New York Gov. Andrew Cuomo on Monday announced that hospitals that don't distribute coronavirus vaccines fast enough will be fined amid growing concern that the state's strict limits on who may get a vaccine could be slowing down the process. 

Cuomo dismissed those concerns, instead ratcheting up pressure on some hospitals he said are not showing enough of a sense of urgency in administering vaccines.

Late last month, Cuomo announced that he would sign an executive order upping fines for health providers that intentionally give vaccines to anyone other than who the state is currently allowing to get them.

He warned specifically that some may try to make money off the highly valuable vaccines. 

He said: "Anyone who engages in fraud is going to be held accountable."

Some critics, however, have said that the state government's micromanagement of the vaccine process would slow things down. Rensselaer County Executive Steve McLaughlin said: "It's chaos out there. There state has no idea what it's doing," according to the New York Post

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The New York approach is consistent with Centers for Disease Control and Prevention guidelines and what other jurisdictions are doing to get vaccines to health care workers and the elderly first.

But others, including Washington, D.C., have been at least somewhat lenient. NBC Washinton reported Sunday that two friends were given the Moderna vaccine because a Giant Food supermarket in Northeast D.C. had doses that were set to expire. The outlet reported the Washington, D.C., health department says doses on the verge of being wasted should be given to anyone, even outside of priority age groups and occupations. 

Cuomo on Monday, meanwhile, blamed individual hospitals for New York's slow vaccine rollout

"The hospitals are doing the administration, and that was purposeful," Cuomo said. "This is a management issue of the hospitals. They have to move the vaccine and they have to move the vaccine faster."

Cuomo in a slide show showed the faces of the public officials responsible for various hospitals in New York, including New York City Mayor Bill de Blasio, as well as a list of the top-performing hospitals and the lower-performing hospitals in how many vaccines they've distributed so far. 

Feb. 26, 2020: Mayor Bill de Blasio, left, with Dr. Oxiris Barbot, commissioner of the New York City Department of Health and Mental Hygiene, listens to a reporter's question in New York. DeBlasio was one of the public officials that Gov. Andrew Cuomo Monday pressured to get hospitals under their responsibility to distribute vaccines faster. (AP Photo/Mark Lennihan)

"I don't mean to embarrass any hospital, but I want them to be held accountable," Cuomo said, before outlining a letter the state government sent to hospitals and his new fine for those who don't distribute all their current vaccines by the end of the week. The letter, according to the governor, said, "if you don't use the allocation by the end of this week, the allocation you've received by the end of this week, you can be fined and you won't receive further allocations. We'll use other hospitals who can administer it better."

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That apparent dual priority of administering vaccines fast and giving them to only priority populations spurred a question by a reporter during the press conference. 

"On the one hand, you're telling hospitals to use their allotment by the end of the week or face a fine. But on the other hand, you're telling them if they mess up the prioritization they could also face a fine," John Campbell of Gannett asked the governor. "Are those competing principles there and is that in any way slowing down the vaccination process?"

Cuomo responded by slamming hospitals that have not used their allocation. 

"The hospitals have been given the vaccines for expeditious administration," Cuomo said, noting that some of the state's hospitals have used almost all of the vaccines they've been given. "If you have been given an allocation and you've only used a third of the allocation, then you shouldn't have the allocation. We have options."

Registered nurse Carol Eickmeyer, left, gets the first vaccination for the coronavirus from RN Cassandra Antosz at Sacred Heart RiverBend Hospital in Springfield, Ore. Monday Dec. 21, 2020. (Chris Pietsch/The Register-Guard via AP, Pool)

He added: "If you can't do that within seven days, then just raise your hand and say, 'I can't do this.' Fine, we'll go to a different hospital. We know what hospitals are better at administering it."

Cuomo did not directly address the second part of the question on whether or not strict limits on who may get the vaccine could be slowing down its distribution. He instead said his previous order was meant to prevent people from making money by deliberately flouting prioritization requirements rather than if a hospital is tricked into giving an ineligible person a vaccine.  

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"I want to pass a criminal law to that effect. Criminal law is intent. It's not a mistake. It's not that you were defrauded. It's you engaged knowingly in a criminal act. You sold the vaccines because you could make money," Cuomo said. 

He added: "I'm talking about an affirmative fraud using this vaccine. You will, mark my words, you're going to see fraud using this vaccine."

Later asked about whether strict enforcement of prioritization was a contributor to delays, Cuomo did not directly answer and instead defended the state's decision of who to prioritize.

"There is no one cause," of delays, the governor said, "but let's just remember what we're doing here. The federal government sent guidance on prioritization of who should receive the first vaccines. We agreed with the federal prioritization on the top priority... it's all health care workers who come in contact with the public... because they're most likely to be infected."

He said the only excuses he's heard from hospitals is "bureaucracy and their own administration."