Vaccine Maryland State & Insurers

UPDATE- 2016  Kaiser Permanente, Care First and United Health Care will now cover Lyme disease vaccines for Maryland State employees.  

PROBLEM-  Currently there are no Lyme disease vaccines on the market.  (See "History" section below.)  

"Immunizations are only covered as recommended by the US Preventive Services Task Force. The immunization benefit covers immunizations required for participation in school athletics and Lyme Disease immunizations when medically necessary."

No matter what State you live in, you need to monitor policies and proposed bills regarding Lyme disease vaccines to prevent your State from requiring people to receive Lyme disease vaccines.  

NO MANDATORY VACCINES!

History-  In 1999, House Bill 311 quietly passed through the Maryland General Assembly.  HB 311 stated Maryland State Department of Natural Resources law enforcement employees could only receive Worker's Compensation benefits for Lyme disease if they had received the Lyme Disease vaccine.

(III) EXCEPT AS PROVIDED IN PARAGRAPH (2) OF THIS SUBSECTION, 

   5  DEMONSTRATES THAT THE EMPLOYEE HAD ANY LYME DISEASE VACCINATION 

   6  REQUIRED OR MADE AVAILABLE TO THE EMPLOYEE BY THE DEPARTMENT OF 

   7  NATURAL RESOURCES.   https://sites.google.com/site/lymelegislation/1999-hb-311


The requirement to be given the vaccine before Workers Compensation benefits would be accessible, as described in HB 311, was repealed by the passing of SB 765 in 2006 several years after the vaccine was removed from the market.  The passing of HB 311 provided an instant guaranteed market for the Lyme vaccine and increased profits for the manufacturers.  

In 2014, Kaiser Permante and Johns Hopkins joined forces.

"Kaiser Permanente and Johns Hopkins Medicine will expand ways to deliver quality care by sharing evidence-based best practices, advancing population health programs, collaborating on education and research endeavors, and exploring how the organizations can work together to create better health care models for consumers and their communities." https://share.kaiserpermanente.org/article/kaiser-permanente-johns-hopkins-medicine-announce-enhanced-strategic-collaboration/#sthash.aQ40AXPp.dpuf

The Johns Hopkins Lyme Disease Clinical Research Center is participating with Care First, Kaiser Permente, United Health Care and many other insurers.  The Center at Johns Hopkins will see Lyme disease patients, perform tests and decide what treatment (if any) is required, but will not treat patients, as noted below.  

"Dr. Aucott sees patients on a consultative basis. Patients are seen by referral from their primary care physician. Consultations may take from 1-3 visits in order to complete evaluation, testing and to formulate a plan for the patient and their primary care physician to implement." 

This sort of an arrangement has proven detrimental to many Lyme patients over the years and has restricted health care providers from treating outside the IDSA/Hopkins box.

The US Preventative Services Task Force along with its partners (staunch supporters of the IDSA Lyme Disease guidelines) work with the CDC and other organizations to make vaccine recommendations.

Additional Information


History- General Information- Lyme Disease Vaccine


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2015-  Maryland State Employees are now covered by their insurer when receiving a Lyme vaccine if it is considered "medically necessary".  Problem is- the Lyme vaccine was removed from the market in 2001 after people filed lawsuits against the manufacturer.  Is a new one on the way?    


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Immunizations

100% of allowed benefit

70% of allowed benefit after deductible

100% of allowed benefit

Immunizations are only covered as recommended by the U.S. Preventive Services Task Force. The immunization benefit covers immunizations required for participation in school athletics and Lyme Disease immunizations when medically necessary.