,,ii  #aag? ,,congress  #a/ ,session    
,s4 #aaad  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,april #ad1 #bjba,ms4  
,hassan 7= h]self & ,mr4 ,cassidy7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to increase        
vacc9ation rates among pregnant wom5    
enroll$ 9 ,m$icaid or ,,*ip1 & = o!r    
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,mat]nal ,immunization     
,enhancem5t ,act4  #b4 ,def9itions ,9   
?is ,act3 7#a7 ,adult ,heal? ,quality   
,measures ,! t]m ,adult ,heal? ,quality 
,measures means ! core set ( adult heal?
 quality measures develop$ & publi%$ "u 
section #aaci;,b ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #acbj;b-#i;b74  7#b7
 ,*ild ,heal? ,quality ,measures ,! t]m 
,*ild ,heal? ,quality ,measures means ! 
core set ( *ild heal? quality measures  
develop$ & publi%$ "u section #aaci;,a (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acbj;b-#i;a74  7#c7 ,,*ip ,! t]m ,,*ip
 means ! ,*ildr5's ,heal? ,insurance    

,program e/abli%$ "u title ,,xxi ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acig;aa et seq47 & includes any waiv]s 
( su* program4  7#d7 ,m$icaid ,! t]m    
,m$icaid means ! m$ical assi/ance       
program e/abli%$ "u title ,,xix ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq47 & includes any waiv]s (  
su* program4  7#e7 ,secret>y ,! t]m     
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  7#f7 ,/ate ,! t]m     
,/ate has ! mean+ giv5 t t]m = purposes 
( title ,,xix ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acif et seq474  #c4    
,,cms guidance on increas+ vacc9ation   
rates among pregnant wom5 enroll$ 9     
,m$icaid or ,,*ip  7a7 ,9 g5]al ,n lat] 
?an #a ye> aft] ! date ( enactm5t ( ?is 
,act1 ! ,adm9i/rator ( ! ,c5t]s =       
,m$ic>e  ,m$icaid ,s]vices1 9           
consultation ) ! ,director ( ! ,c5t]s = 
,disease ,control & ,prev5tion1 %all    
issue guidance to ,/ates on increas+ !  
vacc9ation rates = ,advisory ,committee 
on ,immunization ,practices recomm5d$   

vacc9es among pregnant & po/p>tum wom5  
enroll$ 9 ,m$icaid or ,,*ip4 ,! guidance
 issu$ "u ?is subsection %all be updat$ 
z necess>y n lat] ?an #e ye>s aft] !    
date ( enactm5t ( ?is ,act 9            
consultation ) ! ,director ( ! ,c5t]s = 
,disease ,control & ,prev5tion & !      
results ( ! report to ,congress requir$ 
"u section #e by ! ,comptroll] ,g5]al ( 
! ,unit$ ,/ates4  7b7 ,requirem5ts ,!   
guidance issu$ "u subsection 7a7 7& any 
update ( su* guidance7 %all at a m9imum 
include options & be/ practices =-- 7#a7
 increas+ ! vacc9ation rates = ,advisory
 ,committee on ,immunization ,practices 
recomm5d$ vacc9es among pregnant wom51  
p>ticul>ly ) respect to ! influ5za1     
diph!ria1 tetanus1 & :oop+ c\gh         
7p]tussis7 vacc9es2  7#b7 ways 9 :i*    
,/ates may obta9 ,f$]al mat*+ paym5ts "u
 ,m$icaid & ,,*ip = obta9+ & adm9i/]+   
su* recomm5d$ vacc9es to pregnant &     
po/p>tum wom51 & recomm5dations =       
improv+ provid] p>ticipation "u ,m$icaid
 & ,,*ip ) respect to obta9+ & adm9i/]+ 

su* recomm5d$ vacc9es to pregnant &     
po/p>tum wom52 &  7#c7 ways 9 :i* ,/ate 
,m$icaid programs may amplify ,f$]al1   
,/ate1 & local heal? dep>tm5t           
recomm5dations on provid+ c\nsel+ &     
pati5t outrea* & education reg>d+ su*   
vacc9es4  #d4 ,inclusion ( pr5atal      
immunization /atus = pregnant wom5      
quality measure 9 ! core sets ( heal?   
c>e quality measures = *ildr5 enroll$ 9 
,m$icaid or ,,*ip & adults enroll$ 9    
,m$icaid  7a7 ,9 g5]al ,n lat] ?an #b   
ye>s aft] ! date ( enactm5t ( ?is ,act1 
& aft] consult+ ) ! /akehold]s describ$ 
9 section #aaci;,a7b77#c7 ( ! ,social   
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#i;a7b77#c771 ! ,secret>y %all  
consid] add+ a pr5atal immunization     
/atus = pregnant wom5 quality measure 9 
ei!r !-- 7#a7 ,*ild's ,heal? ,quality   
,measures2 or  7#b7 ,adult ,heal?       
,quality ,measures4  7b7 ,requirem5t ,if
 ! ,secret>y includes a pr5atal         
immunization /atus = pregnant wom5      
quality measure 9 ei!r su* core set (   

heal? quality measures1 ! quality       
measure %all measure ! p]c5tage (       
deliv]ies 9 :i* pregnant wom5 receiv$   
vacc9es recomm5d$ by ! ,advisory        
,committee on ,immunization ,practices (
 ! ,c5t]s = ,disease ,control &         
,prev5tion dur+ pregnancy4  #e4 ,,gao   
report ,n lat] ?an #b ye>s aft] ! date (
 enactm5t ( ?is ,act1 ! ,comptroll]     
,g5]al ( ! ,unit$ ,/ates %all submit a  
report to ,congress on ! vacc9ation     
rates among pregnant wom5 enroll$ 9     
,m$icaid or ,,*ip ) respect to !        
,advisory ,committee on ,immunization   
,practices vacc9es recomm5d$ = pregnant 
wom54 ,to ! ext5t data are available1 ! 
report %all include ! foll[+3 7#a7 ,!   
p]c5tage ( pregnant wom5 enroll$ 9      
,m$icaid or ,,*ip :o did n receive      
vacc9es paid = by ,m$icaid or ,,*ip z   
recomm5d$ by ! ,advisory ,committee on  
,immunization ,practices :ile pregnant4 
7#b7 ,to ! ext5t practicable1 an        
analysis ( :e!r /ructural b>ri]s1 su* z 
co/ %>+ or o!r specific requirem5ts1 are

 impos$ "u ,m$icaid or ,,*ip :i* impact 
! vacc9ation rates among pregnant wom5  
enroll$ 9 ,m$icaid or ,,*ip ) respect to
 ! ,advisory ,committee on ,immunization
 ,practices vacc9es recomm5d$ = pregnant
 wom54  7#c7 ,to ! ext5t practicable1 an
 analysis ( ! reasons :y wom5 enroll$ 9 
,m$icaid or ,,*ip d n receive su*       
recomm5d$ vacc9es recomm5d$ :ile        
pregnant4  7#d7 ,to ! ext5t practicable1
 demographic details reg>d+ ! population
 ( pregnant wom5 enroll$ 9 ,m$icaid or  
,,*ip1 includ+ race1 e?nicity1 & rural  
or urban geographic location4  7#e7 ,z !
 ,comptroll] ,g5]al deems appropriate1  
recomm5dations = legislative or         
adm9i/rative actions relat+ to increas+ 
! vacc9ation rates among pregnant wom5  
enroll$ 9 ,m$icaid or ,,*ip ) respect to
 ! ,advisory ,committee on ,immunization
 ,practices vacc9es recomm5d$ = pregnant
 wom54