Advocate links
- State and Local Government Resources
- Select a State to view resource locations.
- 317 Coalition
- Life-saving, cost-effective immunizations are significantly underfunded by Congress. ECBT has teamed with several partner organizations to create the 317 coalition to achieve increased federal funding for vaccines and vaccine programs. Visit the 317 coalition’s website to take action on this critical issue.
- Regional and National Resources
- Cost of vaccines
- The cost of fully vaccinating each child has risen dramatically with the advent of new, life-saving vaccines.
- Appropriations Chart
- Federal appropriation for the immunizations has not kept pace with the real costs of immunizing children.
- Congress not providing adequate funds to immunize
- 2005 estimate includes the cost to vaccinate one adolescent with one dose of Meningococcal and one dose of Td.
2004 and 2005 reflect new budget lines 1) Business Services Support and 2) Public Health Improvement & Leadership — which were created to the show CDC indirect cost assessments to programs
Td was not included in the cost of the full series 1999-2004. States negotiated their own contracts because there was no federal contract for this vaccine.
TdaP is expected to be licensed and recommended in FY2006; CDC estimates the new vaccine may be used 50% of the time in adolescents and the current Td vaccine used the remaining 50% of the time.
HIPAA/FERPA Issues
Under HIPAA, Covered Entities (including health departments and immunization registries) are subject to other federal laws and regulations but HIPAA excludes any records that are covered by FERPA. That means the information contained in an education record is exempt from HIPAA requirements and only subject to FERPA requirements. A problem arises with regard to immunization registries, public health practice and FERPA. Most states have mandatory student immunization laws, along with requirements for schools to monitor student compliance with these laws. Immunization registries provide a very efficient way to monitor student compliance with these laws. Immunization data flowing into the schools from the immunization registry is not restricted by FERPA and is therefore a great tool to determine if students are in compliance with immunization regulations for school entry. The schools collect important immunization data that would be very beneficial to include in registries (from shots given at school clinics and student compliance documentation provided to the schools by parents and providers). FERPA requires written parental consent for this data to be provided to the registry. Ideally, FERPA should contain provisions similar to those made under HIPAA laws allowing disclosure to public health where it is mandated or permitted by law. Unfortunately, this is not currently the case and so the flow of information from the schools into the immunization registry is severely, if not totally limited.