Ca. Robinson et al., THE PRESIDENTS CHILD IMMUNIZATION INITIATIVE - A SUMMARY OF THE PROBLEM AND THE RESPONSE, Public health reports, 108(4), 1993, pp. 419-425
After only 24 days in office, President Bill Clinton announced a compr
ehensive childhood immunization initiative designed to assure that all
children in the United States lead healthier lives by receiving age-a
ppropriate immunizations against preventable diseases such as polio, m
umps, measles, whooping cough, and diphtheria. As part of his economic
stimulus proposal, the President requested $300 million for Fiscal Ye
ar 1993 to reinforce the nation's immunization infrastructure by provi
ding funding for communities to extend clinic hours, provide more staf
f, and increase information and education efforts and for the planning
and implementation of a national immunization tracking system. In its
Fiscal 1994 budget request, the Administration asked for a doubling o
f the Centers for Disease Control and Prevention's immunization progra
m funding to $667 million. In cooperation with key congressional commi
ttees, the Administration has also prepared legislation that would pro
vide recommended childhood vaccines to States for free distribution to
health care providers who serve children enrolled in Medicaid or who
don't have health insurance that covers immunization services. Provide
rs could not charge for the vaccine but could charge a fee for adminis
tration. State Medicaid programs would also be required to reimburse p
roviders reasonably for vaccine administration. This measure is design
ed to improve universal access to immunization services by helping to
remove financial barriers that impede children from being immunized at
the appropriate age.