,,ii  #aagth ,,congress  #ast ,session  
,s4 #bfia  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,august #aj1   
#bjba,mr4 ,reed 7for himself and ,mrs4  
,capito7 introduced the following bill2 
which was read twice and referred to the
 ,committee on ,finance  ,a ,,bill  ,to 
amend title ,,xix of the ,social        
,security ,act to ensure adequate access
 to vaccines under the ,medicaid program
 and the ,vaccines for ,children        
program1 and for other purposes4  #a4   
,short title ,this ,act may be cited as 
the ,strengthening the ,vaccines for    
,children ,program ,act of #bjba4  #b4  
,ensuring adequate access to vaccines   
under the ,medicaid program and the     
,vaccines for ,children program  7a7    
,expansion of definition of federally   
vaccine-,eligible child ,paragraph 7#b7 
of section #aibh7;b7 of the ,social     
,security ,act 7#db ,u4,s4,c4 #acifs7b77
 is amended-- 7#a7 in subparagraph      
7,a7-- 7,a7 in clause 7iii71 by striking
 ,a child who and all that follows      

through the period at the end and       
inserting ,a child who is administered a
 qualified pediatric vaccine and is not 
insured with respect to such vaccine42  
and  7,b7 by adding at the end the      
following new clause3  7v7 ,a child who 
is enrolled for child health assistance 
under a ,state child health plan        
approved under title ,,xxi4  2 and  7#b7
 in subparagraph 7,b77ii77,,ii71 by     
striking for purposes of subparagraph   
7,a77iii77,,ii7 and inserting for       
purposes of subparagraph 7,a77iii74  7b7
 ,coverage of vaccine counseling and    
educational services under ,medicaid    
7#a7 ,in general ,section #aije7;a7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #acif;d7 is amended-- 7,a7 in 
paragraph 7#cj71 by striking and at the 
end2  7,b7 by redesignating paragraph   
7#ca7 as paragraph 7#cb72 and  7,c7 by  
inserting after paragraph 7#cj7 the     
following new paragraph3  7#ca7 vaccine 
counseling and educational services     
furnished to children under the age of  

#ai on or after the date of the         
enactment of this paragraph1 including  
any such services furnished as part of a
 multiple component vaccine 7identified 
as of ,july #a1 #bjba1 by ,,cpt code    
#ijdfa7 and including any such services 
furnished under the program established 
by the ,state pursuant to section #aibh 
to a vaccine-eligible child 7as defined 
in subsection 7b7 of such section72 and 
4  7#b7 ,mandatory benefit ,section     
#aijb7;a77#aj77;,a7 of the ,social      
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#aj77;,a77 is amended by     
striking and 7#cj7 and inserting 7#cj71 
and 7#ca74  7c7 ,clarification of       
coverage of pediatric vaccines and      
vaccine counseling and educational      
services under the ,vaccines for        
,children program ,section              
#aibh7;c77#b77;,c77ii7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#acifs7c77#b77;,c77ii77 is amended to   
read as follows3  7ii7 ,the provider may
 impose-- 7,i7 in the case of a         

qualified pediatric vaccine not         
described in subclause 7,,ii71 a fee for
 the administration of and counseling   
for such vaccine so long as the fee in  
the case of a federally vaccine-eligible
 child does not exceed the costs of such
 administration and counseling 7as      
determined by the ,secretary based on   
actual regional costs for such          
administration and counseling72 and     
7,,ii7 in the case of a qualified       
pediatric vaccine that is a multiple    
component vaccine1 a separate charge for
 the administration of and counseling   
for each component of such vaccine so   
long as the charge in the case of a     
federally vaccine-eligible child does   
not exceed-- 7aa7 with respect to the   
first component of such vaccine1 the    
costs of such administration and        
counseling for such component 7as       
determined by the ,secretary based on   
actual regional costs for such          
administration and counseling for such  
first component72 and  7bb7 with respect

 to a subsequent component of such      
vaccine1 the payment rate that applies  
to such administration and counseling   
for such component and provider under   
part ,b of title ,,xviii4  4  7d7       
,minimum payment requirement for vaccine
 administration services ,section       
#aijb7;a77#ac7 of the ,social ,security 
,act 7#db ,u4,s4,c4 #acif;a7a77#ac77 is 
amended-- 7#a7 in subparagraph 7,b71 by 
striking 2 and and inserting a          
semicolon2  7#b7 in subparagraph 7,c71  
by striking the semicolon at the end and
 inserting 2 and2 and  7#c7 by adding at
 the end the following new subparagraph3
  7,d7 for payment for vaccine          
administration1 counseling and          
educational services provided on or     
after the date of the enactment of this 
subparagraph1 with regard to vaccine    
administration and counseling services  
furnished by a provider for each        
additional component of a vaccine after 
the first component1 at a rate that is  
at least #hj percent of the payment rate

 that applies to such services and      
provider for the first or only component
 of a vaccine under the ,state plan at  
the time of service2  4  7e7 ,increase  
in ,federal medical assistance          
percentage  7#a7 ,in general ,subject to
 paragraph 7#b71 for each calendar      
quarter occurring during the period     
beginning on ,january #a1 #bjbb1 and    
ending on ,december #ca1 #bjbc1 the     
,federal medical assistance percentage  
determined for each ,state1 including   
the ,district of ,columbia1 ,american   
,samoa1 ,guam1 the ,commonwealth of the 
,northern ,mariana ,islands1 ,puerto    
,rico1 and the ,united ,states ,virgin  
,islands1 under section #aije7;b7 of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#acif;d7b771 after application of       
section #fjjh of the ,families ,first   
,coronavirus ,response ,act 7,public    
,law #aaf-abg7 7if applicable71 shall be
 increased by #a percentage point4  7#b7
 ,requirements  7,a7 ,in general ,a     
,state described in paragraph 7#a7 may  

not receive the increase described in   
such paragraph in the ,federal medical  
assistance percentage for such ,state1  
with respect to a quarter1 if1          
throughout such quarter1 such ,state    
does not ensure culturally competent and
 effective messages for vaccination     
outreach to child populations1 which may
 include the dissemination of           
information highlighting-- 7i7          
advancements in research and vaccine    
development that have saved millions of 
individuals from death and disability   
from now-preventable diseases2  7ii7    
information on how individuals across   
the lifespan benefit from immunizations1
 including those who cannot be          
vaccinated and rely on community        
immunity2  7iii7 information on the     
dangers of not being vaccinated1        
including the potential for infectious  
disease outbreaks within communities2   
and  7iv7 information on vaccine safety 
and the systems in place to monitor     
vaccine safety4  7,b7 ,requirement for  

certain ,states ,section #aije7;cc7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #acif;d7cc77 is amended-- 7i7 
by striking and section #fjjh and       
inserting 1 section #fjjh2  7ii7        
inserting 1 and section #b7;e7 of the   
,strengthening the ,vaccines for        
,children ,program ,act of #bjba before 
1 except that in applying2 and  7iii7 by
 inserting 1 and in applying such       
treatments to the increases in the      
,federal medical assistance percentage  
under section #b7;e7 of the             
,strengthening the ,vaccines for        
,children ,program ,act of #bjba1 the   
reference to ,december #ca1 #bjji shall 
be deemed to be a reference to ,december
 #ca1 #bjba before the period at the    
end4  7f7 ,tribal epidemiology center   
data access ,with respect to data access
 for tribal epidemiology centers        
established under section #bad of the   
,indian ,health ,care ,improvement ,act 
7#be ,u4,s4,c4 #afbam71 the ,director of
 the ,centers for ,disease ,control and 

,prevention may create a data sharing   
strategy that ensures such centers have 
access to data1 data sets1 monitoring   
systems1 delivery systems1 and other    
protected health information with       
respect to health care and public health
 surveillance systems of child and      
adolescent health necessary to          
accomplish such centers' public health  
authority responsibilities described in 
such section or section #afd4eja of     
title #de1 ,code of ,federal            
,regulations4  7g7 ,reports  7#a7 ,in   
general ,for each of fiscal years #bjbb 
and #bjbc1 the ,director of the ,centers
 for ,disease ,control and ,prevention1 
in coordination with each ,state that   
has established a pediatric vaccine     
distribution program under section #aibh
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acifs71 shall publish on the 
public internet website of the ,centers 
for ,disease ,control and ,prevention1  
in such manner as determined appropriate
 by the ,director1 information on       

vaccination rates under each such       
program during such year1 including such
 rates disaggregated by region1 age1    
sex1 race1 ethnicity1 and other         
demographic factors determined          
appropriate by the ,director4  7#b7     
,effects on vaccination rates and       
program participation ,not later than #b
 years after the date of the enactment  
of this ,act1 the ,comptroller ,general 
of the ,united ,states shall submit to  
,congress a report containing an        
analysis of the effects of the          
provisions of1 and the amendments made  
by1 this ,act on-- 7,a7 vaccination     
rates under the pediatric vaccine       
distribution program under section #aibh
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acifs72 and  7,b7 provider   
participation in such program4