State Codes and Statutes

Statutes > New-york > Pbh > Article-6 > Title-2 > 613

§  613.  State  aid; immunization. * 1. The commissioner shall develop  and supervise the execution of a program of  immunization,  surveillance  and  testing,  to  raise to the highest reasonable level the immunity of  the children of the state against communicable diseases  including,  but  not  limited  to,  poliomyelitis,  measles,  mumps, rubella, haemophilus  influenzae type b  (Hib),  diphtheria,  pertussis,  tetanus,  varicella,  hepatitis  B,  pneumococcal  disease,  and the immunity of adults of the  state against diseases identified by the commissioner, including but not  limited to influenza, smallpox, and hepatitis.  The  commissioner  shall  encourage  the  municipalities  in the state to develop and shall assist  them  in  the  development  and  the  execution  of  local  programs  of  inoculation  to  raise  the  immunity of the children and adults of each  municipality to  the  highest  reasonable  level.  Such  programs  shall  include  provision  of vaccine, surveillance of vaccine effectiveness by  means of  laboratory  tests,  serological  testing  of  individuals  and  educational   efforts   to  inform  health  care  providers  and  target  populations or their parents, if they are minors, of the facts  relative  to  these  diseases  and  inoculation  to  prevent their occurrence. The  commissioner shall  invite  and  encourage  the  active  assistance  and  cooperation  in  such  education  activities  of: the medical societies,  organizations   of   other   licensed   health   personnel,   hospitals,  corporations  subject to article forty-three of the insurance law, trade  unions, trade associations, parents and teachers and their associations,  the media of mass communication, and such  other  voluntary  groups  and  organizations  of  citizens  as  he  or  she shall deem appropriate. The  public health council, the department of education,  the  department  of  family  assistance,  and  the department of mental hygiene shall provide  the commissioner with such assistance in carrying out the program as  he  or  she  shall  request. All other state agencies shall also render such  assistance as the commissioner may reasonably require for this  program.  Nothing  in  this  subdivision shall authorize mandatory immunization of  adults or children, except as provided in  sections  twenty-one  hundred  sixty-four and twenty-one hundred sixty-five of this chapter.    * NB Effective until April 20, 2011    * 1. (a) The commissioner shall develop and supervise the execution of  a  program  of  immunization,  surveillance and testing, to raise to the  highest reasonable level the immunity  of  the  children  of  the  state  against  communicable diseases including, but not limited to, influenza,  poliomyelitis, measles, mumps, rubella, haemophilus  influenzae  type  b  (Hib),   diphtheria,   pertussis,   tetanus,   varicella,  hepatitis  B,  pneumococcal disease, and the immunity of adults of  the  state  against  diseases  identified  by  the commissioner, including but not limited to  influenza, smallpox, and hepatitis. The commissioner shall encourage the  municipalities in the state to develop and  shall  assist  them  in  the  development  and the execution of local programs of inoculation to raise  the immunity of the children and adults  of  each  municipality  to  the  highest  reasonable  level.  Such  programs  shall  include provision of  vaccine, surveillance of vaccine effectiveness by  means  of  laboratory  tests,  serological  testing  of  individuals and educational efforts to  inform health care providers and target populations or their parents, if  they are minors, of the facts relative to these diseases and inoculation  to prevent their occurrence.    (b) In connection with efforts  to  raise  the  immunity  of  children  against  influenza,  the  commissioner  shall  administer  a  program of  influenza education to the families  of  children  ages  six  months  to  eighteen  years  of  age  who  attend  licensed  and registered day care  programs, nursery schools, pre-kindergarten,  kindergarten,  school  age  child  care programs, public schools or non-public schools. Such programshall include educational materials on influenza  and  the  benefits  of  influenza immunizations to be made available on the department's website  in anticipation of times of highest risk for contraction of influenza as  determined  by  the  commissioner.  The  office  of  children and family  services, the department of education, and the New York city  department  of   health   and  mental  hygiene  shall,  as  part  of  their  routine  notification  processes,  notify  licensed  and  registered   day   care  programs,   nursery  schools,  pre-kindergarten  programs,  kindergarten  programs, school age child care programs, public schools and  non-public  schools  that  the  information regarding immunizations for influenza is  free and accessible on the department's  website  and  such  information  shall  be  posted  in  such  licensed  and registered day care programs,  nursery schools, pre-kindergartens, kindergartens, school age child care  programs, public  schools  and  non-public  schools  in  plain  view  in  anticipation  of such times of highest risk for contraction of influenza  as determined by the commissioner.    (c) The commissioner shall invite and encourage the active  assistance  and  cooperation in such education activities of: the medical societies,  organizations   of   other   licensed   health   personnel,   hospitals,  corporations  subject to article forty-three of the insurance law, trade  unions, trade associations, parents and teachers and their associations,  organizations of child care resource and referral agencies, the media of  mass communication, and such other voluntary groups and organizations of  citizens as he or she shall deem appropriate. The public health council,  the department of education, the department of  family  assistance,  and  the  department  of  mental  hygiene shall provide the commissioner with  such assistance in carrying out the program as he or she shall  request.  All  other  state  agencies  shall  also  render  such assistance as the  commissioner may reasonably require for this program.  Nothing  in  this  subdivision   shall   authorize  mandatory  immunization  of  adults  or  children, except as provided in sections twenty-one  hundred  sixty-four  and twenty-one hundred sixty-five of this chapter.    * NB Effective April 20, 2011    2.  The  commissioner  shall  set  such  standards  as  he  shall deem  necessary for the proper, safe,  and  efficient  administration  of  the  program.  He shall direct an annual survey to determine the immunization  level of children entering school, and shall conduct annually  an  audit  of  such  survey  and  an  audit  of  the immunization level of children  attending school. State aid provided by this article shall be reduced by  ten percent, provided however that state aid for essential public health  activities shall not be reduced, unless a municipality has submitted, in  cooperation with local school districts, a plan within ninety days after  the commissioner shall have certified to such municipality  the  results  of  his survey of the immunization level of children entering schools in  such local school districts. Such plan shall be submitted for  the  next  ensuing  school  year  and a subsequent plan shall be submitted annually  thereafter for assuring  that  immunizing  agents  are  administered  to  pre-school children within a reasonable time prior to but, in any event,  no  later than their entrance into school, and to students generally, as  required pursuant to  section  twenty-one  hundred  sixty-four  of  this  chapter.  Such  plan  shall  include  the  manner  in which immunization  activities are coordinated among the  local  health  authority  and  the  school districts. Such reduction in state aid and the requirement that a  municipality  submit an immunization plan shall not be applicable to any  municipality where ninety percent  or  more  of  its  children  entering  school   are   immunized.   The   determination  of  the  percentage  of  immunization shall be made by the commissioner based upon his  audit  of  immunization surveys.3.  The  commissioner shall expend such funds as the legislature shall  make available for the purpose of adult and child immunization programs,  including quality assurance and immunization education:    (a) directly through the department;    (b)  by  allocation  to  municipalities  with  qualifying programs for  reimbursement in accordance with provisions of this section; or    (c) by contract.    4. The commissioner shall expend such funds as the  legislature  shall  make available for the purchase of the vaccines described in subdivision  one of this section. All immunization vaccines purchased with such funds  shall  be  purchased by sealed competitive state bids through the office  of general services. Immunization  vaccine  purchased  with  funds  made  available  under  this section shall be made available without charge to  licensed private physicians, hospitals, clinics and such others  as  the  commissioner  shall  determine  in  accordance  with  regulations  to be  promulgated by the commissioner, and no charge  shall  be  made  to  any  patient for such vaccines.    5.  State  funds made available under this section for the purchase of  immunization vaccines or reimbursement of  the  cost  of  such  vaccines  shall be available to meet the total cost of vaccine purchased.    6.  The  commissioner shall submit to the governor and the legislature  an annual report on the  progress  of  the  immunization  program.  Such  reports  shall  include  specific  information  on  the  steps taken and  planned by the department and  by  each  participating  municipality  to  carry  out  the program, statistical information on immunization vaccine  purchased for each municipality, the number of inoculations administered  to children of various ages  by  municipal  agencies,  private  clinics,  private  physicians  and  others,  the  cost  of  the  several  vaccines  purchased, information on the results of the  immunization  program  and  research on the effects of the vaccine, cooperative education efforts by  public  and  private  agencies,  special  information and administrative  measures to reach  parents  and  children  in  population  groups  which  present  special educational problems, the actual and planned use of any  federal funds available to meet any part of the cost of the program, and  actual and planned expenditure  by  municipalities  to  meet  costs  not  provided for by state and federal funds.    7.  The  commissioner  shall, on or before January first, two thousand  nine, conduct a study on the feasibility  and  cost-effectiveness  of  a  program   to  make  vaccines  universally  available  for  children  and  adolescents up to age nineteen, without charge  to  the  patient  or  to  local  health  departments,  licensed physicians, hospitals, clinics and  such  other  licensed  health  care  providers,  as  determined  by  the  commissioner. Such study shall include consultation with stakeholders on  potential financing mechanisms and implementation options.

State Codes and Statutes

Statutes > New-york > Pbh > Article-6 > Title-2 > 613

§  613.  State  aid; immunization. * 1. The commissioner shall develop  and supervise the execution of a program of  immunization,  surveillance  and  testing,  to  raise to the highest reasonable level the immunity of  the children of the state against communicable diseases  including,  but  not  limited  to,  poliomyelitis,  measles,  mumps, rubella, haemophilus  influenzae type b  (Hib),  diphtheria,  pertussis,  tetanus,  varicella,  hepatitis  B,  pneumococcal  disease,  and the immunity of adults of the  state against diseases identified by the commissioner, including but not  limited to influenza, smallpox, and hepatitis.  The  commissioner  shall  encourage  the  municipalities  in the state to develop and shall assist  them  in  the  development  and  the  execution  of  local  programs  of  inoculation  to  raise  the  immunity of the children and adults of each  municipality to  the  highest  reasonable  level.  Such  programs  shall  include  provision  of vaccine, surveillance of vaccine effectiveness by  means of  laboratory  tests,  serological  testing  of  individuals  and  educational   efforts   to  inform  health  care  providers  and  target  populations or their parents, if they are minors, of the facts  relative  to  these  diseases  and  inoculation  to  prevent their occurrence. The  commissioner shall  invite  and  encourage  the  active  assistance  and  cooperation  in  such  education  activities  of: the medical societies,  organizations   of   other   licensed   health   personnel,   hospitals,  corporations  subject to article forty-three of the insurance law, trade  unions, trade associations, parents and teachers and their associations,  the media of mass communication, and such  other  voluntary  groups  and  organizations  of  citizens  as  he  or  she shall deem appropriate. The  public health council, the department of education,  the  department  of  family  assistance,  and  the department of mental hygiene shall provide  the commissioner with such assistance in carrying out the program as  he  or  she  shall  request. All other state agencies shall also render such  assistance as the commissioner may reasonably require for this  program.  Nothing  in  this  subdivision shall authorize mandatory immunization of  adults or children, except as provided in  sections  twenty-one  hundred  sixty-four and twenty-one hundred sixty-five of this chapter.    * NB Effective until April 20, 2011    * 1. (a) The commissioner shall develop and supervise the execution of  a  program  of  immunization,  surveillance and testing, to raise to the  highest reasonable level the immunity  of  the  children  of  the  state  against  communicable diseases including, but not limited to, influenza,  poliomyelitis, measles, mumps, rubella, haemophilus  influenzae  type  b  (Hib),   diphtheria,   pertussis,   tetanus,   varicella,  hepatitis  B,  pneumococcal disease, and the immunity of adults of  the  state  against  diseases  identified  by  the commissioner, including but not limited to  influenza, smallpox, and hepatitis. The commissioner shall encourage the  municipalities in the state to develop and  shall  assist  them  in  the  development  and the execution of local programs of inoculation to raise  the immunity of the children and adults  of  each  municipality  to  the  highest  reasonable  level.  Such  programs  shall  include provision of  vaccine, surveillance of vaccine effectiveness by  means  of  laboratory  tests,  serological  testing  of  individuals and educational efforts to  inform health care providers and target populations or their parents, if  they are minors, of the facts relative to these diseases and inoculation  to prevent their occurrence.    (b) In connection with efforts  to  raise  the  immunity  of  children  against  influenza,  the  commissioner  shall  administer  a  program of  influenza education to the families  of  children  ages  six  months  to  eighteen  years  of  age  who  attend  licensed  and registered day care  programs, nursery schools, pre-kindergarten,  kindergarten,  school  age  child  care programs, public schools or non-public schools. Such programshall include educational materials on influenza  and  the  benefits  of  influenza immunizations to be made available on the department's website  in anticipation of times of highest risk for contraction of influenza as  determined  by  the  commissioner.  The  office  of  children and family  services, the department of education, and the New York city  department  of   health   and  mental  hygiene  shall,  as  part  of  their  routine  notification  processes,  notify  licensed  and  registered   day   care  programs,   nursery  schools,  pre-kindergarten  programs,  kindergarten  programs, school age child care programs, public schools and  non-public  schools  that  the  information regarding immunizations for influenza is  free and accessible on the department's  website  and  such  information  shall  be  posted  in  such  licensed  and registered day care programs,  nursery schools, pre-kindergartens, kindergartens, school age child care  programs, public  schools  and  non-public  schools  in  plain  view  in  anticipation  of such times of highest risk for contraction of influenza  as determined by the commissioner.    (c) The commissioner shall invite and encourage the active  assistance  and  cooperation in such education activities of: the medical societies,  organizations   of   other   licensed   health   personnel,   hospitals,  corporations  subject to article forty-three of the insurance law, trade  unions, trade associations, parents and teachers and their associations,  organizations of child care resource and referral agencies, the media of  mass communication, and such other voluntary groups and organizations of  citizens as he or she shall deem appropriate. The public health council,  the department of education, the department of  family  assistance,  and  the  department  of  mental  hygiene shall provide the commissioner with  such assistance in carrying out the program as he or she shall  request.  All  other  state  agencies  shall  also  render  such assistance as the  commissioner may reasonably require for this program.  Nothing  in  this  subdivision   shall   authorize  mandatory  immunization  of  adults  or  children, except as provided in sections twenty-one  hundred  sixty-four  and twenty-one hundred sixty-five of this chapter.    * NB Effective April 20, 2011    2.  The  commissioner  shall  set  such  standards  as  he  shall deem  necessary for the proper, safe,  and  efficient  administration  of  the  program.  He shall direct an annual survey to determine the immunization  level of children entering school, and shall conduct annually  an  audit  of  such  survey  and  an  audit  of  the immunization level of children  attending school. State aid provided by this article shall be reduced by  ten percent, provided however that state aid for essential public health  activities shall not be reduced, unless a municipality has submitted, in  cooperation with local school districts, a plan within ninety days after  the commissioner shall have certified to such municipality  the  results  of  his survey of the immunization level of children entering schools in  such local school districts. Such plan shall be submitted for  the  next  ensuing  school  year  and a subsequent plan shall be submitted annually  thereafter for assuring  that  immunizing  agents  are  administered  to  pre-school children within a reasonable time prior to but, in any event,  no  later than their entrance into school, and to students generally, as  required pursuant to  section  twenty-one  hundred  sixty-four  of  this  chapter.  Such  plan  shall  include  the  manner  in which immunization  activities are coordinated among the  local  health  authority  and  the  school districts. Such reduction in state aid and the requirement that a  municipality  submit an immunization plan shall not be applicable to any  municipality where ninety percent  or  more  of  its  children  entering  school   are   immunized.   The   determination  of  the  percentage  of  immunization shall be made by the commissioner based upon his  audit  of  immunization surveys.3.  The  commissioner shall expend such funds as the legislature shall  make available for the purpose of adult and child immunization programs,  including quality assurance and immunization education:    (a) directly through the department;    (b)  by  allocation  to  municipalities  with  qualifying programs for  reimbursement in accordance with provisions of this section; or    (c) by contract.    4. The commissioner shall expend such funds as the  legislature  shall  make available for the purchase of the vaccines described in subdivision  one of this section. All immunization vaccines purchased with such funds  shall  be  purchased by sealed competitive state bids through the office  of general services. Immunization  vaccine  purchased  with  funds  made  available  under  this section shall be made available without charge to  licensed private physicians, hospitals, clinics and such others  as  the  commissioner  shall  determine  in  accordance  with  regulations  to be  promulgated by the commissioner, and no charge  shall  be  made  to  any  patient for such vaccines.    5.  State  funds made available under this section for the purchase of  immunization vaccines or reimbursement of  the  cost  of  such  vaccines  shall be available to meet the total cost of vaccine purchased.    6.  The  commissioner shall submit to the governor and the legislature  an annual report on the  progress  of  the  immunization  program.  Such  reports  shall  include  specific  information  on  the  steps taken and  planned by the department and  by  each  participating  municipality  to  carry  out  the program, statistical information on immunization vaccine  purchased for each municipality, the number of inoculations administered  to children of various ages  by  municipal  agencies,  private  clinics,  private  physicians  and  others,  the  cost  of  the  several  vaccines  purchased, information on the results of the  immunization  program  and  research on the effects of the vaccine, cooperative education efforts by  public  and  private  agencies,  special  information and administrative  measures to reach  parents  and  children  in  population  groups  which  present  special educational problems, the actual and planned use of any  federal funds available to meet any part of the cost of the program, and  actual and planned expenditure  by  municipalities  to  meet  costs  not  provided for by state and federal funds.    7.  The  commissioner  shall, on or before January first, two thousand  nine, conduct a study on the feasibility  and  cost-effectiveness  of  a  program   to  make  vaccines  universally  available  for  children  and  adolescents up to age nineteen, without charge  to  the  patient  or  to  local  health  departments,  licensed physicians, hospitals, clinics and  such  other  licensed  health  care  providers,  as  determined  by  the  commissioner. Such study shall include consultation with stakeholders on  potential financing mechanisms and implementation options.

State Codes and Statutes

State Codes and Statutes

Statutes > New-york > Pbh > Article-6 > Title-2 > 613

§  613.  State  aid; immunization. * 1. The commissioner shall develop  and supervise the execution of a program of  immunization,  surveillance  and  testing,  to  raise to the highest reasonable level the immunity of  the children of the state against communicable diseases  including,  but  not  limited  to,  poliomyelitis,  measles,  mumps, rubella, haemophilus  influenzae type b  (Hib),  diphtheria,  pertussis,  tetanus,  varicella,  hepatitis  B,  pneumococcal  disease,  and the immunity of adults of the  state against diseases identified by the commissioner, including but not  limited to influenza, smallpox, and hepatitis.  The  commissioner  shall  encourage  the  municipalities  in the state to develop and shall assist  them  in  the  development  and  the  execution  of  local  programs  of  inoculation  to  raise  the  immunity of the children and adults of each  municipality to  the  highest  reasonable  level.  Such  programs  shall  include  provision  of vaccine, surveillance of vaccine effectiveness by  means of  laboratory  tests,  serological  testing  of  individuals  and  educational   efforts   to  inform  health  care  providers  and  target  populations or their parents, if they are minors, of the facts  relative  to  these  diseases  and  inoculation  to  prevent their occurrence. The  commissioner shall  invite  and  encourage  the  active  assistance  and  cooperation  in  such  education  activities  of: the medical societies,  organizations   of   other   licensed   health   personnel,   hospitals,  corporations  subject to article forty-three of the insurance law, trade  unions, trade associations, parents and teachers and their associations,  the media of mass communication, and such  other  voluntary  groups  and  organizations  of  citizens  as  he  or  she shall deem appropriate. The  public health council, the department of education,  the  department  of  family  assistance,  and  the department of mental hygiene shall provide  the commissioner with such assistance in carrying out the program as  he  or  she  shall  request. All other state agencies shall also render such  assistance as the commissioner may reasonably require for this  program.  Nothing  in  this  subdivision shall authorize mandatory immunization of  adults or children, except as provided in  sections  twenty-one  hundred  sixty-four and twenty-one hundred sixty-five of this chapter.    * NB Effective until April 20, 2011    * 1. (a) The commissioner shall develop and supervise the execution of  a  program  of  immunization,  surveillance and testing, to raise to the  highest reasonable level the immunity  of  the  children  of  the  state  against  communicable diseases including, but not limited to, influenza,  poliomyelitis, measles, mumps, rubella, haemophilus  influenzae  type  b  (Hib),   diphtheria,   pertussis,   tetanus,   varicella,  hepatitis  B,  pneumococcal disease, and the immunity of adults of  the  state  against  diseases  identified  by  the commissioner, including but not limited to  influenza, smallpox, and hepatitis. The commissioner shall encourage the  municipalities in the state to develop and  shall  assist  them  in  the  development  and the execution of local programs of inoculation to raise  the immunity of the children and adults  of  each  municipality  to  the  highest  reasonable  level.  Such  programs  shall  include provision of  vaccine, surveillance of vaccine effectiveness by  means  of  laboratory  tests,  serological  testing  of  individuals and educational efforts to  inform health care providers and target populations or their parents, if  they are minors, of the facts relative to these diseases and inoculation  to prevent their occurrence.    (b) In connection with efforts  to  raise  the  immunity  of  children  against  influenza,  the  commissioner  shall  administer  a  program of  influenza education to the families  of  children  ages  six  months  to  eighteen  years  of  age  who  attend  licensed  and registered day care  programs, nursery schools, pre-kindergarten,  kindergarten,  school  age  child  care programs, public schools or non-public schools. Such programshall include educational materials on influenza  and  the  benefits  of  influenza immunizations to be made available on the department's website  in anticipation of times of highest risk for contraction of influenza as  determined  by  the  commissioner.  The  office  of  children and family  services, the department of education, and the New York city  department  of   health   and  mental  hygiene  shall,  as  part  of  their  routine  notification  processes,  notify  licensed  and  registered   day   care  programs,   nursery  schools,  pre-kindergarten  programs,  kindergarten  programs, school age child care programs, public schools and  non-public  schools  that  the  information regarding immunizations for influenza is  free and accessible on the department's  website  and  such  information  shall  be  posted  in  such  licensed  and registered day care programs,  nursery schools, pre-kindergartens, kindergartens, school age child care  programs, public  schools  and  non-public  schools  in  plain  view  in  anticipation  of such times of highest risk for contraction of influenza  as determined by the commissioner.    (c) The commissioner shall invite and encourage the active  assistance  and  cooperation in such education activities of: the medical societies,  organizations   of   other   licensed   health   personnel,   hospitals,  corporations  subject to article forty-three of the insurance law, trade  unions, trade associations, parents and teachers and their associations,  organizations of child care resource and referral agencies, the media of  mass communication, and such other voluntary groups and organizations of  citizens as he or she shall deem appropriate. The public health council,  the department of education, the department of  family  assistance,  and  the  department  of  mental  hygiene shall provide the commissioner with  such assistance in carrying out the program as he or she shall  request.  All  other  state  agencies  shall  also  render  such assistance as the  commissioner may reasonably require for this program.  Nothing  in  this  subdivision   shall   authorize  mandatory  immunization  of  adults  or  children, except as provided in sections twenty-one  hundred  sixty-four  and twenty-one hundred sixty-five of this chapter.    * NB Effective April 20, 2011    2.  The  commissioner  shall  set  such  standards  as  he  shall deem  necessary for the proper, safe,  and  efficient  administration  of  the  program.  He shall direct an annual survey to determine the immunization  level of children entering school, and shall conduct annually  an  audit  of  such  survey  and  an  audit  of  the immunization level of children  attending school. State aid provided by this article shall be reduced by  ten percent, provided however that state aid for essential public health  activities shall not be reduced, unless a municipality has submitted, in  cooperation with local school districts, a plan within ninety days after  the commissioner shall have certified to such municipality  the  results  of  his survey of the immunization level of children entering schools in  such local school districts. Such plan shall be submitted for  the  next  ensuing  school  year  and a subsequent plan shall be submitted annually  thereafter for assuring  that  immunizing  agents  are  administered  to  pre-school children within a reasonable time prior to but, in any event,  no  later than their entrance into school, and to students generally, as  required pursuant to  section  twenty-one  hundred  sixty-four  of  this  chapter.  Such  plan  shall  include  the  manner  in which immunization  activities are coordinated among the  local  health  authority  and  the  school districts. Such reduction in state aid and the requirement that a  municipality  submit an immunization plan shall not be applicable to any  municipality where ninety percent  or  more  of  its  children  entering  school   are   immunized.   The   determination  of  the  percentage  of  immunization shall be made by the commissioner based upon his  audit  of  immunization surveys.3.  The  commissioner shall expend such funds as the legislature shall  make available for the purpose of adult and child immunization programs,  including quality assurance and immunization education:    (a) directly through the department;    (b)  by  allocation  to  municipalities  with  qualifying programs for  reimbursement in accordance with provisions of this section; or    (c) by contract.    4. The commissioner shall expend such funds as the  legislature  shall  make available for the purchase of the vaccines described in subdivision  one of this section. All immunization vaccines purchased with such funds  shall  be  purchased by sealed competitive state bids through the office  of general services. Immunization  vaccine  purchased  with  funds  made  available  under  this section shall be made available without charge to  licensed private physicians, hospitals, clinics and such others  as  the  commissioner  shall  determine  in  accordance  with  regulations  to be  promulgated by the commissioner, and no charge  shall  be  made  to  any  patient for such vaccines.    5.  State  funds made available under this section for the purchase of  immunization vaccines or reimbursement of  the  cost  of  such  vaccines  shall be available to meet the total cost of vaccine purchased.    6.  The  commissioner shall submit to the governor and the legislature  an annual report on the  progress  of  the  immunization  program.  Such  reports  shall  include  specific  information  on  the  steps taken and  planned by the department and  by  each  participating  municipality  to  carry  out  the program, statistical information on immunization vaccine  purchased for each municipality, the number of inoculations administered  to children of various ages  by  municipal  agencies,  private  clinics,  private  physicians  and  others,  the  cost  of  the  several  vaccines  purchased, information on the results of the  immunization  program  and  research on the effects of the vaccine, cooperative education efforts by  public  and  private  agencies,  special  information and administrative  measures to reach  parents  and  children  in  population  groups  which  present  special educational problems, the actual and planned use of any  federal funds available to meet any part of the cost of the program, and  actual and planned expenditure  by  municipalities  to  meet  costs  not  provided for by state and federal funds.    7.  The  commissioner  shall, on or before January first, two thousand  nine, conduct a study on the feasibility  and  cost-effectiveness  of  a  program   to  make  vaccines  universally  available  for  children  and  adolescents up to age nineteen, without charge  to  the  patient  or  to  local  health  departments,  licensed physicians, hospitals, clinics and  such  other  licensed  health  care  providers,  as  determined  by  the  commissioner. Such study shall include consultation with stakeholders on  potential financing mechanisms and implementation options.