,,ii #aagth ,,congress #ast ,session ,s4 #aaad ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,april #ad1 #bjba,ms4 ,hassan 7for herself and ,mr4 ,cassidy7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to increase vaccination rates among pregnant women enrolled in ,medicaid or ,,chip1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,maternal ,immunization ,enhancement ,act4 #b4 ,definitions ,in this ,act3 7#a7 ,adult ,health ,quality ,measures ,the term ,adult ,health ,quality ,measures means the core set of adult health quality measures developed and published under section #aaci;,b of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#i;b74 7#b7 ,child ,health ,quality ,measures ,the term ,child ,health ,quality ,measures means the core set of child health quality measures developed and published under section #aaci;,a of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#i;a74 7#c7 ,,chip ,the term ,,chip means the ,children's ,health ,insurance ,program established under title ,,xxi of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;aa et seq47 and includes any waivers of such program4 7#d7 ,medicaid ,the term ,medicaid means the medical assistance program established under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 and includes any waivers of such program4 7#e7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7#f7 ,state ,the term ,state has the meaning given that term for purposes of title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq474 #c4 ,,cms guidance on increasing vaccination rates among pregnant women enrolled in ,medicaid or ,,chip 7a7 ,in general ,not later than #a year after the date of enactment of this ,act1 the ,administrator of the ,centers for ,medicare ,medicaid ,services1 in consultation with the ,director of the ,centers for ,disease ,control and ,prevention1 shall issue guidance to ,states on increasing the vaccination rates for ,advisory ,committee on ,immunization ,practices recommended vaccines among pregnant and postpartum women enrolled in ,medicaid or ,,chip4 ,the guidance issued under this subsection shall be updated as necessary not later than #e years after the date of enactment of this ,act in consultation with the ,director of the ,centers for ,disease ,control and ,prevention and the results of the report to ,congress required under section #e by the ,comptroller ,general of the ,united ,states4 7b7 ,requirements ,the guidance issued under subsection 7a7 7and any update of such guidance7 shall at a minimum include options and best practices for-- 7#a7 increasing the vaccination rates for ,advisory ,committee on ,immunization ,practices recommended vaccines among pregnant women1 particularly with respect to the influenza1 diphtheria1 tetanus1 and whooping cough 7pertussis7 vaccines2 7#b7 ways in which ,states may obtain ,federal matching payments under ,medicaid and ,,chip for obtaining and administering such recommended vaccines to pregnant and postpartum women1 and recommendations for improving provider participation under ,medicaid and ,,chip with respect to obtaining and administering such recommended vaccines to pregnant and postpartum women2 and 7#c7 ways in which ,state ,medicaid programs may amplify ,federal1 ,state1 and local health department recommendations on providing counseling and patient outreach and education regarding such vaccines4 #d4 ,inclusion of prenatal immunization status for pregnant women quality measure in the core sets of health care quality measures for children enrolled in ,medicaid or ,,chip and adults enrolled in ,medicaid 7a7 ,in general ,not later than #b years after the date of enactment of this ,act1 and after consulting with the stakeholders described in section #aaci;,a7b77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;b-#i;a7b77#c771 the ,secretary shall consider adding a prenatal immunization status for pregnant women quality measure in either the-- 7#a7 ,child's ,health ,quality ,measures2 or 7#b7 ,adult ,health ,quality ,measures4 7b7 ,requirement ,if the ,secretary includes a prenatal immunization status for pregnant women quality measure in either such core set of health quality measures1 the quality measure shall measure the percentage of deliveries in which pregnant women received vaccines recommended by the ,advisory ,committee on ,immunization ,practices of the ,centers for ,disease ,control and ,prevention during pregnancy4 #e4 ,,gao report ,not later than #b years after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall submit a report to ,congress on the vaccination rates among pregnant women enrolled in ,medicaid or ,,chip with respect to the ,advisory ,committee on ,immunization ,practices vaccines recommended for pregnant women4 ,to the extent data are available1 the report shall include the following3 7#a7 ,the percentage of pregnant women enrolled in ,medicaid or ,,chip who did not receive vaccines paid for by ,medicaid or ,,chip as recommended by the ,advisory ,committee on ,immunization ,practices while pregnant4 7#b7 ,to the extent practicable1 an analysis of whether structural barriers1 such as cost sharing or other specific requirements1 are imposed under ,medicaid or ,,chip which impact the vaccination rates among pregnant women enrolled in ,medicaid or ,,chip with respect to the ,advisory ,committee on ,immunization ,practices vaccines recommended for pregnant women4 7#c7 ,to the extent practicable1 an analysis of the reasons why women enrolled in ,medicaid or ,,chip do not receive such recommended vaccines recommended while pregnant4 7#d7 ,to the extent practicable1 demographic details regarding the population of pregnant women enrolled in ,medicaid or ,,chip1 including race1 ethnicity1 and rural or urban geographic location4 7#e7 ,as the ,comptroller ,general deems appropriate1 recommendations for legislative or administrative actions relating to increasing the vaccination rates among pregnant women enrolled in ,medicaid or ,,chip with respect to the ,advisory ,committee on ,immunization ,practices vaccines recommended for pregnant women4