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Centers for Disease Control and Prevention
National Center for Immunization and Respiratory Diseases
Centers for Disease Control and Prevention
National Center for Immunization and Respiratory Diseases
Centers for Disease Control and Prevention
National Center for Immunization and Respiratory Diseases
Centers for Disease Control and Prevention
National Center for Immunization and Respiratory Diseases
Photographs and images included in this presentation are licensed solely for CDC/NCIRD online and presentation use. No rights are implied or extended for use in printing or any use by other CDC CIOs or any external audiences.Addition of an Addendum to the
2023 Immunization Schedules for Children/Adolescents and Adults
Sarah Schillie, MD, MPH, MBA
CAPT, US Public Health Service
Team Lead, Professional Education and Training, Immunization Services Division
Centers for Disease Control and Prevention
Advisory Committee on Immunization Practices
September 22, 2023
Atlanta, GA
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position o f the Centers for Disease
Control and Prevention. Photographs and images included in this presentation are licensed solely for CDC/NCIRD online and pre sentation use. No
rights are implied or extended for use in printing or any use by other CDC CIOs or any external audiences.
Immunization Schedules: Overview
▪Two separate schedules
–Child and adolescent schedule (age
birth through 18 years)
–Adult schedule (age 19 years or older)
▪Multiple sections that summarize
and aid in implementation of
approved ACIP policy
–Cover Page
–Tables
–Notes
–Appendix
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www.cdc.gov/vaccines/schedules/index.html
Immunization Schedules: Overview, cont.
▪Published in 3 formats:
–PDF, webpage, app
▪Multiple professional organizations partner with CDC to approve schedules
–American College of Physicians ( www.acponline.org )
–American Academy of Family Physicians ( www.aafp.org )
–American College of Obstetricians and Gynecologists ( www.acog.org )
–American College of Nurse -Midwives ( www.midwife.org )
–American Academy of Physician Associates ( www.aapa.org )
–American Pharmacists Association ( www.pharmacist.com )
–Society for Healthcare Epidemiology of America ( www.shea -online.org )
–American Academy of Pediatrics ( www.aap.org )
–National Association of Pediatric Nurse Practitioners ( www.napnap.org )
▪Some professional organizations publish the schedules
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Traditional Publication Timeline
October November December January February
ACIP vote approves the
immunization schedulesProfessional organizations
approve schedules
Draft and clear MMWR reports (both
schedules) and Annals of Internal
Medicine report (adult schedule only)Schedules (3 formats),
MMWR Notice to Readers, &
Annals of Internal Medicine
report published
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▪Insurance reimbursement
▪The ability of certain health care providers to administer
immunizations
–Some states link pharmacists’ immunization authority to the schedule
▪Health care provider knowledge and practices related to
immunization recommendationsImpacts of Timeliness of Schedule Publication
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▪Must provide coverage for and must not impose any cost -sharing requirements
(such as a copayment, coinsurance, or a deductible) for —
“Immunizations for routine use in children, adolescents, and adults that have in
effect a recommendation from the Advisory Committee on Immunization
Practices of the Centers for Disease Control and Prevention…” “…considered in
effect after it has been adopted by the Director of the Centers for Disease
Control and Prevention, and a recommendation is considered to be for routine
use if it is listed on the Immunization Schedules of the Centers for Disease
Control and Prevention)”
▪ACA does not specify what defines the Immunization Schedule
–Legally, CDC has discretion regarding what constitutes the immunization scheduleAffordable Care Act: Immunization Coverage
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3-Pronged Approach to Address Schedule Timeliness,
Maximize Utility
Immediate
Strategy
Addition of
Addenda will help
bring the schedule
up-to-dateShort -term
Strategy
Publish entirety of
schedule soon after
October ACIP voteLonger -term
Strategy
Consider sustainable approach to ensure
schedule remains dynamic/responsive
and current (proposal in early in CY24)
Ensure partner engagement in
planning process
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Addition of Addenda to 2023 Immunization Schedules
▪Contain ACIP recommendations that occurred after the 2023
schedule was published
▪Plan to release 2023 Immunization Schedules with Addenda next
week
▪With this addition, all ACIP recommendations will formally be part of
the CDC Immunization Schedules
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▪Anticipate release of 2023 Immunization Schedules with
Addenda next week
–Formally incorporate all ACIP recommendations into 2023 CDC
Immunization Schedule
▪Plan for short -and long -term sustainable strategies to address
schedule timeliness
–Ensure partner engagementSummary
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Acknowledgements
Immunization Services Division and
Health Education and Communication Branch staff, especially:
•Neil Murthy
•Patricia Wodi
•Rosa Herrera
•Richard Quartarone
•Akiko Wilson
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For more information, contact CDC
1-800-CDC-INFO (232 -4636)
TTY: 1 -888-232-6348 www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the
official position of the Centers for Disease Control and Prevention.Questions?
Additional Slides
▪Adult Vaccine Assessment Tool
▪Child and Adolescent Vaccine Assessment Tool
▪Parent Friendly CDC Resources based off the Immunization Schedules