As respiratory virus season nears and fall vaccination drives get underway, more than half of US children are facing uncertainty over access to this year's COVID-19 shot. The Centers for Disease Control and Prevention has unexpectedly delayed the distribution of the shots to a key federal program and some states.

Usually, the CDC would allow states to order the newly available seasonal COVID-19 vaccines through the federal Vaccine for Children (VFC) program, which provides vaccines at no cost to children who are uninsured, underinsured, Medicaid-eligible, or Indigenous people in the US. Approximately 52 percent of all US children are eligible for vaccines through the program.

Additionally, The Guardian reports that at least 11 states and one US territory are part of a universal vaccine purchase program, in which they buy all vaccines for children—regardless of their ability to pay or insurance status—through contracts otherwise for the VFC. The 11 states and one territory include: Alaska, Connecticut, Hawaii, Maine, Massachusetts, New Hampshire, New Mexico, Rhode Island, Vermont, Washington, Wyoming, and American Samoan.

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