,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #feaa  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,april #ad1 #bjbj,mr4 
,pappas introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d titles    
,,xix & ,,xxi ( ! ,social ,security ,act
 to require cov]age "u ! ,m$icaid       
program & ,*ildr5's ,heal? ,insurance   
,program = vacc9es & treatm5t =         
,,covid-#ai )\t ! imposition ( co/ %>+  
requirem5ts1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,ensur+ ,vacc9ation & ,treatm5t         
,af=dability ,act4  #b4 ,cov]age at no  
co/ %>+ ( ,,covid-#ai vacc9e & treatm5t 
7a7 ,m$icaid  7#a7 ,9 g5]al ,section    
#aije7;a77#d7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acif;d7a77#d77 is      
am5d$-- 7,a7 by /rik+ & 7,d7 & ins]t+   
7,d72 &  7,b7 by /rik+ ! semicolon at ! 
end & ins]t+ 2 7,e7 a ,,covid-#ai vacc9e
 lic5s$ "u section #cea ( ! ,public     
,heal? ,s]vice ,act & ! adm9i/ration (  
su* vacc9e2 & 7,f7 items & s]vices      

furni%$ = ! treatm5t ( ,,covid-#ai or a 
condition t may complicate ! treatm5t ( 
,,covid-#ai24  7#b7 ,prohibition ( co/  
%>+  7,a7 ,9 g5]al ,subsections 7a77#b7 
& 7b77#b7 ( section #aiaf ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #acifo7   
are ea* am5d$-- 7i7 9 subp>agraph 7,f71 
by /rik+ or at ! end2  7ii7 9           
subp>agraph 7,g71 by /rik+ 2 & & ins]t+ 
1 or2 &  7iii7 by add+ at ! end ! foll[+
 subp>agraphs3  7,h7 a ,,covid-#ai      
vacc9e lic5s$ "u section #cea ( !       
,public ,heal? ,s]vice ,act & !         
adm9i/ration ( su* vacc9e1 or  7,i7 any 
item or s]vice furni%$ = ! treatm5t (   
,,covid-#ai or a condition t may        
complicate ! treatm5t ( ,,covid-#ai2 &  
4  7,b7 ,application to alt]native co/  
%>+ ,section #aiaf;,a7b77#c77;,b7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acifo-#a7;b77#c77;,b77 is am5d$-- 7i7 9
 clause 7xi71 by /rik+ any visit &      
ins]t+ any s]vice2 &  7ii7 by add+ at ! 
end ! foll[+ clauses3  7xii7 ,a         
,,covid-#ai vacc9e lic5s$ "u section    

#cea ( ! ,public ,heal? ,s]vice ,act & !
 adm9i/ration ( su* vacc9e4  7xiii7 ,an 
item or s]vice furni%$ = ! treatm5t (   
,,covid-#ai or a condition t may        
complicate ! treatm5t ( ,,covid-#ai4  4 
7,c7 ,cl>ification ,! am5dm5ts made 9   
?is subsection %all apply ) respect to a
 ,/ate plan ( a t]ritory 9 ! same mann] 
z a ,/ate plan ( "o ( ! #ej ,/ates4  7b7
 ,/ate p$iatric vacc9e di/ribution      
program ,section #aibh ( ! ,social      
,security ,act 7#db ,u4,s4,c4 #acifs7 is
 am5d$-- 7#a7 9 subsection 7a77#a7--    
7,a7 9 subp>agraph 7,a71 by /rik+ 2 & & 
ins]t+ a semicolon2  7,b7 9 subp>agraph 
7,b71 by /rik+ ! p]iod & ins]t+ 2 &2 &  
7,c7 by add+ at ! end ! foll[+          
subp>agraph3  7,c7 ea* vacc9e-eligible  
*ild 7z def9$ 9 subsection 7b77 is      
entitl$ to receive a ,,covid-#ai vacc9e 
f a program-regi/]$ provid] 7z def9$ 9  
subsection 7h77#h77 )\t *>ge =-- 7i7 !  
co/ ( su* vacc9e2 or  7ii7 !            
adm9i/ration ( su* vacc9e4  2  7#b7 9   
subsection 7c77#b7-- 7,a7 9 subp>agraph 

7,c77ii71 by ins]t+ 1 b may n impose a  
fee = ! adm9i/ration ( a ,,covid-#ai    
vacc9e be=e ! p]iod2 &  7,b7 by add+ at 
! end ! foll[+ subp>agraph3  7,d7 ,!    
provid] w provide & adm9i/] an approv$  
,,covid-#ai vacc9e to a vacc9e-eligible 
*ild 9 accordance ) ! same requirem5ts z
 apply "u ! prec$+ subp>agraphs to !    
provision & adm9i/ration ( a qualifi$   
p$iatric vacc9e to su* a *ild4  2 &     
7#c7 9 subsection 7d77#a71 9 ! fir/     
s5t5ce1 by ins]t+ 1 includ+ ) respect to
 a ,,covid-#ai vacc9e lic5s$ "u section 
#cea ( ! ,public ,heal? ,s]vice ,act    
be=e ! p]iod4  7c7 ,,*ip  7#a7 ,9 g5]al 
,section #bajc7;c7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acig;cc7c77 is    
am5d$ by add+ at ! end ! foll[+         
p>agraph3  7#aa7 ,cov]age ( ,,covid-#ai 
vacc9es & treatm5t ,! *ild heal?        
assi/ance provid$ to a t>get$ l[-income 
*ild %all include cov]age (-- 7,a7 any  
,,covid-#ai vacc9e lic5s$ "u section    
#cea ( ! ,public ,heal? ,s]vice ,act & !
 adm9i/ration ( su* vacc9e2 &  7,b7 any 

item or s]vice furni%$ = ! treatm5t (   
,,covid-#ai or a condition t may        
complicate ! treatm5t ( ,,covid-#ai4  4 
7#b7 ,prohibition ( co/ %>+ ,section    
#bajc7;e77#b7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acig;cc7e77#b771 z     
am5d$ by section #fjjd7;b77#c7 ( !      
,families ,fir/ ,coronavirus ,response  
,act1 is am5d$-- 7,a7 9 ! p>agraph      
head]1 by ins]t+ a ,,covid-#ai vacc9e1  
,,covid-#ai treatm5t1 be=e or           
pregnancy-relat$ assi/ance2 &  7,b7 by  
/rik+ visits describ$ 9 section         
#aiaf7;a77#b77;,g71 or & ins]t+ s]vices 
describ$ 9 section #aiaf7;a77#b77;,g71  
vacc9es describ$ 9 section              
#aiaf7;a77#b77;,h71 items or s]vices    
describ$ 9 section #aiaf7;a77#b77;,i71  
or4  7d7 ,con=m+ am5dm5ts ,section #aicg
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acifu-#g7 is am5d$-- 7#a7 9  
subsection 7a77#a77;,b71 by ins]t+ 1 "u 
subclause 7,,xxiii7 ( section           
#aijb7;a77#aj77;,a77ii71 aft] section   
#aijb7;a77#aj77;,a77i72 &  7#b7 9       

subsection 7b77#e71 by add+ be=e ! p]iod
 ! foll[+3 1 &1 effective on ! date ( ! 
enactm5t ( ! ,ensur+ ,vacc9ation &      
,treatm5t ,af=dability ,act1 mu/ comply 
) subp>agraphs 7,f7 ?r\gh 7,i7 (        
subsections 7a77#b7 & 7b77#b7 ( sections
 #aiaf & #aiaf;,a4  7e7 ,effective date 
,! am5dm5ts made by ?is section %all    
take effect on ! date ( enactm5t ( ?is  
,act & %all apply ) respect to a        
,,covid-#ai vacc9e beg9n+ on ! date t   
su* vacc9e is lic5s$ "u section #cea ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bfb74