Resolution Forum

2025 Resolutions

Resolution 2025-05
Expand Medicare Part B to Include Coverage for All Preventive Vaccines
Not adopted
Submitted by: Sara Robinson, MD; Marjan Jahani Kondori, MD; Mikaela Lake, DO; Kalene Mach, MD; Emily Heseltine, DO; Bethany Reyhaus, DO; Madeline Robbins, DO
Desired actions:
  • Advance the resolution nationally (to the AAFP Congress of Delegates)

WHEREAS Medicare Part B covers preventive pneumococcal, hepatitis B, COVID and influenza vaccines only—it will only cover “medically necessary” vaccines, including Td for wound management or hepatitis B for those at high risk, but it won’t cover preventive Tdap or Hepatitis B;

WHEREAS recommended vaccines for those 65 and older also include shingles, RSV, Tdap or Td booster;

WHEREAS about 1 in 3 people in the United States will get shingles in their lifetime, and there were more than six times as many pertussis cases in the United States in 2024 compared to 2023;

WHEREAS it is more convenient for a patient to get their recommended preventive vaccinations in the clinic during their appointment rather than having to get the vaccination elsewhere;

BE IT RESOLVED that the MAFP bring forward to the AAFP Congress of Delegates a resolution to advocate for the inclusion of all recommended preventive vaccines on Medicare Part B.

BE IT RESOLVED that…

BE IT FURTHER RESOLVED that…

BE IT FURTHER RESOLVED that…

Medicare coverage of immunizations. Minnesota Department of Health. (n.d.). https://www.health.state.mn.us/people/immunize/hcp/uuav/medicareimm.pdf

Centers for Disease Control and Prevention. (n.d.). About shingles (herpes zoster). Centers for Disease Control and Prevention. https://www.cdc.gov/shingles/about/index.html

Centers for Disease Control and Prevention. (n.d.-b). Pertussis Surveillance and Trends. Centers for Disease Control and Prevention. https://www.cdc.gov/pertussis/php/surveillance/index.html

Testimony:
Vaccines are an essential preventive care service to prevent disease. By not having these medications covered through Medicare Part B, it frequently prevents patients from being able to get these necessary vaccines while at their annual physicals. This creates extra barriers for patients and frustrations for providers.

Macaran Baird – We must use every possible way to continue and expand well documented vaccination and other preventive health measures.

Sarah Hammes – Vaccination is what we do! It’s offensive that Medicare won’t pay primary care to provide recommended vaccines! Many patients have questioned vaccines I recommend but then say their insurance won’t pay for them at our clinic. Many patients have limited transportation and rely on family or delivery to get their meds so they just go without vaccinations after they are in Medicare.

Phillip Kaupa – Support

Elizabeth Ingersent – Preventative vaccinations such as Tdap and Hepatitis B are recommended based on strong evidence that they will improve patient outcomes, and this will likely save Medicare money in the long run. I think this resolution is important.

Macaran Baird – Our Medicare patients need proven immunizations before they become extremely high risk for contracting a preventable illness.

Thomas Seaworth – All recommended vaccines should be covered by Medicare.

Nancy Baker – There is clear evidence that we can prevent serious illness by the administration of various vaccines. Yes, let’s cover these vaccines for all seniors.

Dave Bucher – While this arrangement (go to your pharmacy under Part D) was part of the political gerrymandering process, common sense would be to have all USPSTF and ACIP recommended vaccines paid for at point of primary care rather than enriching PBM’s and the pharmacies. Strongly support!

Andrew Lyman-Buttler – Every time I try to explain to a Medicare beneficiary why we can get them up-to-date on some of their shots in clinic, but they’ll have to go to a pharmacy for others, they get frustrated and I get a headache.

Andrew Slattengren – I support this resolution. The specific to part B may get it heard by AAFP, though I suspect that they will say that this already falls under their current policy statement: “The American Academy of Family Physicians (AAFP) supports universal immunizations regardless of socioeconomic or insurance status, for all immunizations recommended by the AAFP, in collaboration with the Advisory Committee on Immunization Practices (ACIP), and current clinical vaccination guidelines.”

Erin Westfall – Patients should be able to access whole person care when they see their primary care physician, and we should be able to “do today’s work today” rather than getting only part of the work done.

Laurel Ries – This would be great.

Emily Onello – Agree with proposed resolution! Always a surprise to discover vaccines that are not covered.

Kim Krohn – Agree in order to provide more efficient and effective care within the medical home.

Chris Reif – Agree. Medicare also covers people with disabilities, renal disease, ALS. This expands the list of preventative vaccines beyond seniors.

Keith Johnson – All preventive vaccines should be covered by Medicare as this is very much in the scope of primary care providers who are best equipped to assess the need and price vaccines at the point of care. Telling patients to go to the pharmacy only increase chances of then not getting vaccinated against preventable disease.

Heidi Street – Vaccines are an essential part of preventing infections and conditions that are debilitating.

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