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COVID hospitalizations are rising, but low-income children enrolled in the Vaccines for Children (VFC) program still can't access updated COVID shots — weeks after they became available to privately insured kids. The CDC has yet to open the ordering process for states, creating a two-tiered system that leaves vulnerable children unprotected longer. With ACIP sidelined and vaccine policy in flux, public health officials say they're in "uncharted waters."
COVID hospitalizations are climbing, but millions of low-income children enrolled in the federal Vaccines for Children (VFC) program — which covers uninsured, underinsured, Medicaid-eligible, and Native American kids — still can't get updated COVID shots. The CDC approved the new vaccines on August 27, and private-sector shipments began by September 7, yet the CDC hasn't opened the ordering portal for states to access free VFC doses. States including California, Georgia, New York, Pennsylvania, and South Carolina have all confirmed the vaccines remain unavailable through their VFC programs.
This gap is putting pediatricians in a tough spot: vaccinate only privately insured patients, or hold off on vaccinating anyone to treat all kids equally. New York has offered a workaround, allowing providers to use privately purchased doses for VFC-eligible children and swap them out for free doses once available.
Key Takeaways:
Why it matters: The delay creates a two-tiered system where wealthier children get protection weeks before their lower-income peers — right as respiratory virus season approaches. Public health experts warn this inequity undermines trust and leaves the most vulnerable kids exposed longer.