,,ii  #aafth ,,congress  #b;d ,session  
,s4 #dfij  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #bd1
 #bjbj,ms4 ,hassan 7for herself and ,mr4
 ,cassidy7 introduced the following     
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to increase vaccination rates among  
pregnant women enrolled in ,medicaid or 
,,chip1 and for other purposes4  #a4    
,short title ,this ,act may be cited as 
the ,maternal ,immunization ,enhancement
 ,act4  #b4 ,definitions ,in this ,act3 
7#a7 ,chip ,the term ,,chip means the   
children's health insurance program     
established under title ,,xxi of the    
,social ,security ,act 7#db ,u4,s4,c4   
#acig;aa et seq47 and includes any      
waivers of such program4  7#b7 ,medicaid
 ,the term ,medicaid means the medical  
assistance program established under    
title ,,xix of the ,social ,security    
,act 7#db ,u4,s4,c4 #acif et seq47 and  
includes any waivers of such program4   
7#c7 ,secretary ,the term ,secretary    

means the ,secretary of ,health and     
,human ,services4  7#d7 ,state ,the term
 ,state has the meaning given that term 
for purposes of title ,,xix of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq474  #c4 ,,cms guidance on  
increasing vaccination rates among      
pregnant women enrolled in ,medicaid or 
,,chip  7a7 ,in general ,not later than 
#a year after the date of enactment of  
this ,act1 the ,administrator of the    
,centers for ,medicare  ,medicaid       
,services1 in consultation with the     
,director of the ,centers for ,disease  
,control and ,prevention1 shall issue   
guidance to ,states on increasing the   
vaccination rates for ,advisory         
,committee on ,immunization ,practices  
recommended vaccines among pregnant     
women enrolled in ,medicaid or ,,chip4  
7b7 ,requirements ,the guidance issued  
under subsection 7a7 shall at a minimum 
include options and best practices for--
 7#a7 increasing the vaccination rates  
for ,advisory ,committee on             

,immunization ,practices recommended    
vaccines among pregnant women1          
particularly with respect to the        
influenza1 diphtheria1 tetanus1 and     
whooping cough 7pertussis7 vaccines2    
7#b7 billing and receiving ,federal     
payments under ,medicaid and ,,chip for 
obtaining and administering such        
recommended vaccines to pregnant women2 
and  7#c7 providing counseling and      
patient outreach and education regarding
 such vaccines4  #d4 ,inclusion of      
prenatal immunization status for        
pregnant women quality measure in the   
core sets of health care quality        
measures for children enrolled in       
,medicaid or ,,chip and adults enrolled 
in ,medicaid  7a7 ,in general ,not later
 than #b years after the date of        
enactment of this ,act1 the ,secretary  
shall include a prenatal immunization   
status for pregnant women quality       
measure in-- 7#a7 the core set of child 
health quality measures for ,medicaid   
and ,,chip2 and  7#b7 the adult health  

care quality measures for ,medicaid4    
7b7 ,requirement ,the prenatal          
immunization status for pregnant women  
quality measure included in such core   
sets of health quality measures shall   
measure the percentage of deliveries in 
which pregnant women received vaccines  
recommended by the ,advisory ,committee 
on ,immunization ,practices of the      
,centers for ,disease ,control and      
,prevention during pregnancy4  #e4 ,,gao
 report ,not later than #b years after  
the date of enactment of this ,act1 the 
,comptroller ,general of the ,united    
,states shall submit a report to        
,congress on the vaccination rates among
 pregnant women enrolled in ,medicaid or
 ,,chip with respect to the ,advisory   
,committee on ,immunization ,practices  
vaccines recommended for pregnant women4
 ,to the extent data are available1 the 
report shall include the following3 7#a7
 ,the percentage of pregnant women      
enrolled in ,medicaid or ,,chip who did 
not receive vaccines paid for by        

,medicaid or ,,chip as recommended by   
the ,advisory ,committee on             
,immunization ,practices while pregnant4
  7#b7 ,to the extent practicable1 an   
analysis of whether structural barriers1
 such as cost sharing or other specific 
requirements1 are imposed under         
,medicaid or ,,chip which impact the    
vaccination rates among pregnant women  
enrolled in ,medicaid or ,,chip with    
respect to the ,advisory ,committee on  
,immunization ,practices vaccines       
recommended for pregnant women4  7#c7   
,to the extent practicable1 an analysis 
of the reasons why women enrolled in    
,medicaid or ,,chip do not receive such 
recommended vaccines recommended while  
pregnant4  7#d7 ,to the extent          
practicable1 demographic details        
regarding the population of pregnant    
women enrolled in ,medicaid or ,,chip1  
including race1 ethnicity1 and rural or 
urban geographic location4  7#e7 ,as the
 ,comptroller ,general deems            
appropriate1 recommendations for        

legislative or administrative actions   
relating to increasing the vaccination  
rates among pregnant women enrolled in  
,medicaid or ,,chip with respect to the 
,advisory ,committee on ,immunization   
,practices vaccines recommended for     
pregnant women4