,,ii  #aagth ,,congress  #ast ,session  
,s4 #cjhg  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,october #bg1  
#bjba,mr4 ,casey 7for himself1 ,mr4     
,cardin1 ,mr4 ,cassidy1 ,mr4 ,portman1  
and ,mr4 ,menendez7 introduced the      
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to amend the ,internal      
,revenue ,code of #aihf to provide      
authority to add additional vaccines to 
the list of taxable vaccines4  #a4      
,short title ,this ,act may be cited as 
the ,vaccine ,access ,improvement ,act  
of #bjba4  #b4 ,addition of new vaccines
 to list of taxable vaccines  7a7 ,in   
general ,section #dacb7;a77#a7 of the   
,internal ,revenue ,code of #aihf is    
amended by adding at the end the        
following new subparagraph3  7,q7 ,any  
vaccine which is not described in any   
other subparagraph of this paragraph and
 which is recommended by the ,centers   
for ,disease ,control and ,prevention   
for-- 7i7 routine administration to     

children1 or  7ii7 routine              
administration in pregnant women4  4    
7b7 ,notification ,not later than #cj   
days after the ,director of the ,centers
 for ,disease ,control and ,prevention  
recommends a vaccine for routine        
administration to children or routine   
administration in pregnant women1 the   
,secretary of ,health and ,human        
,services shall notify the ,secretary of
 the ,treasury1 the ,committee on       
,health1 ,education1 ,labor1 and        
,pensions of the ,senate1 the ,committee
 on ,finance of the ,senate1 the        
,committee on ,energy and ,commerce of  
the ,house of ,representatives1 and the 
,committee on ,ways and ,means of the   
,house of ,representatives of such      
designation4  7c7 ,effective date  7#a7 
,sales1 etc ,the amendment made by      
subsection 7a7 shall apply to sales and 
uses on or after the later of-- 7,a7 the
 first day of the first month which     
begins more than #d weeks after the date
 of the enactment of this ,act2 or  7,b7

 the date on which the ,secretary of    
,health and ,human ,services lists any  
vaccine described in section            
#dacb7;a77#a77,q7 of the ,internal      
,revenue ,code of #aihf1 as added by    
subsection 7a71 7other than any vaccine 
so described listed by the ,secretary   
prior to the date of the enactment of   
this ,act7 for purposes of compensation 
for any vaccine-related injury or death 
through the ,vaccine ,injury            
,compensation ,trust ,fund4  7#b7       
,deliveries ,for purposes of paragraph  
7#a7 and section #daca of the ,internal 
,revenue ,code of #aihf1 in the case of 
sales on or before the effective date   
described in such paragraph for which   
delivery is made after such date1 the   
delivery date shall be considered the   
sale date4