The Advisory Committee on Immunization Practices (ACIP) issued an “interim recommendation” to federal, state, and local jurisdictions on allocation of initial doses of COVID-19 vaccine. ACIP recommends that the first available doses of the COVID-19 vaccine should go to healthcare workers and residents in long-term care facilities. Following the issuance of an emergency use authorization, ACIP will decide whether to modify those recommendations based on the safety and efficacy profile of the specific vaccine that has been authorized. ACIP’s recommendations trigger guaranteed vaccine coverage under certain payers for any populations that fall within ACIP’s recommendations.