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VACCINES FOR CHILDREN (VFC)
Program Update Effective January 1, 1997
In 1994, the Omnibus Budget Reconciliation Act (OBRA) created the Vaccines
For Children (VFC) program that provides vaccines at no cost for children 0-18
years of age who are Medicaid-enrolled, have no health insurance, or are American
Indian or Alaskan Native. The VFC program combines the efforts of public and
private health care providers to provide immunization to our nation's most vulnerable
children.
Through this program, the following vaccines are made available, within certain
limitations (see below), for eligible children from birth to age 18 years:
| Measles, Mumps, Rubella (MMR) |
Diphtheria, tetanus, pertussis, haemophilus influenzae B (DTP-Hib)
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Hepatitis B (HB) |
| Diphtheria, tetanus, acellular pertussis (DTaP)
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Haemophilus influenzae b (Hib) |
Inactivated Polio
(IPV) |
| Diphtheria, tetanus, pertussis (DPT) |
Varicella (Var) |
Oral Polio
(OPV) |
As of January 1996, all 50 states provided VFC services. Twenty-five CDC vaccine
contracts purchase vaccines (using VFC, CDC, state, and local funds) at prices
substantially lower than retail. As of December 1996, more than 10,000 public
provider sites and 31,000 private provider sites were enrolled in the VFC program,
for a total of nearly 42,000 provider sites. More than 75% of these are private,
rather than public, sites. Iowa currently has 246 private and 245 public provider
sites.
VFC Update
In January of 1997, the following VFC Update was provided by the Iowa Department
of Public Health:
Hepatitis B:
- Children born on or after November 1, 1991 who are eligible for the Vaccines
for Children (VFC) program are eligible for the hepatitis B vaccine series.
- Adolescents who are 12 years old or enrolled in the 7th grade who are eligible
for the VFC program are eligible to receive the hepatitis B vaccine series
when receiving services at a public clinic.
Please note: VFC federal requirements and funding limit the administration
of adolescent hepatitis B vaccine to a single cohort. Private providers may
vaccinate VFC-eligible 12 year old children or 7th graders. Because some public
health agencies may be administering school-based hepatitis B projects for 7th
graders, private providers will also be allowed to immunize VFC-eligible children
enrolled in 7th grade.
Measles, Mumps, Rubella:
Children through age 18 years who are eligible for the VFC program, and who
do not have documentation of a second dose of MMR, are eligible to receive a
second dose.
Varicella
Children who are eligible for the VFC program and who are 12 to 24 months
of age are eligible to receive varicella vaccine.
If you have any questions regarding these policies,
please call the Iowa VFC Program at:
1-800-831-6293
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