Advocates

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.



ecbt photo

How Can You Make a Difference?

States have reduced funding for immunizations, while at the same time vaccine costs continue to rise.  The Institute of Medicine (IOM) found that in response to state budget cuts, most reduced the scale of effort of their immunization activities, commonly reducing outreach, education efforts, and vaccine delivery arrangements with contractors. Half of the states have reported that budget cuts affected staffing, requiring them to reduce immunization program personnel, consolidate positions, or leave vacancies unfilled. 1

IOM’s Calling The Shots report states that, “immunization financing was explicitly structured to be a federal-state partnership…federal policymakers never expected federal funds to be sufficient to cover the full cost of vaccine purchase and delivery for disadvantaged groups… and federal funds are provided to supplement, not supplant, state investments in immunization programs.”  Various opinions regarding state versus federal roles in the purchase of vaccines exist among the vaccine advocacy community.   However, all clearly agree that decreased state investments paired with insufficient federal funding must be remedied in order to insure an equitable distribution of vaccines among all U.S. children.

In response to the funding crisis ECBT partnered with a number of immunization advocacy groups to form the “317 Coalition”.  The 317 Coalition advocates for increasing the Federal funding for the National Immunization Program at the Centers for Disease Control and Prevention, commonly known as "section 317" of the Public Health Service Act. Section 317 provides a safety net program of grants to states to immunize children, adolescents and adults who have no other means to pay for vaccinations.  

Take ACTION by visiting the coalition’s website at
http://www.317coalition.org/


1  Calling the Shots: Immunization Finance Policies and Practices.  (Washington, D.C.:  Institute
     of Medicine, 2000.