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States Move to Preserve COVID Shot Access as FDA Limits Sow Confusion

States are stepping in to keep pharmacy access and coverage intact ahead of a CDC panel vote that could decide who pays for fall COVID shots.

Overview

  • The FDA approved updated COVID-19 vaccines for the fall but limited routine eligibility to adults 65 and older and younger people with qualifying medical conditions.
  • Access now varies by location, with reports of pharmacies in states such as Arizona and Colorado requiring prescriptions while others allow self-attestation of risk conditions when booking.
  • Governors and health officials in Massachusetts, New York, Pennsylvania, Colorado and New Mexico issued actions to ensure residents can receive the shots at pharmacies before new federal guidance is set.
  • California, Oregon, Washington and Hawaii created a West Coast Health Alliance to develop their own immunization guidance as HHS leadership changes have unsettled federal agencies.
  • The CDC’s Advisory Committee on Immunization Practices meets Sept. 18–19 to vote on recommendations that could determine insurance and federal payment as COVID-19 rates rise heading into flu season.