Grantee Funding StatusGrantee Funding Status

4444thth National Immunization Conference National Immunization ConferenceAtlanta, GAAtlanta, GA

Lance E. Rodewald, MDLance E. Rodewald, MD

Director, Immunization Services DivisionDirector, Immunization Services Division

National Center for Immunization and Respiratory Diseases, CDCNational Center for Immunization and Respiratory Diseases, CDC

Immunization Program Operations Immunization Program Operations FundingFunding**: FY06 – FY10: FY06 – FY10

* Shown in millions of dollars; includes Section 317 and VFC

Immunization Program Operations Immunization Program Operations FundingFunding**: FY06 – FY10: FY06 – FY10

FY06 FY07 FY08 FY09 FY10 MinAs of

4/1/10FY10 Max

New** 255.1 262.9 257.4 277.4 276.7 280.4 280.4

Carryover 23.1 17.7 5.0 19.1 8.1 8.1 8.1

Pan flu 15.4 15.7 14.0 14.5 15.7

ARRA 79.7 79.7 79.7

Total 278.2 280.6 277.9 312.2 378.4 382.7 383.8

* Shown in millions of dollars; includes Section 317 and VFC** Includes DA, personnel, travel

VFC Non-Vaccine FundingVFC Non-Vaccine Funding**: : FY09 – FY10FY09 – FY10

* Shown in millions of dollars

VFC Non-Vaccine FundingVFC Non-Vaccine Funding**: : FY09 – FY10FY09 – FY10

FY09 FY10 As of 4/1/10

OPS 23.7 26.4 26.4

Ordering 8.8 8.3 8.3

Distribution 0.5 0.6 0.6

AFIX 37.7 38.6 38.6

DA Other 0.6 0.2 0.2

DA Personnel 2.0 2.4 2.3

Carryover 0.4 0.3 0.3

Total 73.6 76.8 76.7

* Shown in millions of dollars

Vaccine Funding to Grantees: Vaccine Funding to Grantees: FY06 – FY10FY06 – FY10

Vaccine Funding to Grantees: Vaccine Funding to Grantees: FY06 – FY10FY06 – FY10

Immunization Program Vaccine Immunization Program Vaccine FundingFunding**: FY06 – FY10: FY06 – FY10

FY06 FY07 FY08 FY09 FY10 As of 4/1/10

VFC 1,681 2,423 2,434 2,978 3,285 3,285**

Section 317 225 244 255 256 254 249

ARRA-317 50 124 119

Total 1,906 2,667 2,689 3,284 3,662 3,653

* Shown in millions of dollars; includes Section 317 and VFC** Request being made to increase for PCV13

Program Funding Program Funding ObservationsObservations

Unprecedented level of resources, Unprecedented level of resources, vaccine and operationsvaccine and operations

Current resources are part-way to Current resources are part-way to CDC’s professional judgment levelCDC’s professional judgment level

Using one-time funding is a challenge, Using one-time funding is a challenge, but one worth meetingbut one worth meeting

Making the Most of ARRA-317Making the Most of ARRA-317

ARRA challengesARRA challenges– One-time fundingOne-time funding

– H1N1 opportunities costsH1N1 opportunities costs

Not using funding weakens argument that Section Not using funding weakens argument that Section 317 is underfunded317 is underfunded

Principles and policy for flexibility, grantee priority, Principles and policy for flexibility, grantee priority, and using the funding prior to end of FY2010and using the funding prior to end of FY2010

Policy implementation involves collaboration and Policy implementation involves collaboration and sharing across programs: sharing across programs: working togetherworking together

ARRA Vaccine Spending ARRA Vaccine Spending Status, April 12, 2010Status, April 12, 2010

LOOKING FORWARDLOOKING FORWARD

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

Potential Additional Funding Opportunities

ARRA-HITECH

School-located influenza vaccination

Adult

Others…

DISCUSSION

EXTRA SLIDES