#aag? ,,congress  #a/ ,session  ,h4 ,r4 
#eej  ,,an ,,act  ,to am5d ! ,public    
,heal? ,s]vice ,act ) respect to        
immunization sy/em data mod]nization &  
expansion1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z !         
,immunization ,infra/ructure            
,mod]nization ,act ( #bjba4  #b4        
,immunization in=mation sy/em data      
mod]nization & expansion ,subtitle ,c ( 
title ,,xxviii ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4 #cjj;hh-#ca 
et seq47 is am5d$ by add+ at ! end !    
foll[+3  #bhbd4 ,immunization in=mation 
sy/em data mod]nization & expansion  7a7
 ,exp&+ ,,cdc & public heal? dep>tm5t   
capabilities  7#a7 ,9 g5]al ,! ,secret>y
 %all-- 7,a7 conduct activities 7includ+
 ) respect to int]op]ability1 population
 report+1 & bidirectional report+7 to   
exp&1 enhance1 & improve immunization   
in=mation sy/ems t are adm9i/]$ by heal?
 dep>tm5ts or o!r ag5cies ( ,/ate1      
local1 ,tribal1 & t]ritorial gov]nm5ts &
 us$ by heal? c>e provid]s2 &  7,b7 aw>d

 grants or coop]ative agreem5ts to !    
heal? dep>tm5ts1 or su* o!r gov]nm5tal  
entities z adm9i/] immunization         
in=mation sy/ems1 ( ,/ate1 local1       
,tribal1 & t]ritorial gov]nm5ts1 = !    
expansion1 enhancem5t1 & improvem5t (   
immunization in=mation sy/ems to assi/  
public heal? dep>tm5ts 9-- 7i7 assess+  
curr5t data infra/ructure capabilities &
 gaps among heal? c>e provid]s to       
improve & increase consi/5cy 9 pati5t   
mat*+1 data collection1 report+1        
bidirectional ex*ange1 & analysis (     
immunization-relat$ in=mation2  7ii7    
provid+ = te*nical assi/ance & !        
effici5t enrollm5t & tra9+ ( heal? c>e  
provid]s1 includ+ at ph>macies & o!r    
sett+s :]e immunizations are be+        
provid$1 su* z long-t]m c>e facilities1 
specialty heal? c>e provid]s1 community 
heal? c5t]s1 ,f$]ally qualifi$ heal?    
c5t]s1 rural heal? c5t]s1 organizations 
s]v+ adults #fe & old]1 & organizations 
s]v+ homeless & inc>c]at$ populations2  
7iii7 improv+ secure data collection1   

transmission1 bidirectional ex*ange1    
ma9t5ance1 & analysis ( immunization    
in=mation2  7iv7 improv+ ! secure       
bidirectional ex*ange ( immunization    
record data among ,f$]al1 ,/ate1 local1 
,tribal1 & t]ritorial gov]nm5tal        
entities & non-gov]nm5tal entities1     
includ+ by-- 7,i7 improv+ su* ex*ange   
among public heal? (ficials 9 multiple  
jurisdictions )9 a ,/ate1 z appropriate2
 &  7,,ii7 by simplify+ & support+      
electronic report+ by any heal? c>e     
provid]2  7v7 support+ ! /&>dization (  
immunization in=mation sy/ems to        
accel]ate int]op]ability ) heal?        
in=mation te*nology1 includ+ ) heal?    
in=mation te*nology c]tifi$ "u section  
#cjja7;c77#e7 or ) heal? in=mation      
networks2  7vi7 support+ adoption ( !   
immunization in=mation sy/em functional 
/&>ds ( ! ,c5t]s = ,disease ,control &  
,prev5tion & ! ma9t5ance ( security     
/&>ds to protect individually           
id5tifiable heal? in=mation2  7vii7     
support+ & tra9+ immunization in=mation 

sy/em1 data sci5ce1 & in=matics         
p]sonnel2  7viii7 support+ real-"t      
immunization record data ex*ange &      
report+1 to support rapid id5tification 
( immunization cov]age gaps2  7ix7      
improv+ complet5ess ( data by facilitat+
 ! capability ( immunization in=mation  
sy/ems to ex*ange data1 directly or     
indirectly1 ) immunization in=mation    
sy/ems 9 o!r jurisdictions2  7x7 enhanc+
 ! capabilities ( immunization in=mation
 sy/ems to evaluate1 =eca/1 &           
op]ationalize cl9ical decision support  
tools 9 alignm5t ) ! recomm5dations ( ! 
,advisory ,committee on ,immunization   
,practices z approv$ by ! ,director ( ! 
,c5t]s = ,disease ,control & ,prev5tion2
  7xi7 support+ ! developm5t &          
implem5tation ( policies t facilitate   
complete population-level capture1      
consolidation1 & access to accurate     
immunization in=mation2  7xii7 support+ 
! procurem5t & implem5tation ( updat$   
s(tw>e1 h>dw>e1 & cl\d /orage to        
adequately manage in=mation volume &    

capabilities2  7xiii7 support+ expansion
 ( capabilities )9 immunization         
in=mation sy/ems = outbreak response2   
7xiv7 support+ activities )9 !          
applicable jurisdiction relat$ to !     
managem5t1 di/ribution1 & /orage (      
vacc9e doses & ancill>y supplies2  7xv7 
develop+ in=mation relat$ to ! use &    
importance ( immunization record data & 
dissem9at+ su* in=mation to heal? c>e   
provid]s & o!r p]sons au?oriz$ "u ,/ate 
law to access su* in=mation1 includ+    
payors & heal? c>e facilities2 or  7xvi7
 support+ activities to improve ! s*$ul+
 & adm9i/ration ( vacc9ations4  7#b7    
,data /&>ds ,9 c>ry+ out p>agraph 7#a71 
! ,secret>y %all--  7,a7 designate data 
& te*nology /&>ds t mu/ be foll[$ by    
gov]nm5tal entities ) respect to use (  
immunization in=mation sy/ems z a       
condition ( receiv+ an aw>d "u ?is      
section1 ) priority giv5 to /&>ds       
develop$ by-- 7i7 cons5sus-bas$         
organizations ) input f ! public2 &     
7ii7 volunt>y cons5sus-bas$ /&>ds       

bodies2 &  7,b7 support a means (       
indep5d5t v]ification ( ! /&>ds us$ 9   
c>ry+ out p>agraph 7#a74  7#c7          
,public-private p>tn]%ips ,9 c>ry+ out  
p>agraph 7#a71 ! ,secret>y may develop &
 utilize contracts & coop]ative         
agreem5ts = te*nical assi/ance1 tra9+1 &
 relat$ implem5tation support4  7b7     
,requirem5ts  7#a7 ,heal? in=mation     
te*nology /&>ds ,! ,secret>y may n aw>d 
a grant or coop]ative agreem5t "u       
subsection 7a77#a77;,b7 unless !        
applicant uses & agrees to use /&>ds    
adopt$ by ! ,secret>y "u section #cjjd4 
7#b7 ,waiv] ,! ,secret>y may waive !    
requirem5t "u p>agraph 7#a7 ) respect to
 an applicant if ! ,secret>y det]m9es t 
! activities "u subsection 7a77#a77;,b7 
_c o!rwise be c>ri$ out )9 ! applicable 
jurisdiction4  7#c7 ,application ,a     
,/ate1 local1 ,tribal1 or t]ritorial    
heal? dep>tm5t apply+ = a grant or      
coop]ative agreem5t "u subsection       
7a77#a77;,b7 %all submit an application 
to ! ,secret>y at su* "t & 9 su* mann] z

 ! ,secret>y may require4 ,su*          
application %all include in=mation      
describ+--  7,a7 ! activities t w be    
support$ by ! grant or coop]ative       
agreem5t2 &  7,b7 h[ ! mod]nization ( ! 
immunization in=mation sy/ems involv$ w 
support or impact ! public heal?        
infra/ructure ( ! heal? dep>tm5t1       
includ+ a description ( rema9+ gaps1 if 
any1 & ! actions ne$$ to address su*    
gaps4  7c7 ,/rategy & implem5tation plan
 ,n lat] ?an #ij days aft] ! date (     
enactm5t ( ?is section1 ! ,secret>y %all
 submit to ! ,committee on ,en]gy &     
,comm]ce ( ! ,h\se ( ,repres5tatives & !
 ,committee on ,heal?1 ,education1      
,labor1 & ,p5sions ( ! ,s5ate a         
coord9at$ /rategy & an accompany+       
implem5tation plan t id5tifies &        
demon/rates ! measures ! ,secret>y w    
utilize to-- 7#a7 update & improve      
immunization in=mation sy/ems support$  
by ! ,c5t]s = ,disease ,control &       
,prev5tion2 &  7#b7 c>ry out !          
activities describ$ 9 ?is section to    

support ! expansion1 enhancem5t1 &      
improvem5t ( ,/ate1 local1 ,tribal1 &   
t]ritorial immunization in=mation       
sy/ems4  7d7 ,consultation2 te*nical    
assi/ance  7#a7 ,consultation ,9        
develop+ ! /rategy & implem5tation plan 
"u subsection 7c71 ! ,secret>y %all     
consult )--  7,a7 heal? dep>tm5ts1 or   
su* o!r gov]nm5tal entities z adm9i/]   
immunization in=mation sy/ems1 ( ,/ate1 
local1 ,tribal1 & t]ritorial gov]nm5ts2 
7,b7 pr(essional m$ical associations1   
public heal? associations1 &            
associations repres5t+ ph>maci/s &      
ph>macies2  7,c7 community heal? c5t]s1 
long-t]m c>e facilities1 & o!r          
appropriate entities t provide          
immunizations2  7,d7 heal? in=mation    
te*nology exp]ts2 &  7,e7 o!r public or 
private entities1 z appropriate4  7#b7  
,te*nical assi/ance ,9 connection )     
consultation "u p>agraph 7#a71 !        
,secret>y may--  7,a7 provide te*nical  
assi/ance1 c]tification1 & tra9+ relat$ 
to ! ex*ange ( in=mation by immunization

 in=mation sy/ems us$ by heal? c>e &    
public heal? entities at ! local1 ,/ate1
 ,f$]al1 ,tribal1 & t]ritorial levels2 &
  7,b7 develop & utilize public-private 
p>tn]%ips = implem5tation support       
applicable to ?is section4  7e7 ,report 
to ,congress ,n lat] ?an #a ye> aft] !  
date ( enactm5t ( ?is section1 !        
,secret>y %all submit a report to !     
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives t includes--    
7#a7 a description ( any b>ri]s to--    
7,a7 public heal? au?orities implem5t+  
int]op]able immunization in=mation      
sy/ems2  7,b7 ! ex*ange ( in=mation     
pursuant to immunization records2 or    
7,c7 report+ by any heal? c>e           
pr(essional au?oriz$ "u ,/ate law1 us+  
su* immunization in=mation sy/ems1 z    
appropriate1 & pursuant to ,/ate law2 or
  7#b7 a description ( b>ri]s t h9d] !  
effective e/abli%m5t ( a network to     
support immunization report+ & monitor+1

 includ+ a li/ ( recomm5dations to      
address su* b>ri]s2 &  7#c7 an assessm5t
 ( immunization cov]age & access to     
immunizations s]vices & any disp>ities &
 gaps 9 su* cov]age & access = m$ically 
und]s]v$1 rural1 & fronti] areas4  7f7  
,def9ition ,9 ?is section1 ! t]m        
immunization in=mation sy/em means a    
confid5tial1 population-bas$1 comput]iz$
 database t records immunization doses  
adm9i/]$ by any heal? c>e provid] to    
p]sons )9 ! geographic area cov]$ by t  
database4  7g7 ,au?orization (          
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$      
#djj1jjj1jjj1 to rema9 available until  
exp5d$4  4  ,pass$ ! ,h\se (            
,repres5tatives ,novemb] #cj1           
#bjba4;,cl]k4