,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #bhfb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ba1 #bjai,ms4   
,s*ri] 7= h]self1 ,mr4 ,burgess1 ,mr4   
,engel1 ,mr4 ,gu?rie1 ,mr4 ,s*rad]1 &   
,mr4 ,bilirakis7 introduc$ ! foll[+     
bill2 :i* 0 ref]r$ to ! ,committee on   
,en]gy & ,comm]ce  ,a ,,bill  ,to am5d !
 ,public ,heal? ,s]vice ,act to provide 
= a national sy/em = surveillance (     
vacc9e rates1 to au?orize rese>* on     
vacc9e hesitancy1 to increase public    
und]/&+ ( ! b5efits ( immunizations1 & =
 o!r purposes4  #a4 ,%ort title ,?is    
,act may be cit$ z ! ,vacc9e ,aw>5ess   
,campaign to ,*ampion ,immunization     
,nationally & ,enhance ,safety ,act (   
#bjai or ! ,,vacc9es ,act ( #bjai4  #b4 
,vacc9e surveillance & rese>*  7a7 ,9   
g5]al ,section #cag ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4 #bdg;b7 is  
am5d$ by add+ at ! end ! foll[+ new     
subsection3  7n7 ,vacc9e surveillance & 
rese>*  7#a7 ,surveillance  7,a7 ,9     
g5]al ,! ,secret>y1 act+ ?r\gh !        

,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 & 9 consultation ) !     
,national ,vacc9e ,advisory ,committee &
 ! ,director ( ! ,national ,vacc9e      
,program1 %all develop & deploy a       
national sy/em = surveillance (         
vacc9ation rates4  7,b7 ,au?oriz$       
activities ,! surveillance sy/em "u     
subp>agraph 7,a7 may include ! foll[+3  
7i7 ,use ( immunization data available  
to ! ,c5t]s = ,disease ,control &       
,prev5tion & its contractors4  7ii7     
,integration ( data f exi/+ sy/ems--    
7,i7 to measure vacc9ation confid5ce ov]
 "t2  7,,ii7 to und]/& v>iations across 
"t & geography2 &  7,,iii7 to measure   
vacc9e refusal4  7,c7 ,use ( data ,!    
,secret>y may use data collect$ pursuant
 to ! surveillance sy/em "u subp>agraph 
7,a7 to pr$ict & id5tify areas &        
communities :]e--  7i7 vacc9es are or w 
be und]utiliz$2  7ii7 vacc9e confid5ce  
is l[ or decreas+2 or  7iii7 mis9=mation
 ab\t ! safety ( vacc9es1 n support$ by 
sci5tific or m$ical evid5ce1 has be5    

direct$ 9 a t>get$ mann]4  7,d7         
,consultation ,9 develop+ ! surveillance
 sy/em "u subp>agraph 7,a71 ! ,secret>y 
%all consult ) ! ,national ,academies to
 syn!size exi/+ evid5ce & develop a     
/&>diz$ measurem5t ( vacc9e confid5ce4  
7,e7 ,fund+ ,!re are au?oriz$ to be     
appropriat$ #ae1jjj1jjj = ea* ( fiscal  
ye>s #bjbj ?r\gh #bjbd to c>ry out ?is  
p>agraph4  7#b7 ,grants = rese>* ,!     
,secret>y may aw>d grants = rese>*--    
7,a7 to improve ! und]/&+ ( vacc9e      
hesitancy2  7,b7 to improve und]/&+ (   
heal? c>e provid] attitudes & beliefs   
t[>d vacc9ation2 &  7,c7 to develop     
effective /rategies = address+          
non-adh]5ce to ! safe & recomm5d$ use ( 
vacc9es & enc\rag+ ! safe & recomm5d$   
use ( vacc9es4  4  7b7 ,update ( #bjae  
,,nvac report ,! ,national ,vacc9e      
,advisory ,committee %all-- 7#a7 assess 
! /ate ( vacc9e confid5ce 9 ! ,unit$    
,/ates2 &  7#b7 update ! f9d+s &        
recomm5dations 9 ! report on ?is topic  
approv$ by ! ,national ,vacc9e ,advisory

 ,committee on ,june #aj1 #bjae4  #c4   
,public aw>5ess campaign on ! importance
 ( vacc9ations ,section #cag ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bdg;b71 z am5d$ by section #c1 is fur!r
 am5d$ by add+ at ! end ! foll[+ new    
subsection3  7o7 ,public aw>5ess        
campaign on ! importance ( vacc9ations  
7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh !
 ,director ( ! ,c5t]s = ,disease        
,control & ,prev5tion1 %all c>ry out a  
national campaign to increase aw>5ess ( 
! importance (1 combat mis9=mation ab\t1
 & increase rates (1 vacc9ations across 
! lifespan4  7#b7 ,consultation ,9 c>ry+
 out ! campaign "u ?is subsection1 !    
,secret>y %all consult ) ! ,national    
,academy ( ,m$ic9e & nationally         
recogniz$ private entities1 includ+     
m$ical & public heal? associations &    
nonpr(it organizations1 to solicit      
advice on evid5ce-bas$ in=mation =      
policy developm5t & program developm5t1 
implem5tation1 & evaluation4  7#c7      
,requirem5ts ,! campaign "u ?is         

subsection-- 7,a7 %all be an            
evid5ce-bas$ m$ia & public engagem5t    
initiative2  7,b7 %all be c>ri$ out     
?r\gh competitively bid contracts aw>d$ 
to "o or m public or private entities2  
7,c7 may include ! use ( television1    
radio1 pr9t1 ! int]net1 & o!r comm]cial 
m>ket+ v5ues2  7,d7 may include ! use ( 
9-p]son public communications2  7,e7 may
 be t>get$ to--  7i7 specific gr\ps &   
local ne$s ( communities ) high rates ( 
unvaccinated individuals2 or  7ii7 areas
 or communities id5tifi$ pursuant to    
subsection 7n77#a77;,c72  7,f7 %all     
include ! developm5t ( culturally &     
l+ui/ically compet5t res\rces t may be  
tailor$ = communities ) high rates (    
unvacc9at$ individuals2  7,g7 %all      
include ! dissem9ation ( vacc9e         
in=mation & vacc9e communication        
res\rces to heal? c>e provid]s & heal?  
c>e facilities1 includ+ ph>maci/s1 ,/ate
 & local public heal? dep>tm5ts1 & heal?
 c>e provid]s & facilities t provide    
pr5atal & p$iatric c>e2  7,h7 may       

include ! use ( recogniz$ tru/$ figures2
  7,i7 %all be complem5t>y to1 &        
coord9at$ )1 any o!r ,f$]al ef=ts2  7,j7
 %all include message te/+ to id5tify   
culturally compet5t & effective messages
 = behavioral *ange2  7,k7 may include !
 dissem9ation ( in=mation highlight+--  
7i7 advancem5ts 9 rese>* & vacc9e       
developm5t t h sav$ millions (          
individuals f dea? & disability f       
n[-prev5table diseases2  7ii7 in=mation 
on h[ individuals across ! lifespan     
b5efit f immunizations1 includ+ ^? :o _c
 be vacc9at$ & rely on community        
immunity2  7iii7 in=mation on ! dang]s (
 n be+ vacc9at$1 includ+ ! pot5tial =   
infecti\s disease outbreaks )9          
communities2 &  7iv7 in=mation on vacc9e
 safety & ! sy/ems 9 place to monitor   
vacc9e safety2  7,l7 %all include ! aw>d
 ( grants to ,/ate1 local1 & tribal     
public heal? dep>tm5ts--  7i7 to id5tify
 & prioritize engagem5t ) communities ) 
high rates ( unvacc9at$ individuals2    
7ii7 to engage communities ) high rates 

( unvacc9at$ individuals 9 und]/&+ !    
*all5ges to increas+ vacc9ation rates 9 
! respective communities & develop+     
effective /rategies 7includ+ ?r\gh      
=mative rese>* or focus gr\ps7 to       
increase su* rates2 &  7iii7 to enc\rage
 p>tn]%ips ) community organizations &  
heal? c>e provid]s to develop & deliv]  
evid5ce bas$ int]v5tions to increase    
vacc9ation rates2 &  7,m7 may include ! 
developm5t & dissem9ation ( evid5ce-bas$
 sci5tific curricula = use 9 public     
elem5t>y s*ools & second>y s*ools 7z    
def9$ 9 section #haja ( ! ,elem5t>y &   
,second>y ,education ,act ( #aife7 on   
infecti\s disease outbreaks & h[ !y c be
 prev5t$ & controll$4  7#d7 ,evaluation 
,! ,secret>y %all-- 7,a7 e/abli% basel9e
 measures & b5*m>ks to quantitatively   
evaluate ! impact ( ! campaign "u ?is   
subsection2  7,b7 conduct qualitative   
assessm5ts reg>d+ ! effectiv5ess (      
/rategies employ$ "u ?is subsection2 &  
7,c7 prep>e & submit to ! ,committee on 
,en]gy & ,comm]ce ( ! ,h\se (           

,repres5tatives & ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate an evaluation ( ! campaign4   
7#e7 ,fund+ ,!re are au?oriz$ to be     
appropriat$ #f1jjj1jjj = ea* ( fiscal   
ye>s #bjbj ?r\gh #bjbd to c>ry out ?is  
subsection4  4