,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #ejjg  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,augu/ #ac1 #bjba,mr4 
,bey] introduc$ ! foll[+ bill2 :i* 0    
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d titles     
,,xviii & ,,xix ( ! ,social ,security   
,act to require provid]s to receive !   
,,covid-#ai vacc9e ^u full approval by !
 ,food  ,drug ,adm9i/ration unless an   
exception applies1 & = o!r purposes4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,protect+ ,vuln]able ,pati5ts ,act4   
#b4 ,requirem5t & exception "u ,m$ic>e &
 ,m$icaid to h receiv$ ! ,,covid-#ai    
vacc9e ^u full approval by ! ,food      
,drug ,adm9i/ration  7a7 ,requirem5t ,to
 be vacc9at$ & exception  7#a7          
,condition ( p>ticipation 9 ,m$ic>e     
,section #ahff7;a77#a7 ( ! ,social      

,security ,act 7#db ,u4,s4,c4           
#acie;cc7a77#a77 is am5d$-- 7,a7 9      
subp>agraph 7,x71 by /rik+ at ! end &2 &
  7,b7 9 subp>agraph 7,y77ii77,v71 by   
/rik+ ! p]iod at ! end & ins]t+ 1 &2 &  
7,c7 by ins]t+ aft] subp>agraph         
7,y77ii77,v7 ! foll[+ new subp>agraph3  
7,z7 7i7 subject to clause 7ii71 beg9n+ 
on ! date on :i* any ,,covid-#ai vacc9e 
is approv$ "u section #eje7;b7 ( !      
,f$]al ,food1 ,drug1 & ,cosmetic ,act1 9
 ! case ( a provid] ( s]vices1 to h     
receiv$ any su* vacc9e by su* date2 &   
7ii7 except 9 ! case ( a provid] (      
s]vices :o elects n to receive su*      
vacc9e due to m$ical necessity or       
religi\s beliefs1 & publicly discloses  
7z det]m9$ by ! ,secret>y7 prior to     
furni%+ s]vices to pati5ts ! ,,covid-#ai
 vacc9ation /atus ( ! provid]4  4  7#b7 
,/ate plan requirem5t 9 ,m$icaid        
,section #aijb7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acie;a7a77 is     
am5d$-- 7,a7 9 p>agraph 7#hf71 by /rik+ 
at ! end &2 &  7,b7 9 p>agraph          

7#hg77;,d71 by /rik+ ! p]iod at ! end & 
ins]t+ 2 &2 &  7,c7 by ins]t+ aft]      
p>agraph 7#hg77;,d7 ! foll[+ new        
p>agraph3  7#hh7 7,a7 subject to        
subp>agraph 7,b71 beg9n+ on ! date on   
:i* any ,,covid-#ai vacc9e is approv$ "u
 section #eje7;b7 ( ! ,f$]al ,food1     
,drug1 & ,cosmetic ,act1 require t any  
physician or provid] p>ticipat+ "u !    
,/ate plan to h receiv$ any su* vacc9e  
by su* date2 &  7,b7 except 9 ! case ( a
 physician or provid] :o elects n to    
receive su* vacc9e due to m$ical        
necessity or religi\s beliefs1 &        
publicly discloses 7z det]m9$ by !      
,secret>y7 prior to furni%+ s]vices to  
pati5ts ! ,,covid-#ai vacc9ation /atus (
 ! physician or provid]4  4  7b7        
,prohibition ( paym5t ,if n vacc9at$ &  
exception  7#a7 ,m$ic>e  7,a7 ,"p ,a    
,section #ahae ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acie;g7 is am5d$ by
 add+ at ! end ! foll[+ new subsection3 
7g7 7#a7 ,subject to p>agraph 7#b71 no  
paym5t %all be made to a provid] (      

s]vices "u ?is title = any s]vice       
furni%$ to an individual by su* a       
provid] :o1 beg9n+ on ! date on :i* any 
,,covid-#ai vacc9e is approv$ "u section
 #eje7;b7 ( ! ,f$]al ,food1 ,drug1 &    
,cosmetic ,act1 n receiv$ su* vacc9e by 
su* date4  7#b7 ,p>agraph 7#a7 may n    
apply if a provid] ( s]vices elects n to
 receive su* vacc9e due to m$ical       
necessity or religi\s beliefs1 &        
publicly discloses 7z det]m9$ by !      
,secret>y7 prior to furni%+ s]vices to  
pati5ts ! ,,covid-#ai vacc9ation /atus (
 ! provid]4  4  7,b7 ,"p ,b ,section    
#ahdh ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #aciew-#bj7 is am5d$ by add+  
at ! end ! foll[+ new subsection3  7u7  
,prohibition ( paym5t relat+ to         
,,covid-#ai vacc9e & exception  7#a7 ,9 
g5]al ,subject to p>agraph 7#b71 no     
paym5t %all be made to a physician "u   
?is subsection = any s]vice furni%$ to  
an individual by su* a provid] :o1      
beg9n+ on ! date on :i* any ,,covid-#ai 
vacc9e is approv$ "u section #eje7;b7 ( 

! ,f$]al ,food1 ,drug1 & ,cosmetic ,act1
 n receiv$ su* vacc9e by su* date4  7#b7
 ,exception ,p>agraph 7#a7 may n apply  
if a physician elects n to receive su*  
vacc9e due to m$ical necessity or       
religi\s beliefs1 & publicly discloses  
7z det]m9$ by ! ,secret>y7 prior to     
furni%+ s]vices to pati5ts ! ,,covid-#ai
 vacc9ation /atus ( ! physician4  4     
7#b7 ,m$icaid ,section #aijc7;i7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acif;b7i77 is am5d$-- 7,a7 9 p>agraph  
7#ff71 by /rik+ at ! end or2 &  7,b7 9  
p>agraph 7#hg77;,d71 by /rik+ ! p]iod at
 ! end & ins]t+ 2 or2 &  7,c7 by ins]t+ 
aft] p>agraph 7#bf7 ! foll[+ new        
p>agraph3  7#bg7 ) respect to any am\nts
 exp5d$ = m$ical assi/ance = an         
individual :i* is provid$ by a physician
 or provid] :o has n receiv$ any        
,,covid-#ai vacc9e beg9n+ on ! date on  
:i* su* vacc9e is approv$ "u section    
#eje7;b7 ( ! ,f$]al ,food1 ,drug1 &     
,cosmetic ,act4  4