,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dgcg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bd1 #bjbj   
,ms4 ,smi? introduc$ ! foll[+ bill2 :i* 
0 read twice & ref]r$ to ! ,committee on
 ,heal?1 ,education1 ,labor1 & ,p5sions 
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to direct ! ,secret>y (    
,heal? & ,human ,s]vices to make grants 
to cov]$ heal? dep>tm5ts to increase !  
rate ( recomm5d$ immunizations1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,community ,immunity ,dur+ 
,,covid-#ai ,act ( #bjbj4  #b4 ,grants  
to increase ! rate ( immunizations      
,section #cag ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bdg;b7 is am5d$ by
 add+ at ! end ! foll[+ new subsection3 
7n7 ,grants ,to increase ! rate (       
immunizations  7#a7 ,9 g5]al ,!         
,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion1
 %all make grants to cov]$ heal?        
dep>tm5ts to increase ! rate ( recomm5d$
 immunizations dur+ ! ,,covid-#ai public

 heal? em]g5cy4  7#b7 ,use ( funds ,a   
cov]$ heal? dep>tm5t receiv+ a grant "u 
?is section may use funds receiv$ ?r\gh 
! grant = ! foll[+3  7,a7 ,provid+ funds
 to programs t increase ! rate (        
recomm5d$ immunizations dur+ !          
,,covid-#ai public heal? em]g5cy1       
includ+ support+ evid5ce-bas$ outrea* & 
educational activities 9 communities    
s]v$ by ! cov]$ heal? dep>tm5t involv$4 
7,b7 ,support+ ef=ts by heal? c>e       
provid]s to communicate ! importance (  
ma9ta9+ immunization s*$ules & visit+ a 
prim>y c>e provid] dur+ ! ,,covid-#ai   
public heal? em]g5cy4  7,c7 ,increas+   
aw>5ess ) respect to heal? insurance    
options & programs t r$uce ! co/ (      
vacc9es1 includ+ ! ,vacc9es = ,*ildr5   
program 7or simil> program7 c>ri$ out by
 ! ,c5t]s = ,disease ,control &         
,prev5tion4  7,d7 ,evaluat+ ef=ts to    
increase ! rate ( recomm5d$             
immunizations 9 communities describ$ 9  
subp>agraph 7,a7 dur+ ! ,,covid-#ai     
public heal? em]g5cy4  7,e7 ,develop+ & 

di/ribut+ culturally & l+ui/ically      
appropriate messages ab\t ! importance (
 recomm5d$ immunizations dur+ !         
,,covid-#ai public heal? em]g5cy1       
includ+ vacc9es lic5s$ "u section #cea (
 ?is ,act to prev5t ! virus t causes    
,,covid-#ai4  7,f7 ,combat+ mis9=mation 
& dis9=mation ) respect to vacc9es & !  
safety ( vacc9es1 includ+ a vacc9e t w  
be lic5s$ "u section #cea ( ?is ,act or 
au?oriz$ = em]g5cy use "u section #efd (
 ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act
 7#ba ,u4,s4,c4 #cjj;bbb-#c7 to prev5t !
 virus t causes ,,covid-#ai4  7#c7      
,p>tn]%ips ,a cov]$ heal? dep>tm5t t    
receives a grant "u ?is section may     
develop a p>tn]%ip ) entities &         
individuals 9 ! communities s]v$ by !   
,/ate1 local1 or ,tribal gov]nm5t       
involv$ to c>ry out ! activities "u     
p>agraph 7#c71 includ+-- 7,a7 a heal?   
c>e provid]2  7,b7 a local educational  
ag5cy1 includ+ s*ool nurses employ$ by  
su* ag5cies2  7,c7 an organization t    
prim>ily provides heal? c>e or social   

s]vices =--  7i7 gr\ps t h a l[ rate (  
immunizations2  7ii7 individuals ) a    
*ronic heal? condition or und]ly+ m$ical
 condition associat$ ) increas$ risk =  
sev]e illness f ,,covid-#ai2  7iii7     
racial & e?nic m9ority1 rural1 & o!r    
vuln]able populations2 or  7iv7         
individuals ) a limit$ pr(ici5cy 9 !    
,engli% language2  7,d7 a fai?-bas$     
organization2  7,e7 a long-t]m c>e      
facility1 s5ior c5t]1 or o!r facility 9 
:i* recomm5d$ immunizations = old]      
adults may be provid$ or promot$ by !   
/aff ( su* facility or c5t]2  7,f7 a    
vacc9e coalition2  7,g7 a p$iatric      
hospital2  7,h7 a ph>macy2  7,i7 an e>ly
 *ildhood education program or *ild c>e 
provid]2  7,j7 a public elem5t>y1 or    
second>y s*ool2 or  7,k7 an in/itution (
 high] education4  7#d7 ,evaluation ,n  
lat] ?an #ah mon?s aft] ! date on :i* a 
cov]$ heal? dep>tm5t receives a grant "u
 ?is subsection1 ! cov]$ heal? dep>tm5t 
%all submit to ! ,secret>y an evaluation
 on ! effectiv5ess ( ! activities c>ri$ 

out us+ su* funds to increase ! rate (  
recomm5d$ immunizations4  7#e7 ,report  
to ,congress ,n lat] ?an #b ye>s aft] ! 
date ( ! enactm5t ( ?is subsection1 !   
,secret>y %all submit to ,congress a    
report t includes--  7,a7 an evaluation 
( ! effectiv5ess ( ! activities "u      
p>agraph 7#c7 to increase ! rate (      
recomm5d$ immunizations1 bas$ on !      
evaluations submitt$ pursuant to        
p>agraph 7#f72 &  7,b7 recomm5dations to
 increase ! rate ( recomm5d$            
immunizations1 includ+ recomm5dations ) 
respect to any public heal? em]g5cy t   
occurs 9 ! future4  7#f7 ,def9itions    
7,a7 ,9 g5]al ,9 ?is subsection3 7i7    
,cov]$ heal? dep>tm5t ,! t]m cov]$ heal?
 dep>tm5t means ! public heal? dep>tm5t 
( a ,/ate1 local1 or ,tribal gov]nm5t4  
7ii7 ,,covid-#ai public heal? em]g5cy ,!
 t]m ,,covid-#ai public heal? em]g5cy   
means ! public heal? em]g5cy decl>$ by !
 ,secret>y ( ,heal? & ,human ,s]vices "u
 section #cai ( ?is ,act on ,janu>y #ca1
 #bjbj1 ) respect to ,,covid-#ai4  7iii7

 ,e>ly *ildhood education program ,! t]m
 e>ly *ildhood education program has !  
mean+ giv5 su* t]m 9 section #ajc ( !   
,high] ,education ,act ( #aife 7#bj     
,u4,s4,c4 #ajjc74  7iv7 ,indian tribe ,!
 t]m ,indian tribe has ! mean+ giv5 su* 
t]m 9 section #d ( ! ,indian            
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
7v7 ,in/itution ( high] education ,! t]m
 in/itution ( high] education has !     
mean+ giv5 t t]m 9 section #aja ( !     
,high] ,education ,act ( #aife 7#bj     
,u4,s4,c4 #ajja74  7vi7 ,recomm5d$      
immunizations ,! t]m recomm5d$          
immunizations means immunizations       
recomm5ded by ! ,advisory ,committee on 
,immunization ,practices ( ! ,c5t]s =   
,disease ,control & ,prev5tion4  7vii7  
,tribal organization ,! t]m tribal      
organization has ! mean+ giv5 su* t]m 9 
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
7,b7 ,o!r t]ms ,9 ?is subsection1 ! t]ms

 elem5t>y s*ool1 second>y s*ool1 & local
 educational ag5cy h ! mean+s giv5 su*  
t]ms 9 section #haja ( ! ,elem5t>y &    
,second>y ,education ,act ( #aife 7#bj  
,u4,s4,c4 #ghja74  7#g7 ,au?orization ( 
appropriations  7,a7 ,9 g5]al ,to c>ry  
out ?is subsection1 !re is au?oriz$ to  
be appropriat$1 #efj1jjj1jjj to rema9   
available until exp5d$4  7,b7           
,apportionm5t ,9 aw>d+ grant funds "u   
?is subsection1 ! ,secret>y %all        
apportion ! am\nts appropriat$ to c>ry  
out ?is subsection z foll[s3 7i7 ,n less
 ?an #ej p]c5t ( su* funds to ,/ate &   
,tribal public heal? dep>tm5ts4  7ii7 ,n
 less ?an #ej p]c5t ( su* funds to local
 heal? dep>tm5ts4  7iii7 ,bas$ on !     
population ( ! ,/ate1 local1 or ,tribal 
gov]nm5t involv$4  7,c7 ,tribal funds ,(
 total am\nt appropriat$ "u subp>agraph 
7,a71 n less ?an #c p]c5t & n m ?an #e  
p]c5t ( su* am\nt %all be res]v$ =      
non-competitive & =mula-bas$ aw>ds to   
,indian ,tribes & ,tribal organizations4
  4  #c4 ,,covid-#ai vacc9e guidance    

7a7 ,9 g5]al ,n lat] ?an #c mon?s aft] !
 date ( enactm5t ( ?is section1 !       
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion 79 ?is section ref]r$ to z
 ! ,director71 9 consultation ) !       
,advisory ,committee on ,immunization   
,practices & ,c5t]s = ,m$ic>e  ,m$icaid 
,s]vices1 %all develop & di/ribute to   
heal? c>e provid]s & ,/ate education    
ag5cies guidance to provide heal?       
c\nsel+ s]vices ) respect to a vacc9e   
lic5s$ "u section #cea ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb7
 or au?oriz$ = em]g5cy use "u section   
#efd ( ! ,f$]al ,food1 ,drug1 &         
,cosmetic ,act 7#ba ,u4,s4,c4           
#cjj;bbb-#c7 = ! prev5tion1 mitigation1 
or treatm5t ( ,,covid-#ai4  7b7 ,cont5t 
,! guidance develop$ pursuant to        
subsection 7a7 %all-- 7#a7 be align$ )  
evid5ce-bas$ practices2 &  7#b7 include 
in=mation t is culturally appropriate4  
7c7 ,update ,! ,director %all           
p]iodically update & di/ribute1 z       
appropriate1 ! guidance develop$        

pursuant to subsection 7a74  7d7        
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section1 #b1ejj1jjj to rema9        
available until exp5d$4