Childhood immunizations.                                                  06LSO-0209.C1

FISCAL NOTE

 

This bill contains an appropriation of $5,000,000 from the GENERAL FUND.

 

 

FY 2007

FY 2008

FY 2009

NON-ADMINISTRATIVE IMPACT

 

 

 

Anticipated Expenditure Increase:

 

 

 

GENERAL FUND

2,480,000

2,850,000

3,280,000

 

Source of expenditure increase:

 

With passage of this bill, an estimated 56,264 children in Wyoming, who are not eligible for federal vaccines, will annually receive state funded vaccine that was purchased at a reduced price off the federal contract by the immunization program and distributed by the Wyoming Health Care providers for administration.  Each child 0-18 years throughout their lifetime will have the opportunity to receive immunizations to prevent 13 vaccine preventable diseases and influenza, currently costing the state $788.26 per child.  Assuming the estimated 56,264 children and the estimated age of the children in a given year according to the Wyoming Population Estimates: July, 2001 to July, 2004 located at http://eadiv.state.wy.us/pop/CO_AS04.htm, the cost for fiscal year 2007 results in an estimated $2,327,270.  In addition, $150,000 is needed for vaccine waste (5% increased inventory) and storage and handling and shipping by a private distributor (charges 18 cents per dose) to Wyoming physicians and Public Health Nursing offices.  Due to the inflation, new vaccines, and population growth, the Department has estimated this cost will increase 10-15% per year.

 

Assumptions:

 

Cost for vaccine assumes census data and the number of children in need is accurate.  Cost for waste assumes the providers follow policy and procedures (<5%) for proper storage and handling of vaccine, do not administer to adults, and do not expire vaccine because of ordering too much inventory.  (Accountability of these variables are done by the Immunization Program and additional needed resources are noted on the Agency Estimate of Administrative Impact form.)

The increase of 10-15% per year assumes a steady population growth, inflation of vaccine cost by the manufactures, and new vaccines each year.  This is difficult to project.

 

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NOTICE-AGENCY ESTIMATE OF ADMINISTRATIVE IMPACT REQUESTED

 

This bill has administrative impact that appears to increase (or decrease) duties or responsibilities of one or more state agencies and may impact agency spending or staffing requirements. As introduced, the bill modifies the Department of Health budget.

The following state agencies will be asked to provide their estimate of the administrative fiscal impact prior to the first committee meeting held to consider the bill:

 

Department of Health

 

Prepared by:   Don Richards, LSO           Phone:  777-7881 

(Information provided by Katelyn Wells-Fahling, Dept. of Health; phone:  777-6001.)