The core V-BID principle of reducing financial barriers to essential clinical care has been a consistent theme in the federal governments’, states’, and private payers’ responses to the COVID-19 pandemic. Notably, the incorporation of V-BID principles within the 2020 CARES Act led to the amendment of the Public Health Service Act Section 2713, requiring all non-grandfathered private health insurance plans to provide first dollar coverage of a COVID-19 vaccine.