,,ii  #aad? ,,congress  #a/ ,session    
,s4 #agb  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,janu>y #ac1 #bjae,mr4 
,te/] introduc$ ! foll[+ bill2 :i* 0    
read twice & ref]r$ to ! ,committee on  
,vet]ans' ,affairs  ,a ,,bill  ,to am5d 
title #ch1 ,unit$ ,/ates ,code1 to      
provide = c]ta9 requirem5ts relat+ to ! 
immunization ( vet]ans1 & = o!r         
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,access to ,appropriate    
,immunizations = ,vet]ans ,act ( #bjae4 
#b4 ,ensur+ vet]an access to appropriate
 immunizations  7a7 ,inclusion (        
recomm5d$ adult vacc9ations z m$ical    
s]vices  7#a7 ,cov]$ b5efit ,subp>agraph
 7,f7 ( section #agja7i7 ( title #ch1   
,unit$ ,/ates ,code1 is am5d$ to read z 
foll[s3  7,f7 immunizations aga9/       
infecti\s diseases1 includ+ ea*         
immunization on ! recomm5d$ adult       
immunization s*$ule at ! "t su*         
immunization is indicat$ on t s*$ule2  4
  7#b7 ,def9ition ,section #agja ( su*  
title is am5d$ by add+ aft] p>agraph    

7#i7 ! foll[+ new p>agraph3  7#aj7 ,!   
t]m recomm5d$ adult immunization s*$ule 
means ! s*$ule e/abli%$ 7& p]iodically  
review$ &1 z appropriate1 revis$7 by !  
,advisory ,committee on ,immunization   
,practices e/abli%$ by ! ,secret>y (    
,heal? & ,human ,s]vices & delegat$ to !
 ,c5t]s = ,disease ,control &           
,prev5tion4  4  7b7 ,report to ,congress
 ,section #agjd7a77;,a7 ( su* title is  
am5d$-- 7#a7 9 clause 7i71 by /rik+ & at
 ! end2  7#b7 9 clause 7ii71 by /rik+ ! 
p]iod at ! end & ins]t+ 2 &2 &  7#c7 by 
add+ at ! end ! foll[+ new clause3      
7iii7 to ensure t vet]ans h receiv$ ea* 
immunization on ! recomm5d$ adult       
immunization s*$ule at ! "t su*         
immunization is indicat$ on t s*$ule4  4
  7c7 ,assurance t adm9i/ration (       
vacc9ations con/itutes appropriate      
managem5t & co/-,effective deliv]y (    
heal? c>e s]vices  7#a7 ,9 g5]al        
,section #agjf7;a7 ( su* title is       
am5d$-- 7,a7 by /rik+ ,9 manag+ !       
provision & ins]t+ 7#a7 ,9 manag+ !     

provision2 &  7,b7 by add+ at ! end !   
foll[+ new p>agraph3  7#b7 7,a7 ,9      
manag+ ! provision ( m$ical s]vices "u  
su* section1 ! ,secret>y %all develop & 
implem5t quality measures & metrics to  
ensure t vet]ans receiv+ m$ical s]vices 
"u ?is title receive ea* immunization on
 ! recomm5d$ adult immunization s*$ule  
at ! "t su* immunization is indicat$ on 
t s*$ule4  7,b7 ,quality measures &     
metrics develop$ & implem5t$ "u         
subp>agraph 7,a7 %all include t>gets =  
compliance4  7,c7 ,! ,secret>y %all1 to 
! maximum ext5t feasible1 develop &     
implem5t measures & metrics requir$ by  
subp>agraph 7,a7 concurr5tly &          
consi/5tly ) ! metrics 9 place ) respect
 to influ5za & pneumococcal vacc9ations4
  4  7#b7 ,report to ,congress ,section 
#agjd7a7 ( su* title is am5d$ by add+ at
 ! end ! foll[+ new subp>agraph3  7,h7  
,/ati/ics relat$ to ! quality measures &
 metrics develop$ & implem5t$ "u section
 #agjf7;a77#b7 ( ?is title4  4  7#c7    
,effective dates  7,a7 ,developm5t (    

initial s*$ule  7i7 ,9 g5]al ,!         
,secret>y %all e/abli% ! quality        
measures & metrics describ$ 9 p>agraph  
7#b7 ( section #agjf7;a7 ( su* title1 z 
add$ by p>agraph 7#a71 ?r\gh notice &   
comm5t rulemak+4  7ii7 ,publication ,!  
,secret>y %all publi% 9 ! ,f$]al ,regi/]
 propos$ measures & metrics by n lat]   
?an ! date t is #fj days aft] ! date ( !
 enactm5t ( ?is ,act1 & %all f9alize su*
 measures & metrics by n lat] ?an ! date
 t is #ij days aft] su* date ( enactm5t4
  7,b7 ,implem5tation ( measures &      
metrics ,! ,secret>y %all implem5t      
p>agraph 7#b7 ( su* section on ! date t 
is #ahj days aft] ! date ( ! enactm5t ( 
?is ,act4  7,c7 ,report to ,congress    
,subp>agraph 7,h7 ( p>agraph 7#a7 (     
section #agjd ( su* title1 z add$ by    
p>agraph 7#b71 %all apply ) respect to !
 fir/ report submitt$ "u su* section    
aft] ! date t is #ahj days aft] ! date (
 ! enactm5t ( ?is ,act4