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               Congjressional
             SResearch Service






COVID-19 Vaccine: Financing for Its

Administration



February 19, 2021

A U.S. COVID-19  vaccination campaign is underway. For this effort, all vaccines and some supplies for
their administration to patients have been purchased by the federal government, with appropriations
provided for this purpose. These are available at no cost to providers and patients. When the vaccine
delivery approach allows for individual patient transactions, providers may seek reimbursement from
available payers for their costs to administer the vaccines, including the costs of their time, vaccine
storage, recordkeeping, and additional supplies. In general, by law and regulation, patients should not be
charged for the COVID-19 vaccine or the costs of its administration during the campaign. There may be
exceptions when the vaccine is administered during a visit in which other services-such as a check-up
for a chronic condition-are also furnished, and a visit fee unrelated to vaccine administration may be
billed.
This Insight explores the provision of COVID-19 vaccines and payment for their administration, where
applicable, from the perspectives of patients, providers, and public and private payers. It does not discuss
(1) federal entities that provide direct health care services, such as the Departments of Defense and
Veterans Affairs; (2) vaccination sites that are fully financed and do not involve individual patient
transactions; or (3) payment policies that may apply after the initial vaccination campaign in spring 2021.

Patients

Patients are the persons who seek to be vaccinated.
       Currently, two COVID-19 vaccine formulations are available under Emergency Use
       Authorizations (EUAs) granted by the Food and Drug Administration (FDA).
       The Centers for Disease Control and Prevention (CDC) recommends a priority order
        (based on age, risk factors, or essential work activities) for vaccination when it is in
        limited supply. State, city, and territorial officials may modify this guidance.
       States and localities are expected to create systems to furnish vaccines in priority order.
        This may involve both large-scale vaccination sites and other sites (e.g., pharmacies) that
        provide vaccines under federal contracts.


                                                                 Congressional Research Service
                                                                   https://crsreports.congress.gov
                                                                                       IN11609

 CRS INSIGHT
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