But now the White House has deferred action on an emergency plan to buy vaccines and distribute them to cities and states.

Congo also needs money to pay the police, buy vaccines, support war refugees and rebuild roads.

But state programs that cover other children are having trouble buying other expensive vaccines.

During a smallpox epidemics in the Soviet era she bought vaccines and gave shots to the people of Kahrizli.

The plan has since been shelved, while she raises money to buy the city canine birth-control vaccines developed by two veterinarians here.

The President said he had specifically instructed Ms. Shalala, in her talks with the manufacturers, to assure that states could buy vaccines at affordable prices.

Rather than buying vaccines, it said, the government should provide "a fixed subsidy" that would pay for each vaccine and the cost of administering it.

The federal government spends $1 billion a year on the Vaccines for Children program and $300 million to buy vaccines for state governments.

Most of that money, however, will go to buy antibiotics, vaccines and other medical supplies for the nation's emergency stockpile.

The government would then buy and stockpile the drugs or vaccines.