,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dhfd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #bf            
7legislative day1 ,octob] #ai71         
#bjbj,mr4 ,br[n introduc$ ! foll[+ bill2
 :i* 0 read twice & ref]r$ to !         
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xix ( ! ,social ,security  
,act to improve access to adult vacc9es 
"u ,m$icaid4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,help+ ,adults ,protect 
,immunity ,act or ! ,,hapi ,act4  #b4   
,improv+ access to adult vacc9es "u     
,m$icaid  7a7 ,requir+ m$icaid plans ,to
 cov] adult vacc9ations ,section        
#aijb7;a77#aj77;,a7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#aj77;,a77 is am5d$ 9 ! matt]
 prec$+ clause 7i7 by ins]t+ 7#ac77;,b71
 aft] 7#e714  7b7 ,no co/-%>+ =         
vacc9ations  7#a7 ,g5]al co/-%>+        
limitations ,section #aiaf ( ! ,social  
,security ,act 7#db ,u4,s4,c4 #acifo7 is
 am5d$-- 7,a7 9 subsection 7a77#b7-- 7i7
 9 subp>agraph 7,f71 by /rik+ 1 or &    

ins]t+ a comma2  7ii7 9 subp>agraph     
7,g71 by /rik+ 2 & & ins]t+ 1 or2 &     
7iii7 by add+ at ! end ! foll[+ new     
subp>agraph3  7,h7 vacc9es describ$ 9   
section #aije7;a77#ac77;,b7 7& !        
adm9i/ration ( su* vacc9es72 &  2 &     
7,b7 9 subsection 7b77#b7-- 7i7 9       
subp>agraph 7,f71 by /rik+ 1 or & ins]t+
 a comma2  7ii7 9 subp>agraph 7,g71 by  
/rik+ 2 & & ins]t+ 1 or2 &  7iii7 by    
add+ at ! end ! foll[+ new subp>agraph3 
7,h7 vacc9es describ$ 9 section         
#aije7;a77#ac77;,b7 7& ! adm9i/ration ( 
su* vacc9es72 &  4  7#b7 ,application to
 alt]native co/-%>+ ,section            
#aiaf;,a7b77#c77;,b7 ( ! ,social        
,security ,act 7#db ,u4,s4,c4           
#acifo-#a7;b77#c77;,b77 is am5d$ by add+
 at ! end ! foll[+ new clause3  7xii7   
,vacc9es describ$ 9 section             
#aije7;a77#ac77;,b7 7& ! adm9i/ration ( 
su* vacc9es74  4  7c7 ,enhanc$ ,,fmap = 
adult vacc9es ,section #aije7;b7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7b77 is am5d$-- 7#a7 by /rik+ &  

7#e7 & ins]t+ 7#e72  7#b7 by /rik+      
s]vices & vacc9es describ$ 9            
subp>agraphs 7,a7 & 7,b7 ( subsection   
7a77#ac71 & prohibits co/-%>+ = su*     
s]vices & vacc9es & ins]t+ s]vices      
describ$ 9 subsection 7a77#ac77;,a71 &  
prohibits co/-%>+ = su* s]vices2  7#c7  
by /rik+ m$ical assi/ance = su* s]vices 
& vacc9es & ins]t+ m$ical assi/ance =   
su* s]vices2 &  7#d7 by ins]t+ 1 & 7#f7 
) respect to m$ical assi/ance = vacc9es 
describ$ 9 subsection 7a77#ac77;,b71 !  
,f$]al m$ical assi/ance p]c5tage1 z     
det]m9$ "u ?is subsection & subsection  
7y7 7)\t reg>d to p>agraph 7#a77;,c7 (  
su* subsection71 %all be increas$ by #a 
p]c5tage po9t be=e ! fir/ p]iod4