Kansas Immunization Program
Immunization Program Guidelines
for Vaccine Use by LHD’s
• Understand VFC, 317, and State Vx. Funding
• Discuss the pros and cons of discretionary
• Articulate the reasons why discretionary funds
need to be targeted underserved children.
3 POTS OF MONEY
• VFC Entitlement Funds
• 317 Discretionary Funds
• State Funding(Discretionary)
Vaccines for Children (VFC)
• Federal Entitlement Program
• Funds based on documented need.
• Strict Eligibility Criteria
• VFC Budget Nationally: $4 Billion
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
• VFC Operations Guide:
GOOGLE “VFC Operations Guide”
317 Vaccine Funding
• 317 funds are “discretionary.”
• Considered a “safety net”
• Subject to yearly appropriation
How many children can be fully
vaccinated with 317 funds?
• 1999: ~750,000 children
• 2008 ~215,000 children
Kansas SGF Appropriations:
• FY 2008: $869,932
• FY 2009: $836,080
• FY 2010: $807,058
• FY 2011: $807,058
Vaccine Cost vs. 317 & State Funding
Vx. Costs 317 & State
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.
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
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.