,,ii  #aag? ,,congress  #a/ ,session    
,s4 #bfia  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,augu/ #aj1 #bjba,mr4  
,re$ 7= himself & ,mrs4 ,capito7        
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to ensure   
adequate access to vacc9es "u ! ,m$icaid
 program & ! ,vacc9es = ,*ildr5 program1
 & = o!r purposes4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,/r5g!n+ !        
,vacc9es = ,*ildr5 ,program ,act (      
#bjba4  #b4 ,ensur+ adequate access to  
vacc9es "u ! ,m$icaid program & !       
,vacc9es = ,*ildr5 program  7a7         
,expansion ( def9ition ( f$]ally        
vacc9e-,eligible *ild ,p>agraph 7#b7 (  
section #aibh7;b7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acifs7b77 is       
am5d$-- 7#a7 9 subp>agraph 7,a7-- 7,a7 9
 clause 7iii71 by /rik+ ,a *ild :o & all
 t foll[s ?r\gh ! p]iod at ! end &      
ins]t+ ,a *ild :o is adm9i/]$ a qualifi$
 p$iatric vacc9e & is n insur$ ) respect

 to su* vacc9e42 &  7,b7 by add+ at !   
end ! foll[+ new clause3  7v7 ,a *ild :o
 is enroll$ = *ild heal? assi/ance "u a 
,/ate *ild heal? plan approv$ "u title  
,,xxi4  2 &  7#b7 9 subp>agraph         
7,b77ii77,,ii71 by /rik+ = purposes (   
subp>agraph 7,a77iii77,,ii7 & ins]t+ =  
purposes ( subp>agraph 7,a77iii74  7b7  
,cov]age ( vacc9e c\nsel+ & educational 
s]vices "u ,m$icaid  7#a7 ,9 g5]al      
,section #aije7;a7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #acif;d7 is am5d$--
 7,a7 9 p>agraph 7#cj71 by /rik+ & at ! 
end2  7,b7 by r$esignat+ p>agraph 7#ca7 
z p>agraph 7#cb72 &  7,c7 by ins]t+ aft]
 p>agraph 7#cj7 ! foll[+ new p>agraph3  
7#ca7 vacc9e c\nsel+ & educational      
s]vices furni%$ to *ildr5 "u ! age ( #ai
 on or aft] ! date ( ! enactm5t ( ?is   
p>agraph1 includ+ any su* s]vices       
furni%$ z "p ( a multiple compon5t      
vacc9e 7id5tifi$ z ( ,july #a1 #bjba1 by
 ,,cpt code #ijdfa7 & includ+ any su*   
s]vices furni%$ "u ! program e/abli%$ by
 ! ,/ate pursuant to section #aibh to a 

vacc9e-eligible *ild 7z def9$ 9         
subsection 7b7 ( su* section72 &  4     
7#b7 ,m&atory b5efit ,section           
#aijb7;a77#aj77;,a7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acif;a7a77#aj77;,a77 is am5d$ by /rik+ 
& 7#cj7 & ins]t+ 7#cj71 & 7#ca74  7c7   
,cl>ification ( cov]age ( p$iatric      
vacc9es & vacc9e c\nsel+ & educational  
s]vices "u ! ,vacc9es = ,*ildr5 program 
,section #aibh7;c77#b77;,c77ii7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acifs7c77#b77;,c77ii77 is am5d$ to read
 z foll[s3  7ii7 ,! provid] may impose--
 7,i7 9 ! case ( a qualifi$ p$iatric    
vacc9e n describ$ 9 subclause 7,,ii71 a 
fee = ! adm9i/ration ( & c\nsel+ = su*  
vacc9e s long z ! fee 9 ! case ( a      
f$]ally vacc9e-eligible *ild does n     
exce$ ! co/s ( su* adm9i/ration &       
c\nsel+ 7z det]m9$ by ! ,secret>y bas$  
on actual regional co/s = su*           
adm9i/ration & c\nsel+72 &  7,,ii7 9 !  
case ( a qualifi$ p$iatric vacc9e t is a
 multiple compon5t vacc9e1 a sep>ate    

*>ge = ! adm9i/ration ( & c\nsel+ = ea* 
compon5t ( su* vacc9e s long z ! *>ge 9 
! case ( a f$]ally vacc9e-eligible *ild 
does n exce$-- 7aa7 ) respect to ! fir/ 
compon5t ( su* vacc9e1 ! co/s ( su*     
adm9i/ration & c\nsel+ = su* compon5t 7z
 det]m9$ by ! ,secret>y bas$ on actual  
regional co/s = su* adm9i/ration &      
c\nsel+ = su* fir/ compon5t72 &  7bb7 ) 
respect to a subsequ5t compon5t ( su*   
vacc9e1 ! paym5t rate t applies to su*  
adm9i/ration & c\nsel+ = su* compon5t & 
provid] "u "p ,b ( title ,,xviii4  4    
7d7 ,m9imum paym5t requirem5t = vacc9e  
adm9i/ration s]vices ,section           
#aijb7;a77#ac7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;a7a77#ac77 is 
am5d$-- 7#a7 9 subp>agraph 7,b71 by     
/rik+ 2 & & ins]t+ a semicolon2  7#b7 9 
subp>agraph 7,c71 by /rik+ ! semicolon  
at ! end & ins]t+ 2 &2 &  7#c7 by add+  
at ! end ! foll[+ new subp>agraph3  7,d7
 = paym5t = vacc9e adm9i/ration1 c\nsel+
 & educational s]vices provid$ on or    
aft] ! date ( ! enactm5t ( ?is          

subp>agraph1 ) reg>d to vacc9e          
adm9i/ration & c\nsel+ s]vices furni%$  
by a provid] = ea* additional compon5t (
 a vacc9e aft] ! fir/ compon5t1 at a    
rate t is at lea/ #hj p]c5t ( ! paym5t  
rate t applies to su* s]vices & provid] 
= ! fir/ or only compon5t ( a vacc9e "u 
! ,/ate plan at ! "t ( s]vice2  4  7e7  
,increase 9 ,f$]al m$ical assi/ance     
p]c5tage  7#a7 ,9 g5]al ,subject to     
p>agraph 7#b71 = ea* cal5d> qu>t]       
occurr+ dur+ ! p]iod beg9n+ on ,janu>y  
#a1 #bjbb1 & end+ on ,decemb] #ca1      
#bjbc1 ! ,f$]al m$ical assi/ance        
p]c5tage det]m9$ = ea* ,/ate1 includ+ ! 
,di/rict ( ,columbia1 ,am]ican ,samoa1  
,guam1 ! ,commonweal? ( ! ,nor!rn       
,m>iana ,isl&s1 ,pu]to ,rico1 & ! ,unit$
 ,/ates ,virg9 ,isl&s1 "u section       
#aije7;b7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;d7b771 aft]        
application ( section #fjjh ( !         
,families ,fir/ ,coronavirus ,response  
,act 7,public ,law #aaf-abg7 7if        
applicable71 %all be increas$ by #a     

p]c5tage po9t4  7#b7 ,requirem5ts  7,a7 
,9 g5]al ,a ,/ate describ$ 9 p>agraph   
7#a7 may n receive ! increase describ$ 9
 su* p>agraph 9 ! ,f$]al m$ical         
assi/ance p]c5tage = su* ,/ate1 )       
respect to a qu>t]1 if1 ?r\gh\t su*     
qu>t]1 su* ,/ate does n ensure          
culturally compet5t & effective messages
 = vacc9ation outrea* to *ild           
populations1 :i* may include !          
dissem9ation ( in=mation highlight+--   
7i7 advancem5ts 9 rese>* & vacc9e       
developm5t t h sav$ millions (          
individuals f dea? & disability f       
n[-prev5table diseases2  7ii7 in=mation 
on h[ individuals across ! lifespan     
b5efit f immunizations1 includ+ ^? :o _c
 be vacc9at$ & rely on community        
immunity2  7iii7 in=mation on ! dang]s (
 n be+ vacc9at$1 includ+ ! pot5tial =   
infecti\s disease outbreaks )9          
communities2 &  7iv7 in=mation on vacc9e
 safety & ! sy/ems 9 place to monitor   
vacc9e safety4  7,b7 ,requirem5t = c]ta9
 ,/ates ,section #aije7;cc7 ( ! ,social 

,security ,act 7#db ,u4,s4,c4           
#acif;d7cc77 is am5d$-- 7i7 by /rik+ &  
section #fjjh & ins]t+ 1 section #fjjh2 
7ii7 ins]t+ 1 & section #b7;e7 ( !      
,/r5g!n+ ! ,vacc9es = ,*ildr5 ,program  
,act ( #bjba be=e 1 except t 9 apply+2 &
  7iii7 by ins]t+ 1 & 9 apply+ su*      
treatm5ts to ! increases 9 ! ,f$]al     
m$ical assi/ance p]c5tage "u section    
#b7;e7 ( ! ,/r5g!n+ ! ,vacc9es = ,*ildr5
 ,program ,act ( #bjba1 ! ref]5ce to    
,decemb] #ca1 #bjji %all be deem$ to be 
a ref]5ce to ,decemb] #ca1 #bjba be=e ! 
p]iod at ! end4  7f7 ,tribal            
epidemiology c5t] data access ,) respect
 to data access = tribal epidemiology   
c5t]s e/abli%$ "u section #bad ( !      
,indian ,heal? ,c>e ,improvem5t ,act    
7#be ,u4,s4,c4 #afbam71 ! ,director ( ! 
,c5t]s = ,disease ,control & ,prev5tion 
may create a data %>+ /rategy t ensures 
su* c5t]s h access to data1 data sets1  
monitor+ sy/ems1 deliv]y sy/ems1 & o!r  
protect$ heal? in=mation ) respect to   
heal? c>e & public heal? surveillance   

sy/ems ( *ild & adolesc5t heal? necess>y
 to accompli% su* c5t]s' public heal?   
au?ority responsibilities describ$ 9 su*
 section or section #afd4eja ( title    
#de1 ,code ( ,f$]al ,regulations4  7g7  
,reports  7#a7 ,9 g5]al ,= ea* ( fiscal 
ye>s #bjbb & #bjbc1 ! ,director ( !     
,c5t]s = ,disease ,control & ,prev5tion1
 9 coord9ation ) ea* ,/ate t has        
e/abli%$ a p$iatric vacc9e di/ribution  
program "u section #aibh ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acifs71  
%all publi% on ! public int]net website 
( ! ,c5t]s = ,disease ,control &        
,prev5tion1 9 su* mann] z det]m9$       
appropriate by ! ,director1 in=mation on
 vacc9ation rates "u ea* su* program    
dur+ su* ye>1 includ+ su* rates         
disaggregat$ by region1 age1 sex1 race1 
e?nicity1 & o!r demographic factors     
det]m9$ appropriate by ! ,director4     
7#b7 ,effects on vacc9ation rates &     
program p>ticipation ,n lat] ?an #b ye>s
 aft] ! date ( ! enactm5t ( ?is ,act1 ! 
,comptroll] ,g5]al ( ! ,unit$ ,/ates    

%all submit to ,congress a report       
conta9+ an analysis ( ! effects ( !     
provisions (1 & ! am5dm5ts made by1 ?is 
,act on-- 7,a7 vacc9ation rates "u !    
p$iatric vacc9e di/ribution program "u  
section #aibh ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acifs72 &  7,b7 provid]
 p>ticipation 9 su* program4