1. Grantee Funding Status 44 th National Immunization Conference Atlanta, GA Lance E. Rodewald, MD Director, Immunization Services Division National Center for Immunization and Respiratory Diseases, CDC

2. Immunization Program Operations Funding * : FY06 – FY10 * Shown in millions of dollars; includes Section 317 and VFC

3. Immunization Program Operations Funding * : FY06 – FY10 FY06FY07FY08FY09FY10 Min As of 4/1/10 FY10 Max New ** 255.1262.9257.4277.4276.7 280.4 Carryover 23.117.75.019.18.1 Pan flu 15.415.714.0 14.5 15.7 ARRA 79.7 Total 278.2280.6277.9312.2378.4 382.7 383.8 * Shown in millions of dollars; includes Section 317 and VFC ** Includes DA, personnel, travel

4. VFC Non-Vaccine Funding * : FY09 – FY10 * Shown in millions of dollars

5. VFC Non-Vaccine Funding * : FY09 – FY10 FY09FY10 As of 4/1/10 OPS23.726.4 Ordering8.88.3 Distribution0.50.6 AFIX37.738.6 DA Other0.60.2 DA Personnel2.02.42.3 Carryover0.40.3 Total73.676.876.7 * Shown in millions of dollars

6. Vaccine Funding to Grantees: FY06 – FY10

8. Immunization Program Vaccine Funding * : FY06 – FY10 FY06FY07FY08FY09FY10As of 4/1/10 VFC 1,6812,4232,4342,9783,2853,285 ** Section 317 225244255256254249 ARRA-317 50124119 Total 1,9062,6672,6893,2843,6623,653 * Shown in millions of dollars; includes Section 317 and VFC ** Request being made to increase for PCV13

9. Program Funding Observations  Unprecedented level of resources, vaccine and operations  Current resources are part-way to CDC’s professional judgment level  Using one-time funding is a challenge, but one worth meeting

10. Making the Most of ARRA-317  ARRA challenges – One-time funding – H1N1 opportunities costs  Not using funding weakens argument that Section 317 is underfunded  Principles and policy for flexibility, grantee priority, and using the funding prior to end of FY2010  Policy implementation involves collaboration and sharing across programs: working together

11. ARRA Vaccine Spending Status, April 12, 2010

12. LOOKING FORWARD

13. VFC and Delegation of Authority for Underinsured Children  VFC legislative proposal was not in the health reform law  Delegation of VFC authority from FQHC/RHCs to other VFC providers: – Is occurring (CDC is aware) – Is being honored (CDC allows VOFA to include delegated sites) – Is not currently being provided guidance by CDC  Programmatic options for delegation of VFC authority will be developed within HHS

14. Potential Additional Funding Opportunities  ARRA-HITECH  School-located influenza vaccination  Adult  Others…

15. DISCUSSION

16. EXTRA SLIDES