Public health / HHS / CDC
Immunization & Vaccines for Children
Two routes. VFC: vaccines, not cash. OMB approves VFC funding and allocates it through CMS to CDC, which negotiates discounted manufacturer contracts and purchases and delivers pediatric vaccines on behalf of each state at no cost to enrolled providers; states administer the program to federally vaccine-eligible children. Section 317: competitive cooperative agreements (Assistance Listing 93.268) awarded directly by CDC to the 51 state health departments including DC, large-city/county health agencies, and U.S. territories and Freely Associated States under a weighted jurisdiction-by-jurisdiction funding formula, plus direct assistance such as CDC Public Health Advisors and SAS licenses in lieu of cash.
- $23.3Bobligated
- $19.5Breceived
- 196active awards
- 105recipients
- 56states
- 96counties
- Federal award record (USAspending)
- Authorizing statute
- Agency allocation table
- 9 primary documents, sealed
Authority
Immunization & Vaccines for Children is authorized by Public Health Service Act (Section 317) and Social Security Act (Section 1928), PHS Act sec. 317; SSA sec. 1928, administered by HHS / CDC, as a mixed program. Statute.
VFC vaccine value is determined by the number of federally vaccine-eligible children and the ACIP-recommended schedule; CDC purchases via negotiated manufacturer contracts (existing contract price plus inflation for current vaccines, or a discounted rate for new vaccines, per 42 U.S.C. 1396s(d)). Section 317 Component 1 (Core) uses a weighted jurisdiction-by-jurisdiction funding formula with these factors: base amounts, population, land area, uninsured adults, births, poverty, rural population, VFC providers, and VFC-eligible population. Component 2 (rapid small-scale outbreak response) is funded at an estimated 250,000 per year; Component 3 (rapid large-scale outbreak response) is approved but unfunded at an estimated 3,000,000 per year as available.
Allocations by jurisdiction
56 jurisdictions, from the published allocation table.
| Jurisdiction | Amount | Note |
|---|---|---|
| California | $22.9M | Assistance Listing 93.268 obligations to recipients in state (USASpending.gov) |
| Texas | $18.3M | FY2025 |
| New York | $14.6M | FY2025 |
| Florida | $10.4M | FY2025 |
| Illinois | $9.3M | FY2025 |
| Pennsylvania | $8.4M | FY2025 |
| Georgia | $7.9M | FY2025 |
| North Carolina | $7.6M | FY2025 |
| Michigan | $6.3M | FY2025 |
| Virginia | $6.2M | FY2025 |
| Ohio | $6.2M | FY2025 |
| Arizona | $6.0M | FY2025 |
| Tennessee | $5.7M | FY2025 |
| New Jersey | $5.4M | FY2025 |
| Washington | $5.1M | FY2025 |
| Maryland | $4.8M | FY2025 |
| Massachusetts | $4.4M | FY2025 |
| Alabama | $4.4M | FY2025 |
| Minnesota | $4.3M | FY2025 |
| Missouri | $4.2M | FY2025 |
| Wisconsin | $4.2M | FY2025 |
| South Carolina | $4.2M | FY2025 |
| Kentucky | $3.8M | FY2025 |
| Indiana | $3.6M | FY2025 |
| Louisiana | $3.6M | FY2025 |
| Colorado | $3.5M | FY2025 |
| Arkansas | $3.3M | FY2025 |
| Mississippi | $3.3M | FY2025 |
| District of Columbia | $3.2M | FY2025 |
| Iowa | $3.1M | FY2025 |
| Connecticut | $3.0M | FY2025 |
| Nevada | $2.9M | FY2025 |
| Kansas | $2.9M | FY2025 |
| Utah | $2.9M | FY2025 |
| Hawaii | $2.8M | FY2025 |
| New Mexico | $2.7M | FY2025 |
| Nebraska | $2.7M | FY2025 |
| New Hampshire | $2.6M | FY2025 |
| Idaho | $2.5M | FY2025 |
| Puerto Rico | $2.5M | FY2025 |
| Maine | $2.4M | FY2025 |
| Montana | $2.2M | FY2025 |
| Delaware | $2.2M | FY2025 |
| South Dakota | $2.1M | FY2025 |
| Alaska | $2.0M | FY2025 |
| Wyoming | $2.0M | FY2025 |
| Vermont | $2.0M | FY2025 |
| North Dakota | $1.9M | FY2025 |
| West Virginia | $1.8M | FY2025 |
| Rhode Island | $1.6M | FY2025 |
| Guam | $963K | FY2025 |
| U.S. Virgin Islands | $797K | FY2025 |
| Oklahoma | $721K | Lower single-year figure reflects timing of obligations, not full program share |
| Northern Mariana Islands | $439K | FY2025 |
| American Samoa | $400K | FY2025 |
| Oregon | $83K | Lower single-year figure reflects timing of obligations, not full program share |
Where the money lands
Place-of-performance obligations by state, with per-capita, sealed in the location chain.
| State | Obligated | Per capita |
|---|---|---|
| California | $145.6M | $3.68 |
| Texas | $118.4M | $4.06 |
| New York | $86.9M | $4.30 |
| Illinois | $49.4M | $3.85 |
| Pennsylvania | $49.2M | $3.79 |
| Georgia | $46.2M | $4.31 |
| Florida | $45.3M | $2.11 |
| North Carolina | $39.0M | $3.73 |
| Michigan | $37.5M | $3.73 |
| New Jersey | $33.2M | $3.57 |
| Washington | $32.2M | $4.18 |
| Arizona | $30.9M | $4.32 |
| Tennessee | $28.3M | $4.10 |
| Virginia | $28.3M | $3.28 |
| Ohio | $27.8M | $2.36 |
| Massachusetts | $25.4M | $3.61 |
| Minnesota | $24.9M | $4.36 |
| Maryland | $24.3M | $3.94 |
| Colorado | $22.4M | $3.88 |
| Indiana | $22.1M | $3.25 |
| Alabama | $21.8M | $4.35 |
| Wisconsin | $21.5M | $3.65 |
| Connecticut | $20.4M | $5.65 |
| Oregon | $17.6M | $4.16 |
| Kentucky | $17.3M | $3.83 |
| Iowa | $16.6M | $5.19 |
| Nevada | $16.5M | $5.32 |
| South Carolina | $16.4M | $3.20 |
| Louisiana | $15.6M | $3.35 |
| Arkansas | $15.2M | $5.05 |
| Oklahoma | $14.2M | $3.58 |
| Mississippi | $14.1M | $4.76 |
| Missouri | $13.9M | $2.26 |
| Kansas | $13.6M | $4.63 |
| Puerto Rico | $13.2M | $4.01 |
| New Mexico | $13.0M | $6.13 |
| Utah | $12.4M | $3.80 |
| Nebraska | $11.6M | $5.93 |
| District Of Columbia | $11.5M | $16.67 |
| Maine | $11.4M | $8.34 |
| Hawaii | $10.7M | $7.38 |
| Idaho | $10.0M | $5.44 |
| Alaska | $9.4M | $12.85 |
| New Hampshire | $8.8M | $6.38 |
| Delaware | $8.7M | $8.75 |
| Rhode Island | $8.7M | $7.90 |
| North Dakota | $7.8M | $10.00 |
| South Dakota | $7.4M | $8.29 |
| Vermont | $7.3M | $11.43 |
| Montana | $7.2M | $6.62 |
| West Virginia | $7.1M | $3.94 |
| Wyoming | $6.8M | $11.86 |
| U.S. Virgin Islands | $4.2M | $47.73 |
| Guam | $3.2M | $20.74 |
| Northern Mariana Islands | $2.8M | $58.23 |
| American Samoa | $2.2M | $43.73 |
Top recipients
| Recipient | Awards | Obligated | Received |
|---|---|---|---|
| PUBLIC HEALTH FOUNDATION ENTERPRISES, INC. | 3 | $3.4B | $3.0B |
| HEALTH RESEARCH, INC. | 3 | $1.7B | $1.5B |
| CITY OF NEW YORK | 3 | $1.7B | $1.6B |
| COUNTY OF LOS ANGELES | 3 | $1.3B | $1.2B |
| NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES | 3 | $1.2B | $1.0B |
| PUBLIC HEALTH, MASSACHUSETTS DEPARTMENT OF | 3 | $1.1B | $1.0B |
| OHIO DEPARTMENT OF HEALTH | 3 | $1.0B | $781.1M |
| STATE OF GEORGIA DEPARTMENT OF PUBLIC HEALTH | 4 | $1.0B | $949.6M |
| HEALTH, WASHINGTON STATE DEPARTMENT OF | 3 | $936.4M | $846.6M |
| MINNESOTA DEPARTMENT OF HEALTH | 4 | $783.5M | $539.3M |
Source documents
9 primary documents, parsed and sealed by content hash.
- 42 U.S.C. 1396s (Social Security Act Section 1928, Vaccines for Children Program) statute, 1 tables
- 42 CFR Part 441 Subpart L - Vaccines for Children Program regulation
- CDC-RFA-IP-25-0007 NOFO: Strengthening Vaccine-Preventable Disease Prevention and Response nofo, 75 pages, 14 tables
- About the Vaccines for Children (VFC) Program (CDC) fact-sheet
- CDC FY2026 Congressional Justification (Immunization and Respiratory Diseases) annual-report, 123 pages, 85 tables
- Vaccines for Children (VFC) Program Operations Guide (v4.0, July 2024) guidance, 106 pages, 27 tables
- HHS TAGGS Assistance Listing 93.268 - Immunization Cooperative Agreements allocation-table, 4 tables
- About the Immunization Services Division (NCIRD) agency-site
- CDC-RFA-IP-25-0007 opportunity listing (Simpler.Grants.gov / Grants.gov) agency-site, 1 tables
Questions
- How does Immunization & Vaccines for Children money reach recipients?
- Two routes. VFC: vaccines, not cash. OMB approves VFC funding and allocates it through CMS to CDC, which negotiates discounted manufacturer contracts and purchases and delivers pediatric vaccines on behalf of each state at no cost to enrolled providers; states administer the program to federally vaccine-eligible children. Section 317: competitive cooperative agreements (Assistance Listing 93.268) awarded directly by CDC to the 51 state health departments including DC, large-city/county health agencies, and U.S. territories and Freely Associated States under a weighted jurisdiction-by-jurisdiction funding formula, plus direct assistance such as CDC Public Health Advisors and SAS licenses in lieu of cash.
- How much federal funding does Immunization & Vaccines for Children represent?
- As of 2026-06-05, $23.3B was obligated across 196 active awards to 105 recipients in 56 states and 96 counties. This is a sealed point-in-time figure from USAspending, the federal system of record.
- What law authorizes Immunization & Vaccines for Children?
- Immunization & Vaccines for Children is authorized by Public Health Service Act (Section 317) and Social Security Act (Section 1928), PHS Act sec. 317; SSA sec. 1928, administered by HHS / CDC.