COVID-19 Vaccine Prioritization Dashboard

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:

  1. Long-term care settings, such as nursing homes
  2. Other types of congregate care settings, including group homes
  3. People with chronic conditions
  4. 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:
Alabama1B and people Aged 65 and older1A1B1CN/AResidents and Staff of nursing homes, skilled nursing and assisted living facilitiespersons working or living in congregate settings including but not limited to homeless shelters and group homespersons 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/Ahttps://www.alabamapublichealth.gov/covid19vaccine/index.html
Alaska1B, Tier 21A, Tier 11B, Tier 21B, Tier 3 / 1CN/ALong Term Care facilities included Skilled Nursing Facilities, Assisted Living Homes, and Dept of Corrections infirmaries providing care that is similar to an assisted living facilityAcute 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/Ahttp://dhss.alaska.gov/dph/epi/id/pages/COVID-19/vaccine.aspx
American Samoanot numbered phases--currently vaccinating anyone regardless of disabilityN/AN/ACurrently eligiblecurrently eligibleN/AN/A16 years of age and older with underlying medical conditions which increase the risk of serious, life-threatening complications from COVID-19those who are homebound and cannot physically come to the health center (homevisits available for this group)https://www.facebook.com/asdoh.hotline/
ArizonaVaries by County1A1B / 1C / 21C2Skilled 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 staffAdults 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 settingsAdults with underlying medical conditions (obesity, COPD, heart disease, diabetes, chronic kidney disease)Adults with Medicaidhttps://azdhs.gov/
Arkansas1B1AN/A1CN/ALong-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/Ahttps://www.healthy.arkansas.gov/programs-services/topics/covid-19-vaccination-plan
California1B, Tier 11A1A, Tier 1 / 1A, Tier 2Beginning March 15Beginning March 16Residents of skilled nursing facilities, assisted living facilities, and similar long-term care settings for older or medically vulnerable individualsAcute care, psychiatric and correctional facility hospitals/ Intermediate care facilities for persons who need non-continuous nursing supervision and supportive careIndividuals 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 disabilityhttps://covid19.ca.gov/vaccines/
Colorado1B1AN/A1B, Tier 3/Phase 2N/ALong-term care facility residentsN/APeople 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/Ahttps://covid19.colorado.gov/for-coloradans/vaccine/vaccine-for-coloradans
Connecticutswitched to age-based eligibility starting March 1currently eligiblecurrently eligibleN/AN/ALong-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 othersN/AN/Ahttps://portal.ct.gov/Coronavirus/COVID-19-Vaccination---Phases
Delaware1B1A1C / 21C / 21CLong-term care staff and residentsPersons living in high-risk group settings such as correctional facilities, homeless shelters, and group homes/Remainder of congregate/group setting staff and residentsPersons 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 disabilitieshttps://coronavirus.delaware.gov/vaccine/
District of Columbia1B, Tier 11A1B, Tier 11C, Tier 1N/ALong 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 FacilitiesCongregate 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 providerN/Ahttps://coronavirus.dc.gov/vaccine
Floridanot currently numbered, instead listing eligible groupsCurrently eligibleCurrently eligibleCurrently eligibleN/ALong-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 homesPersons 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/Ahttps://floridahealthcovid19.gov/covid-19-vaccines-in-florida/
Georgia1A+1AN/A1CN/ALong-term care facility residents and staffN/AIndividuals 16-64 years of age with high-risk medical conditions (CDC Definition)N/Ahttps://dph.georgia.gov/covid-vaccine
GuamGuam does not currently have phases; vaccine dates and locations listed with eligible individuals on the websiteN/AN/AN/AN/AN/AN/AN/AN/Ahttps://dphss.guam.gov/covid-19-vaccinations/
Hawaii1B1AN/A1CN/AAdults who reside in facilities that provide a range of services, including medical and personal care, to persons who are unable to live independentlyN/AIndividuals of all authorized vaccine eligible ages with underlying conditions that increase the risk for severe COVID 19N/Ahttps://hawaiicovid19.com/vaccine/
IdahoNot currently numbered, instead listing eligible groupsNow eligibleNow eligible / Expected Beginning Early AprilExpected Late AprilN/ALong-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 homesPeople age 16-64 with high risk medical conditions (CDC Definition)N/Ahttps://coronavirus.idaho.gov/covid-19-vaccine/
Illinois1B1A1A1CN/ALong-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 IllnessPersons 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/Ahttps://www.dph.illinois.gov/covid19/vaccine-faq
Indiana1B1A1AN/AN/AResidents 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 FacilitiesIntermediate Care Facilities for Individuals with Intellectual Disabilities
and Residential Care Facilities
N/AN/Ahttps://www.coronavirus.in.gov/vaccine/index.htm
Iowa1B1A1B, Tier 3N/A1B, Tier 2Residents of long-term care facilitiesindividuals living in congregate settings not covered by previous phaseN/Aindividuals with disabilities living in home settings and their direct care staffhttps://coronavirus.iowa.gov/pages/vaccineinformation
Kansas212 (beginning late January)3 (beginning in March) / 4 (beginning in late April/early May)N/AResidents 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/Ahttps://www.kansasvaccine.gov/
Kentucky1B1A1A / 1A after Skilled Nursing Facilities 1CN/AFacilities 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 conditionsN/Ahttps://govstatus.egov.com/ky-covid-vaccine
Louisiana1B, Tier 11A1B, Tier 21B, Tier 11B, Tier 1 nursing home/long term care facility residents and staffother congregate group home/centerdialysis 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 blindhttps://ldh.la.gov/covidvaccine/
Maine1B (limited)1AN/A1B (not yet eligible)N/AResidents and Staff of Long-Term Care FacilitiesN/AAdults 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/Ahttps://www.maine.gov/covid19/vaccines
Maryland1C1A1B1C / 21BNursing home residents and staffAssisted living, independent living, behavioral health and developmentally disabled group homes, and other congregate facilitiesIndividuals 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 centersIndividuals with intellectual and developmental disabilitieshttps://covidlink.maryland.gov/content/vaccine/
Massachusetts2, Tier 211 / 2, Tier 22, Tier 2 / 2, Tier 4N/Along 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 independentlyAll 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 comorbidityN/Ahttps://www.mass.gov/info-details/massachusetts-covid-19-vaccination-phases
Michigan1C1A1C, Tier 11C, Tier 2N/Along-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/Ahttps://www.michigan.gov/coronavirus/0,9753,7-406-98178_103214---,00.html
Minnesota1A, all Tiers1A, Tier 11A, Tier 2 / 1A, Tier 3N/AN/AResidents 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/AN/Ahttps://www.health.state.mn.us/diseases/coronavirus/vaccine/plan.html
Mississippinot numberedCurrently eligibleN/ACurrently eligibleN/ALong-term care facility residents and staffN/AAnyone 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 providerN/A (note that Down Syndrome is included in chronic conditions definition)https://msdh.ms.gov/msdhsite/_static/14,0,420,976.html
Missouri1B, Tier 21A1A1B, Tier 21B, Tier 2Long-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 Mellitusindividuals with intellectual and/or developmental disabilities such as Down syndromehttps://covidvaccine.mo.gov/
Montana1B1A1C1B / 1CN/Along term care and assisted-living facilitiesIndividuals residing in congregate care and correctional facilitiesPersons 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 phasehttps://dphhs.mt.gov/covid19vaccine
Nebraska1B, age-based rollout1A1CN/A1CLong-term Care Facility residents and staff (includes nursing homes and assisted living facilities)congregate living, such as residential treatment facilitiesChronic conditions removed from prioritization as of 2/22/21vulnerable populations including disabled people not yet coveredhttp://dhhs.ne.gov/Pages/COVID-19-Vaccine-Information.aspx
Nevadavarying by county1 (prior to "General Population Lane")1 (prior to "General Population Lane")General Population Lane: Group 3General Population Lane, Group 4Long-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 settingsIndividuals 16-64 with high-risk medical conditions as defined by the CDCIndividuals with disabilitieshttps://nvhealthresponse.nv.gov/covid-19-vaccine/
New Hampshire1B1A1B1B / 3AN/AResidents of long-term care and assisted living facilitiesresidents and staff of residential facilites for persons with intellectual and developmental disabilitiesmedically 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 Jersey1B1A1A1BN/AAll 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 homesIndividuals 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/Ahttps://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 Mexico1B, persons 75+ & high-risk persons 16+ only1A1B1BN/Aresidents of nursing homes and other long-term care facilitiesPersons 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/Ahttps://cv.nmhealth.org/covid-vaccine/
New York1B1A1A1B (began February 15)1BResidents and staff in long-term care facilities, including nursing homes; and other congregate care facilitiesresidents at OPWDD, OCFS, OMH and OASAS facilitiesAdult 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 diseaseIntellectual and Developmental Disabilities including Down syndromehttps://covid19vaccine.health.ny.gov/
North CarolinaGroup 2Group 1Group 44N/Aresidents 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 functionPeople 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/Ahttps://covid19.ncdhhs.gov/vaccines
North Dakota1B1A, Tier 21B1B / 1CN/AAdults 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/Ahttps://www.health.nd.gov/sites/www/files/documents/COVID%20Vaccine%20Page/COVID-19_Vaccine_Prioritization_Phase1A-C.pdf
Northern Mariana Islands1BN/AN/AN/A1AN/AN/AN/AHomebound/bedbound patients
Ohio1B (Group 2)1A1A1B (Feb 15)1B, (Jan 25) / 1B Group 2, (Feb 15)Nursing homes and assisted living facilitiesPeople 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
Oklahoma211 A&B2Phase 2Long-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 HomesStaff 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/Ahttps://vaccinate.oklahoma.gov/
Oregon1B1A, Tier 11A, Tier 2to be determined1A, Tier 3Skilled nursing and memory care facility healthcare personnel (HCP) and residentsGroup homes for people with intellectual and developmental disabilitiesPeople of all ages with underlying conditions that put them at moderately higher riskAdults and age-eligible children who have a medical condition or disability who receive services in their home.https://covidvaccine.oregon.gov/
Pennsylvania1A1A1B1A1BLong-term care facility residents and direct support professionalsPeople in congregate settings not otherwide specified as long-term care facilities, and persons receiving home and community-based servicesPersons 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 serviceshttps://www.health.pa.gov/topics/disease/coronavirus/Vaccine/Pages/Vaccine.aspx
Puerto Rico1A and 1B concurrently1B222Residents and staff of long-term care facilities, community centers, and homes for those with intellectual disabilitiesPeople who are incarcerated, homeless, or living working in other congregate settingsPeople 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 disabilitieshttp://www.salud.gov.pr/Documents/coronavirus/PR%20COVID-19%20Vaccination%20Plan.pdf
Rhode Island1 (1.5 as of 2/15)1A1.4Phase 2N/Acongregate settingscongregate settings and LTCF seem to be defined the samePeople with conditions that fall into the general categories of kidney disease, heart disease, diabetes, lung disease, and those who are immunocompromisedN/Ahttps://covid.ri.gov/vaccination
South Carolina1A1A1A1CN/AResidents and staff of Long-Term Care Facilitiescongregate settings and LTCF seem to be defined the samePersons aged 16-64 years with underlying health conditions that increase the risk for severe COVID-19N/Ahttps://scdhec.gov/covid19/covid-19-vaccine
South Dakota1B1B1D1AN/ALong-term care staff in 1A Long-term residents defined by those in LTCF in health systemsResidents 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/Ahttps://doh.sd.gov/COVID/Vaccine/
Tennessee1B1A, Tier 11A, Tier 11C1A, Tier 1 / 1Clong-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 DisabilitiesMost 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 pregnancypeople >18 who cannot live independently due to serious chronic medical condition or IDD; individuals ages 16-17 years who are considered medically fragilehttps://www.tn.gov/health/cedep/ncov/covid-19-vaccine-information.html
Texas1B1AN/A1BN/AResidents 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/APeople 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 Islands1B1AN/A1A / 1BN/ALong-term care facility residents and staffN/AEnd stage renal disease / people aged 16-64 with recognized comorbidities; Carribean Kidney Center (Staff and Patients)N/Ahttps://www.covid19usvi.com/vaccines
Utah1Currently eligibleN/AExpected beginning March 1N/ALong-term Care Facility residentspersons 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/
Vermont1B (individuals 70 and older)Currently eligibleN/A2, starting in late MarchN/AResidents of long-term care facilities (skilled nursing facilities, nursing homes, and assisted living facilities)N/Apeople with certain high-risk health conditionsN/Ahttps://www.healthvermont.gov/covid-19/vaccine
Virginia1BCurrently eligible1A1BN/Askilled nursing facility, assisted living facility, homes for the agedIntellectual and Developmental Disabilities Residential Centers, Group Homes, State Veterans Homes, Family Care Homesthose 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/Ahttps://www.vdh.virginia.gov/covid-19-vaccine/
Washington1B, Tier 11A, Tier 11B, Tier 41B, Tier 31A, Tier 1 / 1A, Tier 4Residents 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 communityResidents 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 CDCIntermediate 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 Virginia2A, individuals 65 and older1AN/A2AN/Anursing home and assisted living staff and residentsN/Apre-existing problem with physician orderhome health and hospice (unclear whether this pertains to both workers and recipients)https://dhhr.wv.gov/COVID-19/Pages/Vaccine.aspx
Wisconsin1BCurrently eligibleNext eligibleN/ANext eligibleresidents 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 independentlyFacility staff and residents living in congregate care facilities: Employer-based housing, Housing serving the elderly or people with disabilities, Shelters, Transitional housing, Incarcerated individualsN/AHousing serving people with disabilitieshttps://www.dhs.wisconsin.gov/covid-19/vaccine-about.htm
Wyoming1A, 1B1A1C1B1Bstaff and residents of long-term care facilitiesindividuals who live in group settingsindividuals with specific medical conditionsPeople on the Wyoming Medicaid Community Choice Waiver and Developmental Disabilities Waivershttps://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.

Johns Hopkins University shield above text reading "Johns Hopkins Disability Health Research Center" in dark blue
The logo of the Center for Dignity in Healthcare for People with Disabilities includes 4 outward facing half circles arranged in the shape of a square. Each half circle has two small circles inside that could be interpreted as heads of people inside the circles. The half circle on the left is blue and the one on the right is green. The upper half circle and lower half circle are half blue/half green. The words 'Center for Dignity in Healthcare for People with Disabilities' is to the right of the logo.