NYS is on the verge of passing unprecedented legislation, that would give state officials the power to supersede federal vaccine guidance from the Advisory Committee On Immunization Practices (ACIP). The ACIP is a panel comprised of health and vaccine experts that recommend and shape the nationwide vaccine schedule. States historically follow the ACIP science based guidance because it ensures consistency, safety and access. If NYS embraces radical overreach by usurping this power under the guise of "protecting New Yorkers," the ramifications will have far reaching effects that the proposed legislation does not provide for in any meaningful way.
Federal funding for programs such as Medicaid and the Vaccines For Children Program depends on ACIP recommendations. If NYS passes legislation that disregards ACIP recommendations and replaces them with its own, a dangerous consequence may well be the loss of such federal funding to the state. Federal funding in NYS covers the cost of vaccinations for almost half of its children. Without federal funding, this huge unbudgeted expense would fall completely on the state and its taxpaying citizens.
Another consequence that is not sufficiently protected against in the proposed legislation, is the likely loss of vaccine provider liability protection provided by the Vaccine Injury Compensation Program (VICP). If NYS detaches itself from the ACIP, lawmakers are potentially opening the door to increased legal exposure for providers. Doctors and Pharmacists who administer vaccines would be subjected to increased lawsuits and higher malpractice insurance premiums. As a result, such providers would likely hesitate to even offer vaccinations. Notwithstanding, this legislation would imprudently increase that risk without a robust safety net provision.
In addition, all of this will provide fertile ground for mixed messaging and confusion. NYS would effectively be telling its people and the nation, that it will no longer follow federal vaccine guidance and that NYS will instead just make up its own rules when it disagrees with Washington. Coverage and liability will differ from other states, creating a recipe for confusion and loss of public trust.
New York's proposed legislation isn't a visionary leap forward, but rather a reckless reshaping of vaccine policy that abandons national standards, risks federal funding, threatens legal protections for clinicians and invites chaos into a system that should be grounded in science and not politics. By ignoring these consequences, NYS lawmakers risk trading real public health safeguards for political posturing with New Yorkers footing the bill.
Long Island Lawyer
Paul A. Lauto, Esq.
www.liattorney.com



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