This dashboard was created as a partnership between the Johns Hopkins Disability Health Research Center and the Center for Dignity in Healthcare for People with Disabilities as a starting point for understanding how the disability community is prioritized in COVID-19 vaccine distribution and intends to help people with disabilities determine when they qualify for a COVID-19 vaccine in their state.
This tool tracks vaccine prioritization plans across four categories for the 50 US states, 5 US territories, and the District of Columbia:
- Long-term care settings, such as nursing homes
- Other types of congregate care settings, including group homes
- People with chronic conditions
- Additional disability-related groups, including three main groups: (1) people with disabilities who receive direct support care in the community, (2) people with intellectual or developmental disabilities, or (3) recipients of certain Medicaid programs
Table 1. COVID-19 Vaccine Prioritization for People with Disabilities Dashboard (As of 2/23/2021)
State: | current phase as of 2-23-21: | long term care phase: | other congregate care settings phase: | chronic conditions phase: | other disability-related group phase (home care, developmental disabilities, Medicaid): | long term care definition: | other congregate care settings definition: | chronic conditions definition: | other disability-related group definition (home care, developmental disabilities, Medicaid): | state page: |
|---|---|---|---|---|---|---|---|---|---|---|
| Alabama | 1B and people Aged 65 and older | 1A | 1B | 1C | N/A | Residents and Staff of nursing homes, skilled nursing and assisted living facilities | persons working or living in congregate settings including but not limited to homeless shelters and group homes | persons 16-64 years of age with high risk medical conditions (including but not limited to: cancer; chronic kidney disease; COPD; heart conditions such as heart failure, coronary artery disease or cardiomyopathies; immunocompromised state; solid organ transplant; obesity BMI >30 kg/m2; sickle cell disease; smoking; type 1 and 2 diabetes; pregnancy; etc) | N/A | https://www.alabamapublichealth.gov/covid19vaccine/index.html |
| Alaska | 1B, Tier 2 | 1A, Tier 1 | 1B, Tier 2 | 1B, Tier 3 / 1C | N/A | Long Term Care facilities included Skilled Nursing Facilities, Assisted Living Homes, and Dept of Corrections infirmaries providing care that is similar to an assisted living facility | Acute psychiatric facilities; Correctional settings; Group homes for individuals with disabilities or mental and behavioral health conditions; Homeless and domestic violence shelters; Substance misuse and treatment residential facilities; and Transitional living homes. | People 40 years and above who have a high risk medical condition or People 16-49 who are front Line essential workers with a high risk health condition (which include cancer; chronic kidney disease; chronic obstructive pulmonary disease (COPD); Down Syndrome, heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies; immunocompromised state (weakened immune system) from solid organ transplant; obesity (body mass index [BMI] ≥30 kg/m2 but <40 kg/m2); severe obesity (BMI ≥40 kg/m2); sickle cell disease; smoking; type 2 diabetes mellitus; and pregnancy.) / Persons aged 16 years and older who have a high-risk health condition (see definition above) | N/A | http://dhss.alaska.gov/dph/epi/id/pages/COVID-19/vaccine.aspx |
| American Samoa | not numbered phases--currently vaccinating anyone regardless of disability | N/A | N/A | Currently eligible | currently eligible | N/A | N/A | 16 years of age and older with underlying medical conditions which increase the risk of serious, life-threatening complications from COVID-19 | those who are homebound and cannot physically come to the health center (homevisits available for this group) | https://www.facebook.com/asdoh.hotline/ |
| Arizona | Varies by County | 1A | 1B / 1C / 2 | 1C | 2 | Skilled nursing facility residents (all enrolled in CDC Pharmacy/LTC program); Assisted living, independent living, HUD senior housing (all enrolled in CDC Pharmacy/LTC Program); Assisted living, independent living, HUD senior living (not enrolled in CDC Pharmacy/LTC Program); DES group homes for individuals with developmental disabilities and ICF- IIDs, and staff | Adults with high risk medical conditions living in shelters or other congregate living settings / Adults living in congregate settings (that do not have high risk medical conditions) such as correctional facilities and homeless shelters / Adults living and working in other congregate settings | Adults with underlying medical conditions (obesity, COPD, heart disease, diabetes, chronic kidney disease) | Adults with Medicaid | https://azdhs.gov/ |
| Arkansas | 1B | 1A | N/A | 1C | N/A | Long-term care residents (adults who reside in facilities that provide a range of services, including medical and personal care, to persons who are unable to live independently, and staff at Skilled Nursing Facilities, Assisted Living Facilities, and Residential Care Facilities) | N/A (note that other congregate care staff is prioritized but other congregate care residents are note mentioned) | People ages 16-64 with CDC list of medical conditions that increase risk of serious COVID-19 illness | N/A | https://www.healthy.arkansas.gov/programs-services/topics/covid-19-vaccination-plan |
| California | 1B, Tier 1 | 1A | 1A, Tier 1 / 1A, Tier 2 | Beginning March 15 | Beginning March 16 | Residents of skilled nursing facilities, assisted living facilities, and similar long-term care settings for older or medically vulnerable individuals | Acute care, psychiatric and correctional facility hospitals/ Intermediate care facilities for persons who need non-continuous nursing supervision and supportive care | Individuals aged 16-64 deemed to be at the very highest risk to get sick from COVID-19: 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 following severe health conditions: Cancer, current with debilitated or immunocompromised state, Chronic kidney disease, stage 4 or above, Chronic pulmonary disease, oxygen dependent, Down syndrome Immunocompromised state (weakened immune system) from solid organ transplant, Pregnancy, Sickle cell disease, Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies (excludes hypertension), Severe obesity (Body Mass Index ≥ 40 kg/m2), type 2 diabetes mellitus with hemoglobin A1c level greater than 7.5% | If as a result of a developmental or other severe high-risk disability one or more of the following applies: The individual is likely to develop severe life-threatening illness or death from COVID-19 infection Acquiring COVID-19 will limit the individual's ability to receive ongoing care or services vital to their well-being and survival Providing adequate and timely COVID care will be particularly challenging as a result of the individual's disability | https://covid19.ca.gov/vaccines/ |
| Colorado | 1B | 1A | N/A | 1B, Tier 3/Phase 2 | N/A | Long-term care facility residents | N/A | People 16-64 with two or more of the following: Coloradans with cancer (defined as patients who are currently receiving treatment or have received treatment within the last month for cancer), chronic kidney disease, COPD, diabetes mellitus, Down syndrome, specific heart conditions (heart failure, cardiomyopathies or coronary heart disease, and severe valvular/ congenital heart disease), obesity (BMI ≥ 30kg/ m^2), pregnancy, sickle cell disease, solid organ transplant / People 16-59 with 1 high risk condition (listed above) | N/A | https://covid19.colorado.gov/for-coloradans/vaccine/vaccine-for-coloradans |
| Connecticut | switched to age-based eligibility starting March 1 | currently eligible | currently eligible | N/A | N/A | Long-term care facility residents (Adults who reside in facilities that provide a range of services, including medical and personal care, to persons who are unable to live independently. ) | Staff and residents of halfway homes, inpatient mental health facilities, correction facilities, homeless shelters, domestic violence shelters, substance use and residential treatment facilities along with others | N/A | N/A | https://portal.ct.gov/Coronavirus/COVID-19-Vaccination---Phases |
| Delaware | 1B | 1A | 1C / 2 | 1C / 2 | 1C | Long-term care staff and residents | Persons living in high-risk group settings such as correctional facilities, homeless shelters, and group homes/Remainder of congregate/group setting staff and residents | Persons aged 16-64 with high-risk medical conditions (Obesity, Severe Obesity, Diabetes, COPD, Heart Condition, Chronic Kidney, Cancer, Smoking, Solid Organ Transplant, Sickle Cell Disease, Intellectual/Developmental Disabilities, Severe and persistent mental/behavioral health conditions) / persons 16 – 49 with moderate-risk medical conditions, including: Asthma (moderate-to-severe), Cerebrovascular disease, Cystic fibrosis, Hypertension, Immunocompromised state, Neurologic conditions, Liver disease, Overweight, Pulmonary fibrosis, Thalassemia. | intellectual and developmental disabilities | https://coronavirus.delaware.gov/vaccine/ |
| District of Columbia | 1B, Tier 1 | 1A | 1B, Tier 1 | 1C, Tier 1 | N/A | Long term care residents; Nursing and Residential Care Facility Employees, Outpatient Providers and Ancillary Care Providers, Home Health Providers, Health Care Providers in Long-Term Care Facilities | Congregate Settings (intermediate care facilities, community residential facilities, group homes, homeless shelters) | DC Resident age 16-64 years and older with a chronic medical condition with increased risk of complications for COVID-19 and/or a chronic medical condition as defined by their health care provider | N/A | https://coronavirus.dc.gov/vaccine |
| Florida | not currently numbered, instead listing eligible groups | Currently eligible | Currently eligible | Currently eligible | N/A | Long-term care facility residents and staff (includes staff of adult day care facilities and intermediate care facilities for individuals with intellectual disabilities) | grouped w/ nursing homes | Persons deemed extremely vulnerable to COVID-19 by hospital providers, including: Moderate to severe asthma or chronic lung disease, Heart disease, Chronic kidney disease undergoing dialysis, Diabetes, Liver disease Autoimmune disease, Weakened immune system because of smoking, bone marrow or organ transplantation, cancer treatment, poorly controlled HIV or AIDS, or prolonged use of corticosteroids and other immune weakening medications, Severe obesity | N/A | https://floridahealthcovid19.gov/covid-19-vaccines-in-florida/ |
| Georgia | 1A+ | 1A | N/A | 1C | N/A | Long-term care facility residents and staff | N/A | Individuals 16-64 years of age with high-risk medical conditions (CDC Definition) | N/A | https://dph.georgia.gov/covid-vaccine |
| Guam | Guam does not currently have phases; vaccine dates and locations listed with eligible individuals on the website | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | https://dphss.guam.gov/covid-19-vaccinations/ |
| Hawaii | 1B | 1A | N/A | 1C | N/A | Adults who reside in facilities that provide a range of services, including medical and personal care, to persons who are unable to live independently | N/A | Individuals of all authorized vaccine eligible ages with underlying conditions that increase the risk for severe COVID 19 | N/A | https://hawaiicovid19.com/vaccine/ |
| Idaho | Not currently numbered, instead listing eligible groups | Now eligible | Now eligible / Expected Beginning Early April | Expected Late April | N/A | Long-term care facility residents (includes residents of long-term care facilities within correctional or detention settings, residents in certified family homes, and participants in group adult daycare programs) | Grouped with Nursing homes | People age 16-64 with high risk medical conditions (CDC Definition) | N/A | https://coronavirus.idaho.gov/covid-19-vaccine/ |
| Illinois | 1B | 1A | 1A | 1C | N/A | Long-term care residents, defined by the CDC as adults who reside in facilities that provide a range of services, including medical and personal care, to persons who are unable to live independently, and staff at Skilled Nursing Facilities, Assisted Living Facilities, Intermediate Care Facilities for Persons with Developmental Disabilities, Intermediate Care Facilities for Persons with Severe Mental Illness, State-run Veterans’ Home, State-operated Centers for Persons with Developmental Disabilities, State-operated Mental Health Centers, Residential Treatment Centers for Substance Abuse, etc. and LTCF staff (Nurses (RN, LPN), Nursing Assistants, Nursing Practitioners, Nurse’s Aide, Physicians (DO, MD), Physicians Assistants, Medical Assistants, Respiratory Technicians, Dentists and Hygienists, LTCF Facility Staff, Pharmacists, Mental Health Clinicians, Environmental Services Staff, Reception Staff, Medical Facility Surveyor, Dietary Staff, Interpreters, and Laundry and Security Staff.) | Continuing Care Residential Facilities, Residential Care Adult Homes, Support Housing for Seniors, Supportive Residential Facilities for Persons with Developmental Disabilities, Supportive Residential Facilities for Persons with Severe Mental Illness, Community Integrated Living Arrangements, Supervised Residential Facilities for Persons with Developmental Disabilities, Supervised Residential Facilities for Persons with Severe Mental Illness | Persons aged 16 to 64 years old with medical conditions that increase the risk for severe COVID-19. Conditions include obesity, diabetes, pulmonary disease, heart condition including hypertension, kidney disease, cancer, immunocompromised, sickle cell and pregnancy. | N/A | https://www.dph.illinois.gov/covid19/vaccine-faq |
| Indiana | 1B | 1A | 1A | N/A | N/A | Residents at facilities covered under the HHS Pharmacy Partnership for Long-Term Care Program. Skilled Nursing Facilities, Nursing Homes, Assisted Living Facilities, Continuing Care Retirement Communities, HUD202 Housing for the Elderly, Intermediate Care Facilities for Individuals with Intellectual Disabilities, Residential Care Facilities | Intermediate Care Facilities for Individuals with Intellectual Disabilities and Residential Care Facilities | N/A | N/A | https://www.coronavirus.in.gov/vaccine/index.htm |
| Iowa | 1B | 1A | 1B, Tier 3 | N/A | 1B, Tier 2 | Residents of long-term care facilities | individuals living in congregate settings not covered by previous phase | N/A | individuals with disabilities living in home settings and their direct care staff | https://coronavirus.iowa.gov/pages/vaccineinformation |
| Kansas | 2 | 1 | 2 (beginning late January) | 3 (beginning in March) / 4 (beginning in late April/early May) | N/A | Residents or patients in Long‐ term care (LTC), senior housing or LTC‐supported independent living | Anyone living or working in licensed congregate settings and other special care or congregate environments including: • Homeless shelters and other homeless housing settings and dwelling places • Congregate childcare institutions, adult and child protective services • Emergency shelters or safe houses for victims of domestic violence • Corrections facilities, including jails and juvenile justice facilities • Behavioral Health institutions (including mental health institutions) and residential treatment centers • Adult care homes, residents and staff in home plus facilities not covered in phase 1 • Senior living homes • Home care givers (paid or unpaid), personal care aides | Aged 16‐64 with severe medical risks / Aged 16‐64 with other medical risks | N/A | https://www.kansasvaccine.gov/ |
| Kentucky | 1B | 1A | 1A / 1A after Skilled Nursing Facilities | 1C | N/A | Facilities that provide a spectrum of medical and non-medical services to frail or older adults unable to reside independently in the community, including: Skilled Nursing Facilities, Personal Care Homes, Assisted Living Facilities, Private Intermediate Care Facilities for Individuals with Developmental Disabilities, Community Group Homes, Residential Treatment Facilities for Adults, Long-term Structured Residences, State Veterans Homes, State Centers, private psychiatric hospitals, and State Hospitals. | Private Intermediate Care Facilities for Individuals with Developmental Disabilities, Community Group Homes, Residential Treatment Facilities for Adults, Long-term Structured Residences, State Veterans Homes, State Centers, private psychiatric hospitals, and State Hospitals / Residents of congregate settings and individuals receiving home and community-based services not otherwise specified as a LTCF and/or not participating in Federal LTCF Pharmacy Partnership | anyone age 16 or older with CDC highest risk COVID-19 risk conditions | N/A | https://govstatus.egov.com/ky-covid-vaccine |
| Louisiana | 1B, Tier 1 | 1A | 1B, Tier 2 | 1B, Tier 1 | 1B, Tier 1 | nursing home/long term care facility residents and staff | other congregate group home/center | dialysis patients, Individuals ages 55-64 with at least one of the conditions listed by the CDC as placing them at an “increased risk of severe illness from the virus that causes COVID-19” | home care recipients including older and younger people with disabilities over the age of 16 who receive community or home-based care, as well as clients of home health agencies; people who are both deaf and blind | https://ldh.la.gov/covidvaccine/ |
| Maine | 1B (limited) | 1A | N/A | 1B (not yet eligible) | N/A | Residents and Staff of Long-Term Care Facilities | N/A | Adults With High-Risk Medical Condition as defined by the CDC; (Vaccines currently only available for Maine residents over 70; adults of all ages with high-risk medical conditions are not yet eligible) | N/A | https://www.maine.gov/covid19/vaccines |
| Maryland | 1C | 1A | 1B | 1C / 2 | 1B | Nursing home residents and staff | Assisted living, independent living, behavioral health and developmentally disabled group homes, and other congregate facilities | Individuals who are currently receiving hospital-based treatment, including in hospital outpatient centers, AND diagnosed with at least one of the following conditions: Cancer patients who are currently in active treatment; End stage renal disease patients requiring hemodialysis; Chronic Obstructive Pulmonary Disease (COPD); Solid organ transplant recipients; Sickle cell disease patients; Diabetic patients (Type 1 and Type 2) / Individuals who are diagnosed with these medical conditions but are not currently receiving hospital-based treatment, including in hospital outpatient centers | Individuals with intellectual and developmental disabilities | https://covidlink.maryland.gov/content/vaccine/ |
| Massachusetts | 2, Tier 2 | 1 | 1 / 2, Tier 2 | 2, Tier 2 / 2, Tier 4 | N/A | long term care facilities, rest homes, and assisted living facilities: adults who live in facilities that provide a variety of services, including medical and personal care, to people who are unable to live independently | All residential congretate care residents and staff; Examples include: Emergency shelter programs including homeless shelters, domestic violence shelters, and veterans’ shelters; Private special education schools which offer residential services and are approved by the Department of Elementary and Secondary Education / residents and staff of low income and affordable senior housing | individuals with 2+ comorbidities as defined by CDC (only those conditions listed as at increased risk for severe illness) / individuals with 1 comorbidity | N/A | https://www.mass.gov/info-details/massachusetts-covid-19-vaccination-phases |
| Michigan | 1C | 1A | 1C, Tier 1 | 1C, Tier 2 | N/A | long-term care residents and staff: • Skilled nursing facility residents • Psychiatric hospitals patients • Homes for aged residents • Adult foster care centers residents • Assisted living facility residents | Those in a congregate setting that were not reached in Phase 1A. | Individuals age 16 to 64 years with COPD, hypertension, chronic kidney disease, heart disease, diabetes, obesity or other conditions that puts them at high risk of negative COVID-19 outcome (CDC chronic conditions list). | N/A | https://www.michigan.gov/coronavirus/0,9753,7-406-98178_103214---,00.html |
| Minnesota | 1A, all Tiers | 1A, Tier 1 | 1A, Tier 2 / 1A, Tier 3 | N/A | N/A | Residents living in skilled nursing facilities and nursing homes (including veterans’ homes) | Residents living in housing with services with an arranged Home Care Provider, otherwise known as Assisted Living / Adult residents living in Intermediate Care Facilities for People with Intellectual Disabilities and other adult residents living in residential care facilities licensed in MN, primarily serving at-risk people including older adults, people with intellectual and physical disabilities, in settings such as community residential settings and adult foster care. | N/A | N/A | https://www.health.state.mn.us/diseases/coronavirus/vaccine/plan.html |
| Mississippi | not numbered | Currently eligible | N/A | Currently eligible | N/A | Long-term care facility residents and staff | N/A | Anyone 16 to 64 years old with a chronic health condition that may put them at higher risk from COVID-19. (18 or older at our drive-through sites). Qualifying health conditions: Cancer; Chronic kidney disease; COPD (chronic obstructive pulmonary disease); Down Syndrome; Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies; Immunocompromised state (weakened immune system) from solid organ transplant; Obesity (body mass index [BMI] of 30 kg/m2 or higher but less than 40 kg/m2); Severe Obesity (BMI 40 kg/m2 or higher); Pregnancy; Sickle cell disease; Smoking; Diabetes; Or other medical conditions as determined by your medical provider | N/A (note that Down Syndrome is included in chronic conditions definition) | https://msdh.ms.gov/msdhsite/_static/14,0,420,976.html |
| Missouri | 1B, Tier 2 | 1A | 1A | 1B, Tier 2 | 1B, Tier 2 | Long-term care facilities and residents, including Department of Mental Health (DMH)-operated facilities; includes: Skilled Nursing Facilities, Intermediate Care Facilities, Assisted Living Facilities, Residential Care Facilities, and State Veteran Homes | Congregate community healthcare settings staff and residents, including DMH contracted settings and adult day cares; Includes: DMH licensed/certified Residential Settings (personnel and residents); DMH licensed/certified Day Program Options (personnel and residents); DHSS licensed Adult Day Cares (personnel and residents); Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) (personnel and residents) | Any adults with cancer, Chronic Kidney Disease, COPD, Heart Conditions such as heart failure, CAD (coronary artery disease) or cardiomyopathies, weakened immune system state from solid organ transplant, severe obesity (BMI >40), pregnancy, Sickle Cell Disease, Type 2 Diabetes Mellitus | individuals with intellectual and/or developmental disabilities such as Down syndrome | https://covidvaccine.mo.gov/ |
| Montana | 1B | 1A | 1C | 1B / 1C | N/A | long term care and assisted-living facilities | Individuals residing in congregate care and correctional facilities | Persons aged 16-69 with high-risk medical conditions. Qualifying medical conditions include: o Cancer o Chronic kidney disease o COPD (chronic obstructive pulmonary disease) o Down Syndrome o Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies o Immunocompromised state (weakened immune system) from solid organ transplant o Severe Obesity (BMI ≥ 40 kg/m2) o Sickle cell disease o Type 1 & 2 Diabetes mellitus o On a case by case basis, medical providers may include individuals with other conditions that place them at elevated risk for COVID-19 related complications. / Persons aged 16-59 with medical conditions not included in phase 1B that may have an elevated-risk of COVID19 complications, conditions include: o Asthma (moderate-to-severe) o Cerebrovascular disease (affects blood vessels and blood supply to the brain) o Cystic fibrosis o Hypertension or high blood pressure o Immunocompromised state (weakened immune system) from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines o Neurologic conditions, such as dementia o Liver disease o Overweight (BMI > 25 kg/m2, but < 40 kg/m2) o Pulmonary fibrosis (having damaged or scarred lung tissues) o Thalassemia (a type of blood disorder) | N/A, note that Down Syndrome is included in chronic conditions phase | https://dphhs.mt.gov/covid19vaccine |
| Nebraska | 1B, age-based rollout | 1A | 1C | N/A | 1C | Long-term Care Facility residents and staff (includes nursing homes and assisted living facilities) | congregate living, such as residential treatment facilities | Chronic conditions removed from prioritization as of 2/22/21 | vulnerable populations including disabled people not yet covered | http://dhhs.ne.gov/Pages/COVID-19-Vaccine-Information.aspx |
| Nevada | varying by county | 1 (prior to "General Population Lane") | 1 (prior to "General Population Lane") | General Population Lane: Group 3 | General Population Lane, Group 4 | Long-term Care Facility Staff and Residents including: nursing homes, skilled nursing facilities, behavioral health centers, and assisted living facilities. Individuals with disabilities living in group settings will be prioritized within this group. These settings include Intensive Supported Living Arrangements (ISLA) and Supported Living Arrangements (SLA) for staff and residents. | Individuals with disabilities living in group settings | Individuals 16-64 with high-risk medical conditions as defined by the CDC | Individuals with disabilities | https://nvhealthresponse.nv.gov/covid-19-vaccine/ |
| New Hampshire | 1B | 1A | 1B | 1B / 3A | N/A | Residents of long-term care and assisted living facilities | residents and staff of residential facilites for persons with intellectual and developmental disabilities | medically vulnerable at significantly higher risk with two or more underlying medical conditions and their family caregivers <16 / medically vulnerable <50 years old at moderately higher risk with one or more underlying medical conditions; Underlying medical conditions list: Cancer Chronic Kidney Disease COPD (Chronic Obstructive Pulmonary Disease) and other high-risk pulmonary disease Down syndrome Heart Conditions, such as heart failure, coronary artery disease, or cardiomyopathies Immunocompromised states Obesity (body mass index of 30 kg/m or higher) Pregnancy Sickle cell disease Type 2 Diabetes Mellitus | N/A (note that Down Syndrome is included in chronic conditions definition) | https://www.vaccines.nh.gov/ |
| New Jersey | 1B | 1A | 1A | 1B | N/A | All residents and workers of long-term care and high-risk congregate care facilities, including: Skilled nursing facilities - Veterans homes - Assisted living facilities, continuing care retirement communities, and personal care homes - Group homes like residential care homes, adult family homes, adult foster homes, and intellectual and developmental disabilities group homes - HUD 202 Supportive Housing for the Elderly Program residences - Institutional settings like psychiatric hospitals, correctional institutions, county jails, and juvenile detention facilities (for eligible minors, e.g. 16+ years of age may be eligible for Pfizer vaccine under the emergency use authorization) | Assisted living facilities, continuing care retirement communities, and personal care homes, Group homes like residential care homes, adult family homes, adult foster homes, and intellectual and developmental disabilities group homes | Individuals aged 65 and older, and individuals ages 16-64 with medical conditions, as defined by the Centers for Disease Control and Prevention, that increase the risk of severe illness from the virus. These conditions include: Cancer Chronic kidney disease COPD (chronic obstructive pulmonary disease) Down Syndrome Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies Obesity (body mass index [BMI] of 30 kg/m2 or higher but < 40 kg/m2) Severe Obesity (BMI ≥ 40 kg/m2) Sickle cell disease Smoking Type 2 diabetes mellitus Individuals who are pregnant and those in an immunocompromised state (weakened immune system) from solid organ transplant are also eligible but should follow CDC guidance and first discuss vaccination with their medical provider before receiving the vaccine. | N/A | https://covid19.nj.gov/faqs/nj-information/slowing-the-spread/who-is-eligible-for-vaccination-in-new-jersey-who-is-included-in-the-vaccination-phases |
| New Mexico | 1B, persons 75+ & high-risk persons 16+ only | 1A | 1B | 1B | N/A | residents of nursing homes and other long-term care facilities | Persons in congregate settings who have not been vaccinated as part of other phases will be identified as a vulnerable population. Congregate settings include homeless shelters, residential treatment centers, community homes, corrections or detention facilities, and juvenile justice facilities. | Persons 16+ who have at least one of the following conditions from the CDC list; or conditions that might involve increased risk: ● Asthma ● Cerebrovascular disease (previous stroke, TIA) ● Hypertension or high blood pressure ● Immunocompromised state from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids or use of other immune-weakening medicines ● Neurologic conditions such as dementia ● Liver disease ● Overweight (BMI >25 but <30) ● Pulmonary fibrosis (having damaged or scarred lung tissues) ● Thalassemia ● Type 1 diabetes | N/A | https://cv.nmhealth.org/covid-vaccine/ |
| New York | 1B | 1A | 1A | 1B (began February 15) | 1B | Residents and staff in long-term care facilities, including nursing homes; and other congregate care facilities | residents at OPWDD, OCFS, OMH and OASAS facilities | Adult New Yorkers of any age with the following conditions qualify for the vaccine: Cancer (current or in remission, including 9/11-related cancers), Chronic kidney disease, Pulmonary Disease, including but not limited to, COPD (chronic obstructive pulmonary disease), asthma (moderate-to-severe), pulmonary fibrosis, cystic fibrosis, and 9/11 related pulmonary diseases, Intellectual and Developmental Disabilities including Down Syndrome, Heart conditions, including but not limited to heart failure, coronary artery disease, cardiomyopathies, or hypertension (high blood pressure), Immunocompromised state (weakened immune system) including but not limited to solid organ transplant or from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, use of other immune weakening medicines, or other causes, Severe Obesity (BMI 40 kg/m2), Obesity (body mass index [BMI] of 30 kg/m2 or higher but < 40 kg/m2), Pregnancy, Sickle cell disease or Thalassemia, Type 1 or 2 diabetes mellitus, Cerebrovascular disease (affects blood vessels and blood supply to the brain), Neurologic conditions including but not limited to Alzheimer's Disease or dementia, Liver disease | Intellectual and Developmental Disabilities including Down syndrome | https://covid19vaccine.health.ny.gov/ |
| North Carolina | Group 2 | Group 1 | Group 4 | 4 | N/A | residents and staff of long-term care facilities, including: - adult care homes/assisted living - family care homes - group homes - skilled nursing facilities - mental health group homes - shared housing with two or more individuals with intellectual and developmental disabilities receiving home and community-based services - continuing care retirements communities - in-patient hospice facilities | people living in congregate or close group living settings who is not already vaccinated due to age, medical condition or job function | People 16-64 with one or more high-risk medical conditions for severe disease from COVID-19: Asthma (moderate to severe) Cancer Cerebrovascular disease or history of stroke Chronic kidney disease Chronic Obstructive Pulmonary Disease (COPD) Cystic fibrosis Dementia or other neurologic condition Diabetes type 1 or 2 Down syndrome A heart condition such as heart failure, coronary artery disease, cardiomyopathy Hypertension or high blood pressure Immunocompromised state (weakened immune system) from: immune deficiencies, HIV, taking chronic steroids or other immune weakening medicines, history of solid organ blood or bone marrow transplant Liver disease, including hepatitis Pulmonary fibrosis Overweight or obesity Pregnancy Sickle cell disease (not including sickle cell trait) or thalassemia Smoking (current or former, defined as having smoked at least 100 cigarettes in their lifetime) | N/A | https://covid19.ncdhhs.gov/vaccines |
| North Dakota | 1B | 1A, Tier 2 | 1B | 1B / 1C | N/A | Adults who reside in congregate facilities that provide a variety of services, including medical and personal care, to persons who are unable to live independently (including intermediate care facilities for individuals with developmental disabilities) | persons living in other congregate care settings (i.e. corrections, group homes, treatment centers, homeless shelters, etc.) | CDC definition WITH age considerations. Prioritized in this order: • Persons age 65 – 74 with two or more high-risk medical conditions • Persons age 65 and older with one or more high-risk medical conditions • Persons age 65 and older with or without high-risk medical conditions • Persons with two or more high-risk medical conditions regardless of age | N/A | https://www.health.nd.gov/sites/www/files/documents/COVID%20Vaccine%20Page/COVID-19_Vaccine_Prioritization_Phase1A-C.pdf |
| Northern Mariana Islands | 1B | N/A | N/A | N/A | 1A | N/A | N/A | N/A | Homebound/bedbound patients | |
| Ohio | 1B (Group 2) | 1A | 1A | 1B (Feb 15) | 1B, (Jan 25) / 1B Group 2, (Feb 15) | Nursing homes and assisted living facilities | People with developmental disabilities and those with mental health disorders, including substance use disorders, who live in group homes, residential facilities, or centers, and staff at those locations. Residents and staff at our two state-run homes for Ohio veterans. | See "other disability category definition" | Phase 1B Group 2: Ohioans born with or who have early childhood conditions that are carried into adulthood and put them at a higher risk for adverse outcomes due to COVID-19, and do not have intellectual or developmental disabilities. Phase 1B Group 1:Those with a developmental or intellectual disability AND one of the following conditions: cerebral palsy; spina bifida; severe congenital heart disease requiring hospitalization within the past year; severe type 1 diabetes requiring hospitalization within the past year; inherited metabolic disorders including phenylketonuria; severe neurological disorders including epilepsy, hydrocephaly, and microcephaly; severe genetic disorders including Down syndrome, fragile X syndrome, Prader-Willi syndrome, Turner syndrome, and muscular dystrophy; severe lung disease, including asthma requiring hospitalization within the past year, and cystic fibrosis; sickle cell anemia; and alpha and beta thalassemia; and solid organ transplant patients. / Ohioans with severe congenital, developmental, or early-onset, and inherited conditions (listed above) | https://coronavirus.ohio.gov/wps/portal/gov/covid-19/covid-19-vaccination-program |
| Oklahoma | 2 | 1 | 1 A&B | 2 | Phase 2 | Long-term care residents and staff served by LTC Pharmacy Partnership Program: Nursing homes, skilled nursing facilities, long-term care facilities, Assisted Living, Intermediate Care Facilities, Group Homes | Staff and residents in congregate locations and worksites including but not limited to: • Homeless shelters • Public and private, state and municipal prisons/jails, not including those facilities served by the Federal Bureau of Prisons and involved in the federal allocation plan • Certain manufacturing facilities with limited social distancing capacity who are critical to the maintenance of the food supply • Public transit systems that do not allow for appropriate social distancing | Adults with one or multiple comorbid conditions including not limited to hypertension, obesity, cardiovascular disease, diabetes mellitus, chronic lung, liver or renal disease, cancers, who are at high risk of mortality and severe morbidity resulting from COVID infection. | N/A | https://vaccinate.oklahoma.gov/ |
| Oregon | 1B | 1A, Tier 1 | 1A, Tier 2 | to be determined | 1A, Tier 3 | Skilled nursing and memory care facility healthcare personnel (HCP) and residents | Group homes for people with intellectual and developmental disabilities | People of all ages with underlying conditions that put them at moderately higher risk | Adults and age-eligible children who have a medical condition or disability who receive services in their home. | https://covidvaccine.oregon.gov/ |
| Pennsylvania | 1A | 1A | 1B | 1A | 1B | Long-term care facility residents and direct support professionals | People in congregate settings not otherwide specified as long-term care facilities, and persons receiving home and community-based services | Persons ages 16-64 with these high risk conditions: Cancer Chronic kidney disease COPD Down Syndrome Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies Immunocompromised state (weakened immune system) from solid organ transplant or from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines Obesity (body mass index [BMI] of 30 kg/m2 or higher but < 40 kg/m2) Severe Obesity (BMI ≥ 40 kg/m2) Pregnancy Sickle cell disease Smoking Type 2 diabetes mellitus | those that receive home and community-based services | https://www.health.pa.gov/topics/disease/coronavirus/Vaccine/Pages/Vaccine.aspx |
| Puerto Rico | 1A and 1B concurrently | 1B | 2 | 2 | 2 | Residents and staff of long-term care facilities, community centers, and homes for those with intellectual disabilities | People who are incarcerated, homeless, or living working in other congregate settings | People with underlying medical conditions Cancer Chronic kidney diseaseCOPD (chronic obstructive pulmonary disease) Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies Immunocompromised state (weakened immune system) from solid organ transplant Obesity (body mass index [BMI] of 30 kg/m2 or higher but < 40 kg/m2) Severe Obesity (BMI ≥ 40 kg/m2) Sickle cell disease Smoking Type 2 diabetes mellitus | People with disabilities | http://www.salud.gov.pr/Documents/coronavirus/PR%20COVID-19%20Vaccination%20Plan.pdf |
| Rhode Island | 1 (1.5 as of 2/15) | 1A | 1.4 | Phase 2 | N/A | congregate settings | congregate settings and LTCF seem to be defined the same | People with conditions that fall into the general categories of kidney disease, heart disease, diabetes, lung disease, and those who are immunocompromised | N/A | https://covid.ri.gov/vaccination |
| South Carolina | 1A | 1A | 1A | 1C | N/A | Residents and staff of Long-Term Care Facilities | congregate settings and LTCF seem to be defined the same | Persons aged 16-64 years with underlying health conditions that increase the risk for severe COVID-19 | N/A | https://scdhec.gov/covid19/covid-19-vaccine |
| South Dakota | 1B | 1B | 1D | 1A | N/A | Long-term care staff in 1A Long-term residents defined by those in LTCF in health systems | Residents in congregate settings, residents in licensed independent living facilities, and residents of licensed group homes | Persons aged 16-64 with high risk conditions causing increased risk for severe disease: • Cancer • Chronic kidney disease • COPD • Down Syndrome • Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies • Immunocompromised state (weakened immune system) from solid organ transplant or from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines • Obesity (body mass index [BMI] of 30 kg/m2 or higher but < 40 kg/m2) • Severe Obesity (BMI ≥ 40 kg/m2) • Pregnancy • Sickle cell disease • Smoking • Type 2 diabetes mellitus | N/A | https://doh.sd.gov/COVID/Vaccine/ |
| Tennessee | 1B | 1A, Tier 1 | 1A, Tier 1 | 1C | 1A, Tier 1 / 1C | long-term care facilities including skilled nursing facilities, assisted living centers, homes for the aged, congregate care centers for individuals receiving services provided by the Tennessee Department of Intellectual and Developmental Disabilities | Most congregate care settings grouped with LTCF (i.e. skilled nursing facilities, assisted living centers, homes for the aged, DIDD residential centers, group homes) | persons with high-risk conditions including pregnancy | people >18 who cannot live independently due to serious chronic medical condition or IDD; individuals ages 16-17 years who are considered medically fragile | https://www.tn.gov/health/cedep/ncov/covid-19-vaccine-information.html |
| Texas | 1B | 1A | N/A | 1B | N/A | Residents of long-term care facilities and Long-term care staff working directly with vulnerable residents. Includes: • Direct care providers at nursing homes, assisted living facilities, and state supported living centers • Physicians, nurses, personal care assistants, custodial, food service staff • Home health care workers, including hospice care, who directly interface with vulnerable and high-risk patients | N/A | People 16 years of age and older with at least one chronic medical condition that puts them at increased risk for severe illness from the virus that causes COVID-19, such as but not limited to: • Cancer • Chronic kidney disease • COPD (chronic obstructive pulmonary disease) • Down syndrome • Heart conditions, such as heart failure, coronary artery disease or cardiomyopathies • Solid organ transplantation • Obesity and severe obesity (body mass index of 30 kg/m2 or higher) • Pregnancy • Sickle cell disease • Type 2 diabetes mellitus • Pregnancy | N/A (note that Down Syndrome is included in chronic conditions definition) | https://www.dshs.state.tx.us/coronavirus/immunize/vaccine.aspx |
| U.S. Virgin Islands | 1B | 1A | N/A | 1A / 1B | N/A | Long-term care facility residents and staff | N/A | End stage renal disease / people aged 16-64 with recognized comorbidities; Carribean Kidney Center (Staff and Patients) | N/A | https://www.covid19usvi.com/vaccines |
| Utah | 1 | Currently eligible | N/A | Expected beginning March 1 | N/A | Long-term Care Facility residents | persons in congregate settings (mental health hospitals, residential treatment, student housing) | Medical conditions: Solid organ transplant recipients Cancer: non-hematologic diagnosed within last 1 year (excluding basal and squamous cell cancer diagnoses); hematologic diagnosed within last 5 years Receiving immunosuppression therapy Immunocompromised state (weakened immune system) from blood, bone marrow, or organ transplant; HIV; use of corticosteroids long-term; or use of other immune weakening medicines long-term Severe kidney disease: on dialysis or with stage 4 or 5 chronic kidney disease Uncontrolled diabetes: patients with an A1c of 9.0 or higher People with a BMI of 40 or higher (also known as Class III or severe obesity) Chronic liver disease: chronic hepatitis B or C, chronic infective hepatitis (hepatitis B or C), alcohol-related liver disease, primary biliary cirrhosis, primary sclerosing cholangitis, or hemochromatosis Chronic heart disease (not hypertension): chronic heart failure, ischaemic heart disease, and severe valve or congenital heart disease Severe chronic respiratory disease (other than asthma): including severe chronic obstructive pulmonary disease, fibrosing lung disease, bronchiectasis or cystic fibrosis Neurologic conditions that impair respiratory function, including: motor neuron disease, myasthenia gravis, multiple sclerosis, Parkinson's disease, cerebral palsy, quadriplegia or hemiplegia, progressive cerebellar disease, epilepsy, Down syndrome Stroke and dementia (Alzheimer’s, vascular, frontotemporal) Asplenia including splenectomy or a spleen dysfunction, including sickle cell disease Neurologic conditions that impair respiratory function, including: motor neuron disease, myasthenia gravis, multiple sclerosis, Parkinson's disease, cerebral palsy, quadriplegia or hemiplegia, progressive cerebellar disease, epilepsy, Down syndrome Stroke and dementia (Alzheimer’s, vascular, frontotemporal) Asplenia including splenectomy or a spleen dysfunction, including sickle cell disease | N/A (note that Down Syndrome is included in chronic conditions definition) | https://coronavirus.utah.gov/vaccine-distribution/ |
| Vermont | 1B (individuals 70 and older) | Currently eligible | N/A | 2, starting in late March | N/A | Residents of long-term care facilities (skilled nursing facilities, nursing homes, and assisted living facilities) | N/A | people with certain high-risk health conditions | N/A | https://www.healthvermont.gov/covid-19/vaccine |
| Virginia | 1B | Currently eligible | 1A | 1B | N/A | skilled nursing facility, assisted living facility, homes for the aged | Intellectual and Developmental Disabilities Residential Centers, Group Homes, State Veterans Homes, Family Care Homes | those at high-risk for severe illness from COVID-19 include: People with chronic lung disease or moderate to severe asthma People who have serious heart conditions People who are immunocompromised including cancer treatment People of any age with severe obesity (body mass index [BMI] >40) or certain underlying medical conditions, particularly if not well controlled, such as those with diabetes, renal failure, or liver disease might also be at risk | N/A | https://www.vdh.virginia.gov/covid-19-vaccine/ |
| Washington | 1B, Tier 1 | 1A, Tier 1 | 1B, Tier 4 | 1B, Tier 3 | 1A, Tier 1 / 1A, Tier 4 | Residents and staff of long-term care facilities and other community-based, congregate living settings where most individuals over 65 years of age are receiving care, supervision, or assistance and are unable to reside independently in the community | Residents in congregate living settings (e.g., correction facilities, prisons, jails, detention centers; group homes for people with disabilities) and people experiencing homelessness that access services or live in congregate settings (e.g., shelters, temporary housing); * note that group homes for people with developmental disabilities are listed in two phases | People 16 years or older with 2 or more co-morbidities or underlying conditions as determined by the CDC | Intermediate care facilities for individuals with developmental disabilities / residents, volunteers, and staff of group homes for people with disabilities | https://www.doh.wa.gov/Emergencies/COVID19/vaccine |
| West Virginia | 2A, individuals 65 and older | 1A | N/A | 2A | N/A | nursing home and assisted living staff and residents | N/A | pre-existing problem with physician order | home health and hospice (unclear whether this pertains to both workers and recipients) | https://dhhr.wv.gov/COVID-19/Pages/Vaccine.aspx |
| Wisconsin | 1B | Currently eligible | Next eligible | N/A | Next eligible | residents and staff in skilled nursing and long-term care facilities, define as adults who reside in facilities that provide a variety of services, including medical and personal care, to persons who are unable to live independently | Facility staff and residents living in congregate care facilities: Employer-based housing, Housing serving the elderly or people with disabilities, Shelters, Transitional housing, Incarcerated individuals | N/A | Housing serving people with disabilities | https://www.dhs.wisconsin.gov/covid-19/vaccine-about.htm |
| Wyoming | 1A, 1B | 1A | 1C | 1B | 1B | staff and residents of long-term care facilities | individuals who live in group settings | individuals with specific medical conditions | People on the Wyoming Medicaid Community Choice Waiver and Developmental Disabilities Waivers | https://health.wyo.gov/publichealth/immunization/wyoming-covid-19-vaccine-information/ |
New this week:
The data in Table 1 were collected from publicly available data on state or territory health department websites from February 17 to February 23, 2021, using the most currently available vaccine plans available.
Snapshot of changes: DC created a plan to vaccinate those with chronic conditions. Connecticut and Nebraska de-prioritized disabled people from last week.
- 49 states include long-term care settings in the first phase or sub-phase.
- Other types of congregate care settings fall into a different phase or tier than long-term care settings in 30 states.
- 10 states divide high-risk chronic conditions across multiple phases.
- 21 states include an additional prioritization category related to disability.
Methods
People with disabilities can fall into any vaccine prioritization category—including healthcare providers, teachers, older adults, etc. This dashboard includes these four categories, which include many members of the disability community, to provide a centralized resource on varying vaccine prioritization. Data on vaccine prioritization of these four groups is collected from state or territory health department websites by scanning for keywords such as chronic conditions, congregate care, group homes, long-term care, and developmental disabilities. The most up-to-date information available is abstracted and recorded, and each week a random sample of 10 states or territories undergo double data abstraction and data entry for quality control. Sources for these data are shown in Table 1.
Considerations
Because COVID-19 vaccine prioritization is rapidly evolving, some states or territories may no longer be in the phase noted in Table 1 or may have adjusted their vaccination plan since publication. Additionally, these data are limited to vaccine prioritization data published on publicly government webpages and do not include data from other sources, including meeting minutes or media coverage.
To find the most current information on whether you qualify for the vaccine in your state or jurisdiction, consult your local health department and your provider.
This dashboard is updated on Wednesdays. The next update will be on March 3, 2021.
Accessibility
If an alternate format is more accessible to you, here is the Google Sheets spreadsheet of the above data. You can also download the above data in an Excel, CSV, or PDF format.
If you have questions or need the data in an alternate accessible format, you can contact Sabrina Epstein at sepstei7@jhu.edu.
