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Phased Allocation of COVID-19 Vaccines: State and Territorial Approaches As of April 7, 2021

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Phased Allocation of COVID-19 Vaccines: State and Territorial Approaches As of April 7, 2021 Phased Allocation of COVID-19 Vaccines: State and Territorial Approaches As of April 7, 2021 This table provides information on state and territorial plans for phased allocation of COVID-19 vaccines. As initial supply of COVID-19 vaccines is limited, Governors are focused on prioritizing certain high-risk populations for vaccine allocation through a transparent and equitable process. This table outlines state and territorial approaches according to Phases 1a-c, 2, and 3, however state Phases or Tiers may vary from this structure (e.g., additional phases or more condensed phasing) and such variations are noted where applicable for individual states. State planning for allocation to critical populations across Phases, including guidance for providers and the public, will continue to evolve and this document will be updated to reflect additional details as they are released. For additional information on allocation of COVID-19 vaccines, including federal recommendations and considerations for states, please see NGA’s Allocating COVID-19 Vaccines In Initial Phases Of Distribution: Federal Recommendations And Considerations For States. Given the robust and rapid nature of state efforts, the National Governors Association welcomes feedback on state actions that may be missing or have evolved since the release of this table. If there is information that should be added or amended, please contact Michelle LeBlanc [email protected] or Brittney Roy [email protected]. Phase 1a Phase 1b Phase 1c Phase 2 Phase 3 Alabama Frontline health workers, Persons age ≥75 years • Persons age 55-74 years All persons in age groups not including clinical and non-clinical, • People with intellectual and previously recommended for Vaccine in hospitals, nursing homes, or Essential workers at highest risk developmental disabilities vaccine, ages 16-64 and general Provider those providing in in-home or for work related exposure • Population defined as population not included in earlier Locator mental health care directly. • Frontline essential workers Allocation Phase 1c in the phases. • Working or living in Alabama COVID‐19 • Persons not identified in Registration Workers in other healthcare congregate settings including Vaccination Allocation Plan Phase 1a, Phase 1b, or Phase and Eligibility settings providing services with a but not limited to homeless which includes people age 16 1c including persons age 18 Tool risk of exposure to fluids and shelters and group homes. to 64 with high-risk medical years and above aerosols • First responders including conditions which include but • Young adults between ages of firefighters and law are not limited to the following 18 and 30 years with typically Timeline: In progress enforcement. conditions: broader social networks, o Cancer increasing their risk of Timeline: In progress o Chronic kidney disease infection and transmission, o COPD but with less likelihood of o Heart conditions such as becoming severely ill or dying heart failure, coronary due to COVID-19 artery disease or • Persons not required to have cardiomyopathies; contact with potential immunocompromised sources of COVID-19 state • Persons not required to have o Solid organ transplant contact with the public o Obesity, BMI greater than • Office workers who do not 30 have frequent close contact o Pregnancy with coworkers, customers, or o Sickle cell disease the public Phase 1a Phase 1b Phase 1c Phase 2 Phase 3 o Smoking • Manufacturing and industrial o Type 1 and 2 diabetes facility workers who do not o Other medical conditions have frequent close contact as determined by your with coworkers, customers, or medical provider the public • Critical workers in the • Healthcare workers providing following areas who were not only telemedicine recommended for vaccination • Long-distance truck drivers in Phase 1b will be eligible: • Persons who telework o Transportation and • Broad immunization of logistics children and those who are o Waste and wastewater pregnant (who choose not to o Food service (includes take vaccine as part of Phase restaurant staff) 1 c) will depend on whether o Shelter and housing COVID-19 vaccines have (construction) been adequately tested for o Finance (bank tellers) safety and efficacy in these o Information technology groups and communication o Energy Timeline: In progress o Legal o Media o Public safety (engineers) Timeline: In progress Alaska Tier 1 Tier 1 • Persons aged 55–64 years Anyone living or working in Alaska • Long-term care facility • Persons aged 65 years and • Persons aged 16 and above who is age 16 or older. Vaccine staff and residents older who: Timeline: In progress Provider • Hospital-based frontline Tier 2 o Are essential workers, not Locator health care workers and • Frontline essential workers included in previous hospital personnel who aged 50 years and older phases, as defined by Eligibility Tool are frequently exposed to • Persons aged 50 years and CISA2 OR COVID19 patients to the above who have a high-risk o Have certain medical patient's health medical condition conditions OR Tier 2 • Pandemic response staff o Live in a • Frontline EMS and Fire • Educators multigenerational Service personnel • People living or working in household3 OR providing medical other congregate settings o Live in “unserved services, who are communities” frequently exposed to Timeline: In progress COVID-19 patients Timeline: In progress • Community Health Aides/Practitioners Phase 1a Phase 1b Phase 1c Phase 2 Phase 3 • Health care workers providing vaccinations to identified populations in Phase 1a Tier 3 • Workers in health care settings4 who meet all of the following criteria: o Have direct human patient contact, or have direct contact with infectious materials from patients, AND o Provide essential services in a hospital, clinic, home, or community-based setting that cannot be offered remotely or performed via telework; AND o Provide essential health care service in a health care setting that cannot be postponed without serious negative impact to the patient’s health Timeline: In progress American Healthcare workers and first Non-medical essential personnel Adults who are 65 years and older Sub tier A Everyone 18 years and older Samoa responders — such as housekeeping and with at least one high-risk or All healthy people 65 years old and maintenance — and critical chronic condition older with no chronic health Timeline: In progress infrastructure personnel — such as conditions those at the airport and seaport Sub-tier D Sub-tier B workers; American Samoa Power Individuals between 16-years old Vaccination of other government Authority, Stevedoring companies, and 65-years old with at least two and business workers Port security, StarKist, American high-risk health conditions Samoa TeleCommunications Once all sub-tiers are completed, Authority and American Samoa vaccinations will be offered to the Environmental Protection Agency rest of the population. Arizona Currently Eligible: • Healthcare Workers & Healthcare Support Occupations Registration • Emergency Medical Services Workers Phase 1a Phase 1b Phase 1c Phase 2 Phase 3 • Long-Term Care Facility Staff & Residents • Education & Childcare Workers • Protective Services Occupations • Adults 55 and Older • Frontline Essential Workers o Food and agriculture o Grocery store, convenience store, and carniceria workers o U.S. Postal Service o Manufacturing workers o Public transit workers, including buses, Light Rail, Uber, Lyft, taxis, and rideshare • o State and local government workers o Funeral home workers • Arizonians 16 years or older as of Mar. 24 Arkansas Health care workers, long-term • 65 years and older • Arkansans aged 16 to 64 As of Mar. 30, anyone age 16 and care (LTC) residents and staff, • Education with health conditions that older is eligible to receive the EMS, fire and law enforcement vaccine. Vaccine • Police, fire, other first increase their risk for severe who serve as first responders and Provider responders COVID-19. other high priority groups Locator • Corrections • Essential workers in: • Food and Agriculture o Energy Timeline: In progress Finance • People with intellectual or o developmental disabilities o Foodservice • Essential Government o Information technology • Grocery Store/Meal Delivery and communications • Postal/Package Delivery o Legal Service o Media Public health/human • Public Transit o services • Houses of Worship Clergy/Faith Leaders o Public safety Shelter and housing • Manufacturing o Transportation and o logistics Timeline: In progress • People residing in high-risk settings o Includes those who are incarcerated or detained; those living in group homes, congregate settings, or crowded housing; and student housing such as dorms and Greek housing. Phase 1a Phase 1b Phase 1c Phase 2 Phase 3 Timeline: In progress California • Healthcare workers • Food/Agriculture Adults 16 years or older • Long-term care residents • Education/Childcare Registration • Emergency Services Timeline: Apr. 15. and Eligibility • Individuals 65+ Tool Beginning Mar. 15, healthcare providers may use their clinical judgement to vaccinate individuals age 16-64 who are deemed to be at the very highest risk for morbidity and mortality from COVID-19 as a direct result of one or more of the severe health conditions included in this provider bulletin. Colorado Highest-risk health care Phase 1b.1 Adults 16 years or older workers and individuals: • Coloradans age 70+, Vaccine • People who have direct moderate-risk health care Timeline: Apr. 2 Provider contact with COVID-19 workers,
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