,i #aafth ,,congress #ast ,session ,h4 ,r4 #bhfb ,,in ,,the ,,house ,,of ,,representatives ,may #ba1 #bjai,ms4 ,schrier 7for herself1 ,mr4 ,burgess1 ,mr4 ,engel1 ,mr4 ,guthrie1 ,mr4 ,schrader1 and ,mr4 ,bilirakis7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend the ,public ,health ,service ,act to provide for a national system for surveillance of vaccine rates1 to authorize research on vaccine hesitancy1 to increase public understanding of the benefits of immunizations1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,vaccine ,awareness ,campaign to ,champion ,immunization ,nationally and ,enhance ,safety ,act of #bjai or the ,,vaccines ,act of #bjai4 #b4 ,vaccine surveillance and research 7a7 ,in general ,section #cag of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b7 is amended by adding at the end the following new subsection3 7n7 ,vaccine surveillance and research 7#a7 ,surveillance 7,a7 ,in general ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 and in consultation with the ,national ,vaccine ,advisory ,committee and the ,director of the ,national ,vaccine ,program1 shall develop and deploy a national system for surveillance of vaccination rates4 7,b7 ,authorized activities ,the surveillance system under subparagraph 7,a7 may include the following3 7i7 ,use of immunization data available to the ,centers for ,disease ,control and ,prevention and its contractors4 7ii7 ,integration of data from existing systems-- 7,i7 to measure vaccination confidence over time2 7,,ii7 to understand variations across time and geography2 and 7,,iii7 to measure vaccine refusal4 7,c7 ,use of data ,the ,secretary may use data collected pursuant to the surveillance system under subparagraph 7,a7 to predict and identify areas and communities where-- 7i7 vaccines are or will be underutilized2 7ii7 vaccine confidence is low or decreasing2 or 7iii7 misinformation about the safety of vaccines1 not supported by scientific or medical evidence1 has been directed in a targeted manner4 7,d7 ,consultation ,in developing the surveillance system under subparagraph 7,a71 the ,secretary shall consult with the ,national ,academies to synthesize existing evidence and develop a standardized measurement of vaccine confidence4 7,e7 ,funding ,there are authorized to be appropriated #ae1jjj1jjj for each of fiscal years #bjbj through #bjbd to carry out this paragraph4 7#b7 ,grants for research ,the ,secretary may award grants for research-- 7,a7 to improve the understanding of vaccine hesitancy2 7,b7 to improve understanding of health care provider attitudes and beliefs toward vaccination2 and 7,c7 to develop effective strategies for addressing non-adherence to the safe and recommended use of vaccines and encouraging the safe and recommended use of vaccines4 4 7b7 ,update of #bjae ,,nvac report ,the ,national ,vaccine ,advisory ,committee shall-- 7#a7 assess the state of vaccine confidence in the ,united ,states2 and 7#b7 update the findings and recommendations in the report on this topic approved by the ,national ,vaccine ,advisory ,committee on ,june #aj1 #bjae4 #c4 ,public awareness campaign on the importance of vaccinations ,section #cag of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;b71 as amended by section #c1 is further amended by adding at the end the following new subsection3 7o7 ,public awareness campaign on the importance of vaccinations 7#a7 ,in general ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall carry out a national campaign to increase awareness of the importance of1 combat misinformation about1 and increase rates of1 vaccinations across the lifespan4 7#b7 ,consultation ,in carrying out the campaign under this subsection1 the ,secretary shall consult with the ,national ,academy of ,medicine and nationally recognized private entities1 including medical and public health associations and nonprofit organizations1 to solicit advice on evidence-based information for policy development and program development1 implementation1 and evaluation4 7#c7 ,requirements ,the campaign under this subsection-- 7,a7 shall be an evidence-based media and public engagement initiative2 7,b7 shall be carried out through competitively bid contracts awarded to one or more public or private entities2 7,c7 may include the use of television1 radio1 print1 the internet1 and other commercial marketing venues2 7,d7 may include the use of in-person public communications2 7,e7 may be targeted to-- 7i7 specific groups and local needs of communities with high rates of unvaccinated individuals2 or 7ii7 areas or communities identified pursuant to subsection 7n77#a77;,c72 7,f7 shall include the development of culturally and linguistically competent resources that may be tailored for communities with high rates of unvaccinated individuals2 7,g7 shall include the dissemination of vaccine information and vaccine communication resources to health care providers and health care facilities1 including pharmacists1 ,state and local public health departments1 and health care providers and facilities that provide prenatal and pediatric care2 7,h7 may include the use of recognized trusted figures2 7,i7 shall be complementary to1 and coordinated with1 any other ,federal efforts2 7,j7 shall include message testing to identify culturally competent and effective messages for behavioral change2 7,k7 may include the dissemination of information highlighting-- 7i7 advancements in research and vaccine development that have saved millions of individuals from death and disability from now-preventable diseases2 7ii7 information on how individuals across the lifespan benefit from immunizations1 including those who cannot be vaccinated and rely on community immunity2 7iii7 information on the dangers of not being vaccinated1 including the potential for infectious disease outbreaks within communities2 and 7iv7 information on vaccine safety and the systems in place to monitor vaccine safety2 7,l7 shall include the award of grants to ,state1 local1 and tribal public health departments-- 7i7 to identify and prioritize engagement with communities with high rates of unvaccinated individuals2 7ii7 to engage communities with high rates of unvaccinated individuals in understanding the challenges to increasing vaccination rates in the respective communities and developing effective strategies 7including through formative research or focus groups7 to increase such rates2 and 7iii7 to encourage partnerships with community organizations and health care providers to develop and deliver evidence based interventions to increase vaccination rates2 and 7,m7 may include the development and dissemination of evidence-based scientific curricula for use in public elementary schools and secondary schools 7as defined in section #haja of the ,elementary and ,secondary ,education ,act of #aife7 on infectious disease outbreaks and how they can be prevented and controlled4 7#d7 ,evaluation ,the ,secretary shall-- 7,a7 establish baseline measures and benchmarks to quantitatively evaluate the impact of the campaign under this subsection2 7,b7 conduct qualitative assessments regarding the effectiveness of strategies employed under this subsection2 and 7,c7 prepare and submit to the ,committee on ,energy and ,commerce of the ,house of ,representatives and the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate an evaluation of the campaign4 7#e7 ,funding ,there are authorized to be appropriated #f1jjj1jjj for each of fiscal years #bjbj through #bjbd to carry out this subsection4 4