,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #bcdg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,april #a1 #bjba ,ms4 
,s*ri] 7= h]self1 ,mr4 ,joyce (         
,p5nsylvania1 ,mr4 ,butt]field1 & ,mr4  
,mc,kinley7 introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to     
ensure adequate access to vacc9es "u !  
,m$icaid program & ! ,vacc9es = ,*ildr5 
program1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z ! ,/r5g!n+
 ! ,vacc9es = ,*ildr5 ,program ,act (   
#bjba4  #b4 ,ensur+ adequate access to  
vacc9es "u ! ,m$icaid program & !       
,vacc9es = ,*ildr5 program  7a7         
,enc\rag+ involvem5t ( provid]s         
,p>agraph 7#c7 ( section #aibh7;c7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acifs7c77 is am5d$--  7#a7 by          
r$esignat+ subp>agraphs 7,a7 & 7,b7 z   
clauses 7i7 & 7ii71 respectively1 & mov+
 ! m>g9s ( ea* su* clause1 z s          
r$esignat$1 #b ems to ! "r2  7#b7 by    

/rik+ provid]s & all t foll[s ?r\gh ,ea*
 program & ins]t+  provid]s4-- 7,a7 ,9  
g5]al ,ea* program  2 &  7#c7 by add+ at
 ! end ! foll[+3  7,b7 ,inc5tive paym5ts
  7i7 ,9 g5]al ,! ,secret>y %all pay to 
ea* provid] t reque/s paym5t "u ?is     
subp>agraph & t is a program-regi/]$    
provid] "u ?is section = ! duration ( ! 
p]iod beg9n+ on ! date ( ! enactm5t (   
?is subp>agraph1 & end+ on ,decemb] #ca1
 #bjbb--  7,i7 an am\nt equal to #e1jjj1
 to be paid z soon z practicable aft] ! 
date ( ! enactm5t ( ?is subp>agraph2    
7,,ii7 an am\nt equal to #b1ejj1 to be  
paid z soon z practicable aft] ,janu>y  
#a1 #bjbb2 &  7,,iii7 an am\nt equal to 
#b1ejj1 to be paid z soon z practicable 
aft] ,janu>y #a1 #bjbc4  7ii7 ,use (    
funds ,paym5ts made "u clause 7i7 may   
only be us$ by a provid] = purposes (   
c>ry+ out ! program "u ?is section      
7includ+ any op]ational exp5ses         
associat$ ) ! furni%+ ( vacc9es "u su*  
program1 z specifi$ by ! ,secret>y74    
7iii7 ,rec\pm5t ( paym5ts ,! ,secret>y  

may conduct reviews ( provid]s receiv+  
paym5ts "u ?is subp>agraph to ensure t  
su* paym5ts are us$ 9 accordance )      
clause 7ii7 & rec\p f su* provid]s any  
su* paym5ts n s us$ 9 accordance ) su*  
clause4  4  7b7 ,expansion ( def9ition (
 f$]ally vacc9e-,eligible *ild ,p>agraph
 7#b7 ( section #aibh7;b7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #acifs7b77
 is am5d$--  7#a7 9 subp>agraph 7,a7--  
7,a7 9 clause 7iii71 by /rik+ ,a *ild :o
 & all t foll[s ?r\gh ! p]iod at ! end &
 ins]t+ ,a *ild :o is adm9i/]$ a        
qualifi$ p$iatric vacc9e & is n insur$ )
 respect to su* vacc9e42 &  7,b7 by add+
 at ! end ! foll[+ new clause3  7v7 ,a  
*ild :o is enroll$ = *ild heal?         
assi/ance "u a ,/ate *ild heal? plan    
approv$ "u title ,,xxi4  2 &  7#b7 9    
subp>agraph 7,b77ii77,,ii71 by /rik+ =  
purposes ( subp>agraph 7,a77iii77,,ii7 &
 ins]t+ = purposes ( subp>agraph        
7,a77iii74  7c7 ,m9imum paym5t          
requirem5t = vacc9e adm9i/ration s]vices
  7#a7 ,9 g5]al ,section #aijb7;a77#ac7 

( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif;a7a77#ac77 is am5d$--   
7,a7 9 subp>agraph 7,b71 by /rik+ & at !
 end2  7,b7 9 subp>agraph 7,c71 by /rik+
 ! semicolon & ins]t+ 2 &2 &  7,c7 by   
add+ at ! end ! foll[+ new subp>agraph3 
7,d7 = paym5t = vacc9e adm9i/ration     
s]vices 7includ+ vacc9e c\nsel+ &       
educational s]vices7 furni%$ by a       
provid] dur+ ! p]iod beg9n+ on ! date ( 
! enactm5t ( ?is subp>agraph1 & end+ on 
,decemb] #ca1 #bjbb 7includ+1 not)/&+   
subsection 7c77#b77;,c77ii7 ( section   
#aibh1 any su* s]vices furni%$ ) respect
 to a vacc9e furni%$ "u ! program       
e/abli%$ by ! ,/ate pursuant to su*     
section to a m$icaid-eligible *ild 7z   
def9$ 9 subsection 7b77#b77;,b77i7 ( su*
 section771 at a rate n less ?an #ajj   
p]c5t ( ! paym5t rate t applies to su*  
s]vices & provid] "u "p ,b ( title      
,,xviii2  4  7#b7 ,manag$ c>e plans     
,section #aicb7;f7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acifu-#b7;f77 is  
am5d$-- 7,a7 9 ! head]1 by /rik+ paym5t 

= prim>y c>e s]vices & ins]t+ paym5ts2  
7,b7 by /rik+ section                   
#aijb7;a77#ac77;,c7 & ins]t+ subp>agraph
 7,c7 ( section #aijb7;a77#ac7 & vacc9e 
adm9i/ration s]vices describ$ 9         
subp>agraph 7,d7 ( su* section2  7,c7 by
 /rik+ su* section & ins]t+ su*         
subp>agraph 7,c7 or 7,d71 respectively2 
&  7,d7 by add+ at ! end ! foll[+ new   
s5t5ce3 ,! provisions ( ! prec$+ s5t5ce 
%all apply to contracts ent]$ into )1 & 
paym5ts made by1 o!r specifi$ entities  
7z def9$ 9 section                      
#aijc7m77#i77;,d77iii77 9 ! same mann] z
 su* provisions apply ) respect to      
contracts ent]$ into )1 & paym5ts made  
by1 m$icaid manag$ c>e organizations44  
7#c7 ,,*ip ,section #bajc7;c7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acig;cc7c77 is am5d$ by add+ at ! end !
 foll[+ new p>agraph3  7#aa7 ,vacc9e    
adm9i/ration s]vices ,! *ild heal?      
assi/ance provid$ to a t>get$ l[-income 
*ild %all include paym5t = vacc9e       
adm9i/ration s]vices 7includ+ vacc9e    

c\nsel+ & educational s]vices7 furni%$  
by a provid] dur+ ! p]iod beg9n+ on !   
date ( ! enactm5t ( ?is p>agraph1 & end+
 on ,decemb] #ca1 #bjbb 7includ+1       
not)/&+ subsection 7c77#b77;,c77ii7 (   
section #aibh1 any su* s]vices furni%$  
to su* *ild ) respect to a vacc9e       
furni%$ "u ! program e/abli%$ by ! ,/ate
 pursuant to su* section71 at a rate n  
less ?an #ajj p]c5t ( ! paym5t rate t   
applies to su* s]vices & provid] "u "p  
,b ( title ,,xviii4  4  7d7 ,cov]age (  
vacc9e c\nsel+ & educational s]vices "u 
,m$icaid  7#a7 ,9 g5]al ,section        
#aije7;a7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;d7 is am5d$--  7,a7
 9 p>agraph 7#bi71 by /rik+ & at ! end2 
7,b7 by r$esignat+ p>agraph 7#cj7 z     
p>agraph 7#ca72 &  7,c7 by ins]t+ aft]  
p>agraph 7#bi7 ! foll[+ new p>agraph3   
7#cj7 vacc9e c\nsel+ & educational      
s]vices furni%$ to *ildr5 "u ! age ( #ai
 on or aft] ! date ( ! enactm5t ( ?is   
p>agraph1 includ+ any su* s]vices       
furni%$ z "p ( a multiple compon5t      

vacc9e 7id5tifi$ z ( ,octob] #a1 #bjbj1 
by ,,cpt code #ijdfa7 & includ+ any su* 
s]vices furni%$ "u ! program e/abli%$ by
 ! ,/ate pursuant to section #aibh to a 
m$icaid-eligible *ild 7z def9$ 9        
subsection 7b7 ( su* section71  4  7#b7 
,m&atory b5efit ,section                
#aijb7;a77#aj77;,a7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#aj77;,a77 is am5d$ by /rik+ 
& 7#bi7 & ins]t+ 7#bi71 & 7#cj74  7e7   
,cl>ification ( cov]age ( p$iatric      
vacc9es & vacc9e c\nsel+ & educational  
s]vices "u ! ,vacc9es = ,*ildr5 program 
,section #aibh7;c77#b77;,c77ii7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acifs7c77#b77;,c77ii77 is am5d$ to read
 z foll[s3  7ii7 ,! provid] may impose--
 7,i7 9 ! case ( a qualifi$ p$iatric    
vacc9e n describ$ 9 subclause 7,,ii71 a 
fee = ! adm9i/ration ( & c\nsel+ = su*  
vacc9e s long z ! fee 9 ! case ( a      
f$]ally vacc9e-eligible *ild does n     
exce$ ! co/s ( su* adm9i/ration &       
c\nsel+ 7z det]m9$ by ! ,secret>y bas$  

on actual regional co/s = su*           
adm9i/ration & c\nsel+72 &  7,,ii7 9 !  
case ( a qualifi$ p$iatric vacc9e t is a
 multiple compon5t vacc9e1 a sep>ate    
*>ge = ! adm9i/ration ( & c\nsel+ = ea* 
compon5t ( su* vacc9e s long z ! *>ge 9 
! case ( a f$]ally vacc9e-eligible *ild 
does n exce$-- 7aa7 ) respect to ! fir/ 
compon5t ( su* vacc9e1 ! co/s ( su*     
adm9i/ration & c\nsel+ = su* compon5t 7z
 det]m9$ by ! ,secret>y bas$ on actual  
regional co/s = su* adm9i/ration &      
c\nsel+ = su* fir/ compon5t72 &  7bb7 ) 
respect to a subsequ5t compon5t ( su*   
vacc9e1 ! paym5t rate t applies to su*  
adm9i/ration & c\nsel+ = su* compon5t & 
provid] "u "p ,b ( title ,,xviii4  4    
7f7 ,increase 9 ,f$]al m$ical assi/ance 
p]c5tage  7#a7 ,9 g5]al ,subject to     
p>agraph 7#b71 = ea* cal5d> qu>t]       
occurr+ dur+ ! p]iod beg9n+ on ,janu>y  
#a1 #bjba1 & end+ on ,decemb] #ca1      
#bjbb1 ! ,f$]al m$ical assi/ance        
p]c5tage det]m9$ = ea* ,/ate1 includ+ ! 
,di/rict ( ,columbia1 ,am]ican ,samoa1  

,guam1 ! ,commonweal? ( ! ,nor!rn       
,m>iana ,isl&s1 ,pu]to ,rico1 & ! ,unit$
 ,/ates ,virg9 ,isl&s1 "u section       
#aije7;b7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;d7b771 aft]        
application ( section #fjjh ( !         
,families ,fir/ ,coronavirus ,response  
,act 7,public ,law #aaf-abg7 7if        
applicable71 %all be increas$ by #a     
p]c5tage po9t4  7#b7 ,requirem5ts  7,a7 
,9 g5]al ,a ,/ate describ$ 9 p>agraph   
7#a7 may n receive ! increase describ$ 9
 su* p>agraph 9 ! ,f$]al m$ical         
assi/ance p]c5tage = su* ,/ate1 )       
respect to a qu>t]1 if su* ,/ate does n 
ensure culturally compet5t & effective  
messages = vacc9ation outrea* to *ild   
populations1 :i* may include !          
dissem9ation ( in=mation highlight+--   
7i7 advancem5ts 9 rese>* & vacc9e       
developm5t t h sav$ millions (          
individuals f dea? & disability f       
n[-prev5table diseases2  7ii7 in=mation 
on h[ individuals across ! lifespan     
b5efit f immunizations1 includ+ ^? :o _c

 be vacc9at$ & rely on community        
immunity2  7iii7 in=mation on ! dang]s (
 n be+ vacc9at$1 includ+ ! pot5tial =   
infecti\s disease outbreaks )9          
communities2 &  7iv7 in=mation on vacc9e
 safety & ! sy/ems 9 place to monitor   
vacc9e safety4  7,b7 ,requirem5t = c]ta9
 ,/ates ,section #aije7;cc7 ( ! ,social 
,security ,act 7#db ,u4,s4,c4           
#acif;d7cc77 is am5d$--  7i7 by ins]t+ &
 section #b7;e7 ( ! ,/r5g!n+ ! ,vacc9es 
= ,*ildr5 ,program ,act ( #bjba be=e 1  
except t 9 apply+2 &  7ii7 by ins]t+ 1 &
 9 apply+ su* treatm5ts to ! increases 9
 ! ,f$]al m$ical assi/ance p]c5tage "u  
section #b7;e7 ( ! ,/r5g!n+ ! ,vacc9es =
 ,*ildr5 ,program ,act ( #bjba1 !       
ref]5ce to ,decemb] #ca1 #bjji %all be  
deem$ to be a ref]5ce to ,decemb] #ca1  
#bjbj be=e ! p]iod at ! end4  7g7       
,tribal epidemiology c5t] data access ,)
 respect to data access = tribal        
epidemiology c5t]s e/abli%$ "u section  
#bad ( ! ,indian ,heal? ,c>e ,improvem5t
 ,act 7#be ,u4,s4,c4 #afbam71 !         

,director ( ! ,c5t]s = ,disease control 
& ,prev5tion may create a data %>+      
/rategy t ensures su* c5t]s h access to 
data1 data sets1 monitor+ sy/ems1       
deliv]y sy/ems1 & o!r protect$ heal?    
in=mation ) respect to heal? c>e &      
public heal? surveillance sy/ems ( *ild 
& adolesc5t heal? necess>y to accompli% 
su* c5t]s' public heal? au?ority        
responsibilities describ$ 9 su* section 
or section #afd4eja ( title #de1 ,code (
 ,f$]al ,regulations4  7h7 ,reports     
7#a7 ,9 g5]al ,= ea* ( fiscal ye>s #bjba
 & #bjbb1 ! ,director ( ! ,c5t]s =      
,disease ,control & ,prev5tion1 9       
coord9ation ) ea* ,/ate t has e/abli%$ a
 p$iatric vacc9e di/ribution program "u 
section #aibh ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acifs71 %all publi% on 
! public int]net website ( ! ,c5t]s =   
,disease ,control & ,prev5tion1 9 su*   
mann] z det]m9$ appropriate by !        
,director1 in=mation on vacc9ation rates
 "u ea* su* program dur+ su* ye>1       
includ+ su* rates disaggregat$ by       

region1 age1 sex1 race1 e?nicity1 & o!r 
demographic factors det]m9$ appropriate 
by ! ,director4  7#b7 ,effects on       
vacc9ation rates & program p>ticipation 
,n lat] ?an #b ye>s aft] ! date ( !     
enactm5t ( ?is ,act1 ! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates %all submit to 
,congress a report conta9+ an analysis (
 ! effects ( ! provisions (1 & !        
am5dm5ts made by1 ?is ,act on-- 7,a7    
vacc9ation rates "u ! p$iatric vacc9e   
di/ribution program "u section #aibh ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#acifs72 &  7,b7 provid] p>ticipation 9 
su* program4