,,ii  #aafth ,,congress  #b;d ,session  
,s4 #dgje  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #bd1
 #bjbj,mr4 ,cassidy 7for himself and    
,ms4 ,hassan7 introduced the following  
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to amend title ,,xix requiring       
coverage under ,medicaid of vaccines for
 pregnant women4  #a4 ,short title ,this
 ,act may be cited as the ,maternal     
,immunization ,coverage ,act4  #b4      
,mandatory coverage under ,medicaid of  
vaccines for pregnant women  7a7 ,in    
general ,section #aije7;a77#d7 of the   
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7a77#d77 is amended-- 7#a7 by    
striking and 7,d7 and inserting 7,d72   
and  7#b7 by inserting after subsection 
7bb77 the following3 2 and 7,e7 for     
individuals who are eligible under the  
,state plan or a waiver of such plan and
 are pregnant 7including individuals    
whose eligibility for medical assistance
 is on the basis of being pregnant and  

limited to services related to          
pregnancy71 approved vaccines           
recommended for such individuals by the 
,advisory ,committee on ,immunization   
,practices and the administration of    
such vaccines to such individuals4  7b7 
,prohibition of cost sharing  7#a7 ,in  
general ,section #aiaf of the ,social   
,security ,act 7#db ,u4,s4,c4 #acifo7 is
 amended1 in each of subsections        
7a77#b77;,b7 and 7b77#b77;,b7-- 7,a7 by 
striking and counseling and inserting   
counseling2 and  7,b7 by inserting 1 and
 vaccines described in section          
#aije7;a77#d77;,e7 that are furnished to
 pregnant women and the administration  
of such vaccines after section          
#aije7;bb77#b77;,a74  7#b7 ,application 
to alternative cost sharing ,section    
#aiaf;,a7b77#c77;,b77iii7 of the ,social
 ,security ,act 7#db ,u4,s4,c4          
#acifo-#a7;b77#c77;,b77iii77 is         
amended-- 7,a7 by striking and          
counseling and inserting counseling2 and
  7,b7 by inserting 1 and vaccines      

described in section #aije7;a77#d77;,e7 
that are furnished to pregnant women and
 the administration of such vaccines    
after section #aije7;bb77#b77;,a7 before
 the period4  7c7 ,effective date  7#a7 
,in general ,except as provided in      
paragraph 7#b71 the amendments made by  
this section shall take effect on the   
date of enactment of this ,act4  7#b7   
,delay permitted if ,state legislation  
required ,in the case of a ,state plan  
under title ,,xix of the ,social        
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 which the ,secretary of ,health   
and ,human ,services determines requires
 ,state legislation 7other than         
legislation appropriating funds7 in     
order for the plan to meet the          
additional requirements imposed by the  
amendments made by this section1 the    
,state plan shall not be regarded as    
failing to comply with the requirements 
of such title solely on the basis of the
 failure of the plan to meet such       
additional requirements before the first

 day of the first calendar quarter      
beginning after the close of the first  
regular session of the ,state           
legislature that begins after the date  
of enactment of this ,act4 ,for purposes
 of the previous sentence1 in the case  
of a ,state that has a #b-year          
legislative session1 each year of such  
session shall be deemed to be a separate
 regular session of the ,state          
legislature4