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.