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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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All sourcesNASA NTRSDOE OSTI
NASA NTRS2017

Behavioral Health and Performance Operations at the NASA Johnson Space Center: A Comprehensive Program that Addresses Flight and Spaceflight Duty Adaptability

NASA astronauts on active status require medical certification for aircraft flying duties as well as readiness for long duration spaceflight training, launch to the International Space Station (ISS), and mission continuation during spaceflight operations. Behavioral fitness and adaptability is an inherent component of medical certification at NASA and requires a unique approach that spans the professional life-span of all active astronauts. TOPIC: This presentation will address the Behavioral Health and Performance (BHP) operations program at the Johnson Space Center. Components of BHP operations include astronaut selection, as well as annual, elective, preflight, inflight, and postflight BHP assessments. Each aspect of the BHP operations program will be discussed, with a focus on behavioral fitness determination and resultant outcomes. Specifically, astronaut selection generates a rating of suitability for long duration spaceflight as well as psychiatric qualification; annual, preflight and postflight BHP assessments provoke a decision regarding the presence of any aeromedical concerns; and inflight assessment requires a conclusion pertaining to mission impact. The combination of these elements provide for a unique, comprehensive approach to flight and spaceflight adaptability. APPLICATIONS: Attendees will understand the differing facets of NASA's comprehensive BHP operations program that occurs over the course of an astronaut's career and be able to compare and contrast this to the Adaptability Rating for Military Aviation (ARMA) and proposed models presented by others on this panel.

Beven, G. E.↗
NASA NTRSDate not supplied

Comparison of Artemis 2 and Artemis 5 Model Outcomes Using the Impact Probabilistic Risk Assessment Tool

BACKGROUND The Artemis campaign is a Moon exploration program with a series of six planned missions, five of which will be crewed. These five crewed missions will contain a single mission segment (space flight), or multiple mission segments involving space flight (Orion), lunar landing (LTV) and/or space habitat (Gateway). Each crewed segment faces the risk of unique medical conditions, necessitating medical sets/kits tailored to those specificities. To support and enable a data-driven and evidence-based decision-making process through out a mission’s life cycle, a software tool called IMPACT was developed. Using probabilistic risk assessment (PRA) methodologies, IMPACT (Informing Mission Planning via Analysis of Complex Tradespaces) is a novel tool built for analyzing the possibility of encountering complex medical risks during space flight, and for identifying the medical resources and capabilities needed to treat those potential at-risk medical conditions. This presentation will seek to compare IMPACT’s computational results upon potential complex space medical conditions (e.g., sprain/strain back or sleep disturbance) using IMPACT’s risk metrics and the associated optimized medical sets/kits between two Artemis missions: single segment Artemis 2 and multi-segmented Artemis 5. OVERVIEW By identifying potential medical conditions in space using input criteria such as crew quantity and composition, certain crew physical characteristics, mission duration and mission activities, IMPACT can produce analyses on the type of medical resources and capabilities needed to produce an optimized medical set/kit to address those medical conditions. IMPACT achieves this by performing hundreds of thousands of Monte Carlo simulations of missions to build aggregate pictures of medical risk. IMPACT’s risk metrics include loss of crew life (LOCL) – a measure of crew mortality due to medical conditions in space, return to definitive care (RTDC) – the need to perform crew evacuation, and task time lost (TTL) – a measure of the inability to perform activities due to crew disability. These risk metrics are applied to every medical condition identified by IMPACT’s computation analyses for every segment of the mission. Medical sets/kits are optimized to address these medical conditions but must fit within the stated Artemis Design Reference Mission (DRM) request for mass and volume physical size constraints. ANTICIPATED ANALYSIS AND CONCLUSION Using two Artemis missions, Artemis 2 and Artemis 5, IMPACT will provide the analyses for comparison of medical set/kit contents based upon mass and/or volume requirements and identify the at-risk medical conditions within both missions. This paper serves as an initial exploration of probabilistic risk assessment (PRA) medical risk calculations between two crewed Artemis missions and is not intended to be deemed the official medical response for the Artemis campaign.

probabilistic risk assessment↗
NASA NTRS2001

Impact and Collisional Processes in the Solar System

In the past year, we have successfully developed the techniques necessary to conduct impact experiments on ice at very low temperatures. We employ the method of embedding gauges within a target to measure the shock wave and material properties. This means that our data are not model dependent; we directly measure the essential parameters needed for numerical simulations of impact cratering. Since then we have developed a new method for temperature control of icy targets that ensures temperature equilibrium throughout a porous target. Graduate student, Sarah Stewart-Mukhopadhyay, is leading the work on ices and porous materials as the main thrust of her thesis research. Our previous work has focused on icy materials with no porosity, and we propose to extend our research to include porous ice and porous ice-silicate mixtures. There is little shockwave data for porous ice, and none of the data was acquired under conditions applicable to the outer solar system. The solid ice Hugoniot is only defined for initial temperatures above -20 C. Our program uniquely measures the properties of ice at temperatures directly applicable to the solar system. Previous experiments were conducted at ambient temperatures soon after removing the target from a cold environment, usually just below freezing, or in a room just below freezing. Since ice has an extremely complicated phase diagram, it is important to conduct experiments at lower temperatures to determine the true outcome of impacts in the outer solar system. This research is complementary to other programs on icy materials. Our work focuses on the inherent material properties by measuring the shock wave directly; this complements the macroscopic observations and immediately provides the parameters necessary to extend this research to the gravity regime. Our numerical simulations of impacts in porous ice under very low gravity conditions, such as found on comets, show that the final crater size and shape is very dependent on the dynamic strength of the material.

Ahrens, Thomas J.↗
NASA NTRSDate not supplied

The ESA Hera Mission: Detailed Investigation of the NASA Dart Impact Outcome and Characterization of the Binary Asteroid Didymos

The Hera mission is in development in the Space Safety Program of the European Space Agency (ESA) in collaboration with JAXA for launch in October 2024. It will rendezvous with the binary asteroid (65803) Didymos in early 2027 and over the following 6 months will investigate the properties of Didymos and its small moon Dirmorphos, including the effects of the successful impact of the NASA DART probe. DART was launched on 24 November 2021 at 06:21 UTC and successfully impacted at about 6.1 km/s on the 160 meter-size Dimorphos on 26 September 2022 at 23:14 UTC. Two weeks before impact, it deployed the Light Italian Cubesat for Imaging of Asteroids (LICIACube) that provided images during the few minutes following the impact. A campaign of observations from Earth and space provided distant images of the event, which were used to determine a reduction of 33 min in the orbital period of Dimorphos around Didymos. The Hera mission will investigate the outcome of the DART impact in detail. In particular, it will determine the effects of the impact on Dimorphos’ surface, e.g., whether it produced a crater, and if so its properties, and/or whether it led to global reshaping of Dimorphos. It will accurately measure the mass of Dimorphos, which will allow quantification of the momentum enhancement factor, which is a crucial parameter to evaluate the efficiency of the kinetic impactor technique. Hera will also determine in detail the physical, thermal and compositional properties of the asteroid, including first time measurements of the internal properties, which have a critical influence on the impact outcome. With Hera and DART together, we will have a fully documented deflection test and impact experiment that will allow us to verify our numerical impact models, to be able to extrapolate this deflection test to other asteroids and to improve our understanding of the complex geological properties and response of small asteroids. Hera consists of a mother spacecraft and two cubesats. It will perform the first rendezvous with a binary asteroid, arriving at Didymos about 4 years after DART. Hera will not only contribute significantly to the planetary defense effort by documenting entirely the outcome of the DART impact, it will also greatly advance our understanding of processes in the very low gravity regime of a small asteroidv (Dimorphos) as well as our knowledge of binary asteroids and asteroid geophysics. The mission development is progressing nominally, with the Critical Design Review having been passed in Nov. 2022. The various working groups of the Hera Science Team are working intensively to support this development and be best prepared for the surprises that Hera will offer during its visit to Didymos in 2027.

Asteroid deflection↗
DOE OSTI2024

Investigating Resilience of Loops in HPC Programs: A Semantic Approach with LLMs

Soft errors have become one of the major concerns for the error resilience of the HPC applications as those errors may cause HPC applications to generate serious outcomes such as silent data corruptions (SDCs). Protecting the applications from soft errors is an essential while challenging task. Among different approaches, obtaining a profound understanding of the resilience proneness of an application is very important to devise efficient error detection and recovery strategies. Given the scale of the HPC applications both in the code size and execution time, there are often cases that the error propagation analysis on such applications would produce a massive volume of unstructured data, which requires a significant amount of efforts, to process and to obtain indicating actions towards error protection. In this paper, we present a control-flow based visual analysis framework to help the users conduct error propagation analysis and identify the critical sections of a program that may have a higher likelihood of leading to erroneous outcomes when affected by the control flow related errors. We also design and implement the scalable visualization framework - ResilienceVis that efficiently and effectively visualizes the affected program states under errors and the propagation traces for an application in a user-friendly manner, and eventually, we combine the analysis and visualization to exhibit the error-proneness of the different sections of applications.

Jiang, Hailong↗
DOE OSTI2025

Paths to superheavy nuclei

This document summarizes the discussions and outcomes of the Facility for Rare Isotope Beams (FRIB) Theory Alliance topical program ‘The path to Superheavy Isotopes’ held in June 2024 at FRIB. Its content is non-exhaustive, reflecting topics chosen and discussed by the participants. The program aimed to assess the current status of theory in superheavy nuclei (SHN) research and identify necessary theoretical developments to guide experimental programs and determine fruitful production mechanisms. This report details the intersection of SHN research with other fields, provides an overview of production mechanisms and theoretical models, discusses future needs in theory and experiment, explores other potential avenues for SHN synthesis, and highlights the importance of building a strong theory community in this area.

73 NUCLEAR PHYSICS AND RADIATION PHYSICS↗
DOE OSTI2021

Searching for Dark Matter and Dark Sectors

The overall objective of this project was to explore new particle and forces beyond those known in the Standard Model of particle physics. In particular, the research focused on low-mass dark sectors, especially below the mass of the proton (about 1 GeV). Dark sectors, which are particles that are not charged directly under the Standard Model forces, are an exciting theoretical possibility that could address several shortcomings of the Standard Model, including the existence of dark matter. The research accomplished the following: (1) Developed novel techniques and strategies for direct detection of sub-GeV dark matter, and provided the theoretical support for ongoing direct-detection efforts. (2) Investigated new models of dark sectors, and derived new constraints from cosmology, astrophysics, and terrestrial experiments. This includes an investigation of models with dark-matter self-interactions that could help form supermassive black holes in the early Universe. (3) Explored new opportunities for dark-sector searches with existing and planned experiments. This includes providing the theoretical support to two experiments I helped propose, the A' Experiment (APEX) and the Heavy Photon Search (HPS), both at Jefferson Lab. The proposed research program significantly advanced the search for new particles and new forces. The outcomes and impact were: (1) It further enabled direct-detection experiments to probe vast regions of uncharted dark matter parameter space down to MeV masses, about three orders of magnitude lower in mass than traditional direct-detection strategies. (2) It exposed gaps in current experimental exploration, prompting new ideas for how these might be probed, and revealed how dark sectors might impact structure in our Universe. (3) It increased the discovery potential of dark sectors at three experimental frontiers–the energy, intensity, and cosmic frontiers.

72 PHYSICS OF ELEMENTARY PARTICLES AND FIELDS↗
DOE OSTI2024

Fundamentals of Scalable Nanoparticle Assembly in Engineering Polymres

Systematically improving the properties of polymer nanocomposites is contingent on effectively controlling nanoparticle (NP) dispersion; further, it is necessary to attain this at scale if these methods are to impact practical applications. While most past work has focused on amorphous polymers, ≈ 70% of all polymers sold annually are semicrystalline. Inspired by this apparent disconnect, our work in the current DOE funded grant and this renewal proposal employs a novel handle, polymer crystallization, to organize NPs into the various amorphous zones of the lamellar semicrystalline morphology (interlamellar, interfibrillar and interspherulitic domains) of stereoregular polymers. We hypothesize that the isothermal crystallization rate of a polymer host, G, and NP diffusivity, are the two relevant control parameters in this context. In the case where the NPs are miscible in the melt, they remain spatially well-dispersed when the polymer is crystallized at a rate that is fast relative to NP diffusion. In contrast, monolayer-thick NP sheets with intersheet spacing of ~10-100nm form in slowly crystallized samples. This sheet stacking is remarkably similar to that seen in natural materials, e.g., Nacre. There is also ordering of the NPs at the larger interfibrillar scale. Importantly, the relative fraction of engulfed, interlamellar and interfibrillar NPs is determined by G. Further, the modulus of these materials can increase by a factor of 2-3 due to the organization state of the NPs, while leaving fracture toughness unaffected. We have established the broad applicability of this approach in two polymers, polyethylene (PE) and polyethyleneoxide (PEO). To achieve this goal we developed a method for grafting long PE chains from NPs with controlled graft density and molecular weight, giving us the ability to tailor their dispersion in the PE melt prior to crystallization. In this renewal proposal, we will develop the fundamental, quantitative understanding that will allow us to independently tailor polymer crystallization rate, NP diffusivity and NP agglomeration state in semicrystalline polymers so as to facilely control NP ordering and hence properties. A program that tightly integrates experiment and theory is proposed, and a key outcome of this research will be a three-dimensional design map for different regimes of NP organization (and hence properties) that can be achieved by polymer crystallization. A second independent outcome is the role of directional solidification and how it competes with the rates of polymer crystallization and NP mobility to affect the organization of the NP.

36 MATERIALS SCIENCE↗
DOE OSTI2024

2023 Billion-Ton Report

The U.S. Department of Energy Bioenergy Technology Office's (BETO's) 2023 Billion-Ton Report (BT23) is an assessment of renewable carbon resources potentially available in the United States. BT23 explores these resources in terms of quantity, price, geographical density and distribution, and market maturity. Resource quantities in this report are limited by specified economic and environmental sustainability constraints. Good practices are needed to ensure biomass production has positive environmental outcomes. BT23 supports BETO's mission, particularly the 2023 Multi-Year Program Plan. To access 2023 Billion-Ton Report PDFs, appendices, and high-level messages, navigate to the 2023 Billion-Ton Report landing page at https://energy.gov/eere/bioenergy/2023-billion-ton-report-assessment-us-renewable-carbon-resources on the U.S. Department of Energy Bioenergy Technologies Office website. To access information about the quality assumptions used in this report, please see the Biomass Feedstock Library at https://bioenergylibrary.inl.gov/Home/Home.aspx Please cite the 2023 Billion-Ton Report as: U.S. Department of Energy. 2024. 2023 Billion‐Ton Report: An Assessment of U.S. Renewable Carbon Resources. M. H. Langholtz (Lead). Oak Ridge, TN: Oak Ridge National Laboratory. ORNL/SPR-2024/3103. doi: 10.23720/BT2023/2316165. Contact Us

BT23↗
NASA NTRS1987

Elementary and middle school science improvement project

The Alabama A & M University Elementary and Middle School Science Improvement Project (Project SIP) was instituted in response to a need to improve the ability of North Alabama teachers to teach science effectively using the experimental or hands-on approach. The major component of the project was a two-week workshop. Follow-up visits were made to the classrooms of many of the participating teachers to obtain information on how the program was being implemented in the classroom. The administrative aspects of the program, the delivery of the services to participating teachers, and the project outcomes are addressed.

Mcguire, Saundra Yancy↗
NASA NTRS1989

Elementary and middle school science improvement project

The Alabama A and M University Elementary and Middle School Science Improvement Project (Project SIP) was instituted to improve the science knowledge of elementary and middle school teachers using the experimental or hands-on approach. Summer workshops were conducted during the summers of 1986, 1987, and 1988 in the areas of biology, chemistry, physics, and electricity, and magnetism. Additionally, a manual containing 43 lessons which included background information, experiments and activities for classroom and home use was provided to each teacher. During the course of the project activities, the teachers interacted with various university faculty members, scientists, and NASA staff. The administrative aspects of the program, the delivery of the services to participating teachers, and the project outcome are addressed.

Mcguire, Saundra Y.↗
NASA NTRS2017

Microwave Thermal Propulsion

We have conducted research in microwave thermal propulsion as part of the space exploration access technologies (SEAT) research program, a cooperative agreement (NNX09AF52A) between NASA and Carnegie Mellon University. The SEAT program commenced on the 19th of February 2009 and concluded on the 30th of September 2015. The DARPA/NASA Millimeter-wave Thermal Launch System (MTLS) project subsumed the SEAT program from May 2012 to March 2014 and one of us (Parkin) served as its principal investigator and chief engineer. The MTLS project had no final report of its own, so we have included the MTLS work in this report and incorporate its conclusions here. In the six years from 2009 until 2015 there has been significant progress in millimeter-wave thermal rocketry (a subset of microwave thermal rocketry), most of which has been made under the auspices of the SEAT and MTLS programs. This final report is intended for multiple audiences. For researchers, we present techniques that we have developed to simplify and quantify the performance of thermal rockets and their constituent technologies. For program managers, we detail the facilities that we have built and the outcomes of experiments that were conducted using them. We also include incomplete and unfruitful lines of research. For decision-makers, we introduce the millimeter-wave thermal rocket in historical context. Considering the economic significance of space launch, we present a brief but significant cost-benefit analysis, for the first time showing that there is a compelling economic case for replacing conventional rockets with millimeter-wave thermal rockets.

Parkin, Kevin L. G.↗
NASA NTRSDate not supplied

Accounting for Point Estimate Uncertainty in Space Systems Reliability and Risk Analysis

Understanding and accounting for uncertainty in risk analysis is a critical step in the management and communication of risk in engineered systems. The component and system-level analysis to determine the probability of a negative outcome and its consequence is often quantified by a point estimate. Many Program and Enterprise decisions involving technical concerns and issues rely on reliability engineering activities to produce quantified risk analysis to inform the decision making process. At NASA, it is common to use a Probabilistic Risk Analysis (PRA) to inform the overall risk to Loss of Mission or Loss of Crew that involves integration across all spacecraft subsystem fault trees to produce an overall probability of mission failure. The point estimate is an estimate of this overall probability and is an immediate result of a fault tree model. It is the result of a model where the probability of each event is taken to be equal to its mean. The value provides an approximation of the overall mean without running any uncertainty calculations (e.g., no sampling). Using only the point estimate can lead to a false sense of precision and the point estimate may not match the resulting mean when uncertainty is taken into consideration. This paper will explore five conditions that can cause the PRA model mean to diverge from the point estimate and will provide engineers and managers insight into the importance of understanding uncertainty in the elements of PRA models.

Paul J Collier↗
DOE OSTI2021

NRIC Asset Suite Engineering and Operations Data Integration Plan

The National Reactor Innovation Center (NRIC), established by the U.S. Department of Energy (DOE) in August 2019, accelerates the demonstration and deployment of advanced nuclear energy through its mission to inspire stakeholders and the public, empower innovators, and deliver successful outcomes through efficient coordination of partners and resources. NRIC is a national program led by Idaho National Laboratory (INL), enabling collaborators to harness the world-class capabilities of the U.S. National Laboratory System. Committed to demonstrating advanced reactors by the end of 2025, NRIC is designed to bridge the gap between research, development, and the marketplace to help convert some of the Nation’s most promising advanced nuclear reactors into commercial applications by 2030. To meet these needs, NRIC is developing two reactor demonstration test beds at Idaho National Laboratory (INL), the Laboratory for Operation and Testing in the United States (LOTUS) and the Demonstration and Operation of Microreactor Experiments (DOME) test bed. Each test bed involves the modification of existing facilities at INL’s Materials and Fuels Complex (MFC). Retrofitting these facilities to accommodate novel reactors, as well as subsequent but similar NRIC projects, is a non-trivial engineering task and is expected to generate a significant amount of new and revised documentation. Leveraging digital engineering practices, this documentation will be managed in a purpose-built data management tool to facilitate origination, review, and approval while coordinating with the design contractor. The subsequent upload and review of documentation to INL’s existing document control system comprises a long and unnecessarily manual task. An opportunity exists to automate this upload process and save job-hours while continuing to adhere to INL/MFC document management procedures.

99 GENERAL AND MISCELLANEOUS↗
NASA NTRS2018

NASA's Centennial Challenge for 3D-Printed Habitat: Phase II Outcomes and Phase III Competition Overview

The 3D-Printed Habitat Challenge is part of NASA's Centennial Challenges Program. NASA's Centennial Challenges seek to accelerate innovation in aerospace technology development through public competitions. The 3D-Printed Habitat Challenge, launched in 2015, is part of the Centennial Challenges portfolio and focuses on habitat design and development of large-scale additive construction systems capable of fabricating structures from in situ materials and/or mission recyclables. The challenge is a partnership between NASA, Caterpillar (primary sponsor), Bechtel, Brick and Mortar Ventures, and Bradley University. Phase I of the challenge was an architectural concept competition in which participants generated conceptual renderings of habitats on Mars which could be constructed using locally available resources. Phase II asked teams to develop the printing systems and material formulations needed to translate these designs into reality. Work under the phase II competition, which concluded in August 2017 with a head to head competition at Caterpillar's Edward Demonstration Facility in Peoria, Illinois, is discussed, including the key technology development outcomes resulting from this portion of the competition. The phase III competition consists of both virtual and construction subcompetitions. Virtual construction asks teams to render high fidelity architectural models of a habitat and all the accompanying information required for construction of the pressure retaining and load bearing portions of the structure. In construction phase III, teams are asked to scale up their printing systems to produce a 1/3 scale habitat on-site at Caterpillar. The levels of the phase III construction competition (which include printing of a foundation and printing and hydrostatic testing of a habitat element) are discussed. Phase III construction also has an increased focus on autonomy, as these systems are envisioned for robotic precursor missions which would buildup infrastructure prior to the arrival of crew. Results of the phase III competition through July 2017 (which includes virtual construction level 1) are discussed. This Centennial Challenge enables an assessment of the scaleability and efficacy of various processes, material systems, and designs for planetary construction. There are also near-term terrestrial applications, from disaster response to affordable housing and infrastructure refurbishment, for these technologies.

Prater, T. J.↗
NASA NTRS2005

What Sensing Tells Us: Towards a Formal Theory of Testing for Dynamical Systems

Just as actions can have indirect effects on the state of the world, so too can sensing actions have indirect effects on an agent's state of knowledge. In this paper, we investigate "what sensing actions tell us", i.e., what an agent comes to know indirectly from the outcome of a sensing action, given knowledge of its actions and state constraints that hold in the world. To this end, we propose a formalization of the notion of testing within a dialect of the situation calculus that includes knowledge and sensing actions. Realizing this formalization requires addressing the ramification problem for sensing actions. We formalize simple tests as sensing actions. Complex tests are expressed in the logic programming language Golog. We examine what it means to perform a test, and how the outcome of a test affects an agent's state of knowledge. Finally, we propose automated reasoning techniques for test generation and complex-test verification, under certain restrictions. The work presented in this paper is relevant to a number of application domains including diagnostic problem solving, natural language understanding, plan recognition, and active vision.

McIlraith, Sheila↗
NASA NTRS2020

Searching for Hyperspectral Optical Proxies to Aid Chesapeake Bay Resource Managers in the Detection of Poor Water Quality

Shellfish aquaculture is a growing industry in the Chesapeake Bay. As population grows near the coast, extreme weather events cause a greater volume of pollutant runoff from impervious surfaces and agricultural lands. Resource managers who monitor shellfish beds need reliable information on a variety of water quality indicators at higher frequency than is possible through field monitoring programs and at a higher level of detail than current satellite products can provide. Although many factors causing degraded water quality that can impact human health are not currently discernable by traditional multispectral techniques, hyperspectral imagery offers a new opportunity to detect phytoplankton communities associated with harmful algal blooms and biotoxin production. Together with resource managers in their routine monitoring of sites around the bay from small boats, we have been exploring remotely sensed optical proxies for the detection of harmful algal blooms and sewage. Early warning by remote sensing could guide sampling and improve the efficiency of shellfish bed closures, ultimately improving health outcomes for humans and animals. An extensive network of routine sampling by Chesapeake Bay Program managers makes this is an ideal location to develop and test future satellite data products to support management decisions. Next generation hyperspectral measurements from the future Plankton Aerosol Cloud ocean Ecosystem (PACE) mission at nearly daily frequency, combined with the potential of higher spatial resolution from the Surface Biology and Geology (SBG) observing system recommended in the recent Decadal Survey, along with high frequency observations from the newly selected Geostationary Littoral Imaging and Monitoring Radiometer (GLIMR) Earth Venture Instrument make this a critical time for defining the needs of the aquaculture and resource management community to save lives, time, and money.

Schollaert Uz, Stephanie↗
DOE OSTI2020

State Policies on Access to Vaccination Services for Low-Income Adults

Importance State vaccination benefits coverage and access for adult Medicaid beneficiaries vary substantially. Multiple studies have documented lower vaccination uptake in publicly insured adults compared with privately insured adults. Objective To evaluate adult Medicaid beneficiaries’ access to adult immunization services through review of vaccination benefits coverage in Medicaid programs across the 50 states and the District of Columbia. Design, Setting, and Participants A public domain document review with supplemental semistructured telephone survey was conducted between June 1, 2018, and June 14, 2019, to evaluate vaccination services benefits in fee-for-service and managed care organization arrangements for adult Medicaid beneficiaries in the 50 states and the District of Columbia (total, 51 Medicaid programs). Exposures Document review of benefits coverage for adult immunization services and supplemental survey with validation of document review findings. Main Outcomes and Measures Benefits coverage for adult Medicaid beneficiaries and reimbursement amounts for vaccine purchase and administration. Results Public domain document review was completed for all 51 jurisdictions. Among these, 44 Medicaid programs (86%) validated document review findings and completed the survey. Only 22 Medicaid programs (43%) covered all 13 Advisory Committee on Immunization Practices–recommended adult immunizations under both fee-for-service and managed care organization arrangements. Most fee-for-service arrangements (37 of 49) reimbursed health care professionals using any of the 4 approved vaccine administration codes; however, 8 of 49 programs did not separately reimburse for vaccine administration to adult Medicaid beneficiaries. Depending on administration route, median reimbursement for adult vaccine administration ranged from $\$9.81$ to $\$13.98$ per dose. Median per-dose reimbursement for adult vaccine purchase was highest for 9-valent human papillomavirus vaccine ($\$204.87$) and lowest for Haemophilus influenzae type b vaccine ($\$18.09$). Median reimbursement was below the private sector price for 7 of the 13 included vaccines. Conclusions and Relevance Even in programs with complete vaccination benefits coverage, reimbursement amounts to health care professionals for vaccine purchase and administration may not fully cover vaccination provision costs. Reimbursement amounts below costs may reduce incentives for health care professionals to vaccinate low-income adults and thereby limit Medicaid adult beneficiary access to vaccination.

60 APPLIED LIFE SCIENCES↗