Some of these changes include expansion of vaccination services offered by pharmacists and other community immunization providers both during and since the 2009 H1N1 influenza pandemic vaccination at the workplace increased vaccination by providers who care for pregnant women and changes in the health-care system, including the Affordable Care Act (ACA), which requires first-dollar coverage of ACIP-recommended vaccines for people with certain private insurance plans, or those who are beneficiaries of expanded Medicaid plans. While these documents include guidelines for immunization practice, recent changes in the practice climate for adult immunization necessitated an update of existing adult immunization standards. In addition, NVAC published a report in 2012 outlining a pathway for improving adult immunization rates. Standards for implementing the Advisory Committee on Immunization Practices (ACIP) recommendations for adult vaccination were published by the National Vaccine Advisory Committee (NVAC) in 2003 and by the Infectious Diseases Society of America in 2009.

Practice Management Resources National Vaccine Advisory Committee (NVAC) Congressional Leadership Conference (CLC).