Long-Term-Childhood-Vaccing-Funding by akgame


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									SBOH Long-Term Childhood Vaccine Funding Task Force
Problem Statement/Issues: Under Washington State’s universal access policy, recommended childhood vaccines have been available to all children in the state at no charge. While Washington’s universal access policy was reaffirmed in a 1996 Washington State Childhood Vaccine Policy Conference, the conferees acknowledged long-term funding challenges could, barring the development of new funding sources, lead to limitations on access. The pressure of newly licensed childhood vaccines as well as those expected to appear on the scene over the next few years is affecting the other twelve states with a universal access policy. Staff contacted these states over the past few months and learned that all are involved in some level of discussion regarding future strategies and whether they will maintain their universal access policy. For Washington State, projections show that with the current list of vaccines the program will be in a significant deficit of general fund state money in the next biennium. This does not take into account the cost of adding new vaccines such as pediatric pnuemococcal vaccine. In addition, questions from consumers regarding the risk of vaccines and the continued need for certain vaccines offer an opportunity to re-think the state’s process and policy. Board Authority: The Board has authority to set the mandatory immunization for entrance to school, RCW 43.20.050(2)(e) and WAC 246-100-166. The SBOH plays a central role: 1) it sets the mandatory vaccine schedule for school entry, 2) mandatory schedules are well documented to be the drivers of high levels of immunization in pediatric populations, and 3) government mandates inevitably trigger the public debate regarding who funds the mandate. Goal: To develop an efficient and sustainable system that assures sufficient levels of childhood immunization to protect the public (both access and infrastructure), that: 1. Defines the access to existing and new vaccines for children 2. Provides necessary infrastructure 3. Defines the roles of government and partners 4. Is responsive to the public (consumer) Proposed Process and Timeline: To convene a task force through the communicable disease (CD) subcommittee of the SBOH. In addition to the CD subcommittee members, the task force would be comprised of the public and private stakeholders. The task force’s charge would be to develop a proposed system and criteria for future vaccine access decisions. This includes consideration of system changes that would prioritize vaccines, e.g. such as a core list, target and optional vaccines as well as criteria for the utilization of

cost/benefit, risk/benefit data and guiding principles. In addition, the task force would recommend to the SBOH its future role in immunization policy. Recommendations considered by the SBOH might necessitate statutory change, revision to the WAC and/or impact on budget development. Recommendations would come back to the SBOH in May or June 2000 for discussion and decision-making. This timeline would allow the DOH to integrate any new policy into the budget development for 2001-03.

February 2000

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