Health officials and the Department of Defense outlined their 'playbook' for states to start giving out free coronavirus vaccines before Congress.
The Pentagon will help roll out the shots which will be administered by health workers.
Americans could start getting vaccinated as early as January of next year or late this year.
Vaccination will not be required, but anyone who wants a shot will be able to get it for free.
Multiple drugmakers will provide shots to the US, with most coming in two doses delivered 21 to 28 days apart.
The Trump administration outlined a sweeping plan Wednesday to make vaccines for COVID-19 available for free to all Americans, even as polls show a strong undercurrent of skepticism rippling across the land.
In a report to Congress and an accompanying 'playbook' for states and localities, federal health agencies and the Defense Department sketched out complex plans for a vaccination campaign to begin gradually in January or possibly later this year, eventually ramping up to reach any American who wants a shot. The Pentagon is involved with the distribution of vaccines, but civilian health workers will be the ones giving shots.
The campaign is 'much larger in scope and complexity than seasonal influenza or other previous outbreak-related vaccination responses,' said the playbook for states from the Centers for Disease Control and Prevention.
Among the highlights:
- The vaccine itself will be free of charge, and patients won't be charged out of pocket for the administration of shots, thanks to billions of dollars in taxpayer funding approved by Congress and allocated by the Trump administration.
- States and local communities will need to devise precise plans for receiving and locally distributing vaccines, some of which will require special handling such as refrigeration or freezing. States and cities have a month to submit plans.
Some of the broad components of the federal plan have already been discussed, but Wednesday's reports attempt to put the key details into a comprehensive framework. Distribution is happening under the umbrella of Operation Warp Speed, a White House-backed initiative to have millions of doses ready to ship once a vaccine is given what's expected to be an emergency use approval by the Food and Drug Administration. Several formulations are undergoing final trials.
But the whole enterprise is facing public skepticism. Only about half of Americans said they'd get vaccinated in an Associated Press poll taken in May.
Of those who wouldn't get vaccinated, the overwhelming majority said they were worried about safety. To effectively protect the nation from the coronavirus, experts say upwards of 70 percent of Americans must either be vaccinated or have their own immunity from fighting off COVID-19.
Since the poll, questions have only mounted about whether the government is trying to rush COVID-19 treatments and vaccines to help President Donald Trump's reelection chances.
Before the Republican National Convention in August, the FDA granted authorization for treatment of COVID-19 patients with plasma from people who have recovered, even though some government scientists were not convinced the clinical evidence was sufficiently strong. And last week it was reported that Michael Caputo, a Health and Human Services Department political appointee, tried to gain editorial control over a weekly scientific publication from the Centers for Disease Control and Prevention.
As public confidence in core health agencies has taken a beating, Trump administration officials have been forced to play defense.
'We are working closely with our state and local public health partners ... to ensure that Americans can receive the vaccine as soon as possible and vaccinate with confidence,' HHS Secretary Alex Azar said in a statement Wednesday. 'Americans should know that the vaccine development process is being driven completely by science and the data.'
That could be a tough sell. In the AP poll, 1 in 5 Americans said they would not get a coronavirus vaccine, and 31% said they were unsure.