,,ii  #aafth ,,congress  #b;d ,session  
,s4 #dhfd  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,october #bf   
7legislative day1 ,october #ai71        
#bjbj,mr4 ,brown introduced the         
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to amend title ,,xix of the 
,social ,security ,act to improve access
 to adult vaccines under ,medicaid4  #a4
 ,short title ,this ,act may be cited as
 the ,helping ,adults ,protect ,immunity
 ,act or the ,,hapi ,act4  #b4          
,improving access to adult vaccines     
under ,medicaid  7a7 ,requiring medicaid
 plans ,to cover adult vaccinations     
,section #aijb7;a77#aj77;,a7 of the     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#aj77;,a77 is amended in the 
matter preceding clause 7i7 by inserting
 7#ac77;,b71 after 7#e714  7b7 ,no      
cost-sharing for vaccinations  7#a7     
,general cost-sharing limitations       
,section #aiaf of the ,social ,security 
,act 7#db ,u4,s4,c4 #acifo7 is amended--

 7,a7 in subsection 7a77#b7-- 7i7 in    
subparagraph 7,f71 by striking 1 or and 
inserting a comma2  7ii7 in subparagraph
 7,g71 by striking 2 and and inserting 1
 or2 and  7iii7 by adding at the end the
 following new subparagraph3  7,h7      
vaccines described in section           
#aije7;a77#ac77;,b7 7and the            
administration of such vaccines72 and  2
 and  7,b7 in subsection 7b77#b7-- 7i7  
in subparagraph 7,f71 by striking 1 or  
and inserting a comma2  7ii7 in         
subparagraph 7,g71 by striking 2 and and
 inserting 1 or2 and  7iii7 by adding at
 the end the following new subparagraph3
  7,h7 vaccines described in section    
#aije7;a77#ac77;,b7 7and the            
administration of such vaccines72 and  4
  7#b7 ,application to alternative      
cost-sharing ,section                   
#aiaf;,a7b77#c77;,b7 of the ,social     
,security ,act 7#db ,u4,s4,c4           
#acifo-#a7;b77#c77;,b77 is amended by   
adding at the end the following new     
clause3  7xii7 ,vaccines described in   

section #aije7;a77#ac77;,b7 7and the    
administration of such vaccines74  4    
7c7 ,enhanced ,,fmap for adult vaccines 
,section #aije7;b7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acif;d7b77 is amended-- 7#a7 by        
striking and 7#e7 and inserting 7#e72   
7#b7 by striking services and vaccines  
described in subparagraphs 7,a7 and 7,b7
 of subsection 7a77#ac71 and prohibits  
cost-sharing for such services and      
vaccines and inserting services         
described in subsection 7a77#ac77;,a71  
and prohibits cost-sharing for such     
services2  7#c7 by striking medical     
assistance for such services and        
vaccines and inserting medical          
assistance for such services2 and  7#d7 
by inserting 1 and 7#f7 with respect to 
medical assistance for vaccines         
described in subsection 7a77#ac77;,b71  
the ,federal medical assistance         
percentage1 as determined under this    
subsection and subsection 7y7 7without  
regard to paragraph 7#a77;,c7 of such   

subsection71 shall be increased by #a   
percentage point before the first       
period4