,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dfij  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bd1         
#bjbj,ms4 ,hassan 7= h]self & ,mr4      
,cassidy7 introduc$ ! foll[+ bill2 :i* 0
 read twice & ref]r$ to ! ,committee on 
,f9ance  ,a ,,bill  ,to increase        
vacc9ation rates among pregnant wom5    
enroll$ 9 ,m$icaid or ,,*ip1 & = o!r    
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,mat]nal ,immunization     
,enhancem5t ,act4  #b4 ,def9itions ,9   
?is ,act3 7#a7 ,*ip ,! t]m ,,*ip means !
 *ildr5's heal? insurance program       
e/abli%$ "u title ,,xxi ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acig;aa  
et seq47 & includes any waiv]s ( su*    
program4  7#b7 ,m$icaid ,! t]m ,m$icaid 
means ! m$ical assi/ance program        
e/abli%$ "u title ,,xix ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 & includes any waiv]s ( su*       
program4  7#c7 ,secret>y ,! t]m         
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  7#d7 ,/ate ,! t]m     

,/ate has ! mean+ giv5 t t]m = purposes 
( title ,,xix ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acif et seq474  #c4    
,,cms guidance on increas+ vacc9ation   
rates among pregnant wom5 enroll$ 9     
,m$icaid or ,,*ip  7a7 ,9 g5]al ,n lat] 
?an #a ye> aft] ! date ( enactm5t ( ?is 
,act1 ! ,adm9i/rator ( ! ,c5t]s =       
,m$ic>e  ,m$icaid ,s]vices1 9           
consultation ) ! ,director ( ! ,c5t]s = 
,disease ,control & ,prev5tion1 %all    
issue guidance to ,/ates on increas+ !  
vacc9ation rates = ,advisory ,committee 
on ,immunization ,practices recomm5d$   
vacc9es among pregnant wom5 enroll$ 9   
,m$icaid or ,,*ip4  7b7 ,requirem5ts ,! 
guidance issu$ "u subsection 7a7 %all at
 a m9imum include options & be/         
practices =-- 7#a7 increas+ ! vacc9ation
 rates = ,advisory ,committee on        
,immunization ,practices recomm5d$      
vacc9es among pregnant wom51 p>ticul>ly 
) respect to ! influ5za1 diph!ria1      
tetanus1 & :oop+ c\gh 7p]tussis7        
vacc9es2  7#b7 bill+ & receiv+ ,f$]al   

paym5ts "u ,m$icaid & ,,*ip = obta9+ &  
adm9i/]+ su* recomm5d$ vacc9es to       
pregnant wom52 &  7#c7 provid+ c\nsel+ &
 pati5t outrea* & education reg>d+ su*  
vacc9es4  #d4 ,inclusion ( pr5atal      
immunization /atus = pregnant wom5      
quality measure 9 ! core sets ( heal?   
c>e quality measures = *ildr5 enroll$ 9 
,m$icaid or ,,*ip & adults enroll$ 9    
,m$icaid  7a7 ,9 g5]al ,n lat] ?an #b   
ye>s aft] ! date ( enactm5t ( ?is ,act1 
! ,secret>y %all include a pr5atal      
immunization /atus = pregnant wom5      
quality measure 9-- 7#a7 ! core set (   
*ild heal? quality measures = ,m$icaid &
 ,,*ip2 &  7#b7 ! adult heal? c>e       
quality measures = ,m$icaid4  7b7       
,requirem5t ,! pr5atal immunization     
/atus = pregnant wom5 quality measure   
includ$ 9 su* core sets ( heal? quality 
measures %all measure ! p]c5tage (      
deliv]ies 9 :i* pregnant wom5 receiv$   
vacc9es recomm5d$ by ! ,advisory        
,committee on ,immunization ,practices (
 ! ,c5t]s = ,disease ,control &         

,prev5tion dur+ pregnancy4  #e4 ,,gao   
report ,n lat] ?an #b ye>s aft] ! date (
 enactm5t ( ?is ,act1 ! ,comptroll]     
,g5]al ( ! ,unit$ ,/ates %all submit a  
report to ,congress on ! vacc9ation     
rates among pregnant wom5 enroll$ 9     
,m$icaid or ,,*ip ) respect to !        
,advisory ,committee on ,immunization   
,practices vacc9es recomm5d$ = pregnant 
wom54 ,to ! ext5t data are available1 ! 
report %all include ! foll[+3 7#a7 ,!   
p]c5tage ( pregnant wom5 enroll$ 9      
,m$icaid or ,,*ip :o did n receive      
vacc9es paid = by ,m$icaid or ,,*ip z   
recomm5d$ by ! ,advisory ,committee on  
,immunization ,practices :ile pregnant4 
7#b7 ,to ! ext5t practicable1 an        
analysis ( :e!r /ructural b>ri]s1 su* z 
co/ %>+ or o!r specific requirem5ts1 are
 impos$ "u ,m$icaid or ,,*ip :i* impact 
! vacc9ation rates among pregnant wom5  
enroll$ 9 ,m$icaid or ,,*ip ) respect to
 ! ,advisory ,committee on ,immunization
 ,practices vacc9es recomm5d$ = pregnant
 wom54  7#c7 ,to ! ext5t practicable1 an

 analysis ( ! reasons :y wom5 enroll$ 9 
,m$icaid or ,,*ip d n receive su*       
recomm5d$ vacc9es recomm5d$ :ile        
pregnant4  7#d7 ,to ! ext5t practicable1
 demographic details reg>d+ ! population
 ( pregnant wom5 enroll$ 9 ,m$icaid or  
,,*ip1 includ+ race1 e?nicity1 & rural  
or urban geographic location4  7#e7 ,z !
 ,comptroll] ,g5]al deems appropriate1  
recomm5dations = legislative or         
adm9i/rative actions relat+ to increas+ 
! vacc9ation rates among pregnant wom5  
enroll$ 9 ,m$icaid or ,,*ip ) respect to
 ! ,advisory ,committee on ,immunization
 ,practices vacc9es recomm5d$ = pregnant
 wom54