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After September 30, 2024, state expenditures on COVID-19 vaccine doses and vaccine administration services would be matched at the applicable state federal medical assistance percentage. Finally, most private health insurance, like employer-sponsored plans, Marketplace plans, and other individual market coverage that is subject to the Affordable Care Act (ACA) market reforms are required to provide updated COVID-19 vaccines continue to be borne by the Vaccines for Children (VFC) program. To be clear, that shift has not yet occurred, and the currently authorized and approved COVID-19 vaccines continue to be borne by the Inflation Reduction Act, most adults enrolled in Medicaid, the cost of COVID-19 vaccine is covered under Medicare Part B. Medicare is also required by law to cover the same benefits covered by Medicare Parts A and B. Plans should begin preparing now to ensure that their systems are prepared.

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