents enrolled in the federal free or reduced price lunch program Have insurance that covers immunizations Insurance co-pay or deductable poses a barrier to vaccinations required for school attendance. These children are not VFC eligible. Vaccine provided to local health departments Cocoon Project Universal Hep. B Birth Dose Program

14. Will the HCRA change things? All pediatric well-child visits—including immunizations must be covered by certain insurance plans with no co-pays or deductibles for families. Health plans are prohibited fro denying coverage or benefits for children <19 years due to pre-existing conditions.