How is a universal purchase program created?

Universal vaccine purchase programs are created by state legislatures. Creating a universal purchase program involves:

• Passing state legislation authorizing assessments on payers, including insurers and third-party administrators.
• Gathering the support of stakeholders (payers, providers, state health officials).
• Assembling a vaccine board (either dependent or independent) to govern, provide transparency in fund collection and assessment setting as well as set policy.
• Selecting an administrator to provide operations and communications.