,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #cgja  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #d1 #bjbe,mr4   
,pallone 7= himself & ,ms4 ,s*ri]7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act to codify ! ,advisory      
,committee on ,immunization ,practices1 
& = o!r purposes4  #a4 ,%ort title  ,?is
 ,act may be cit$ z ! ,family ,vacc9e   
,protection ,act4  #b4 ,codification (  
,advisory ,committee on ,immunization   
,practices  7a7 ,9 g5]al ,title ,,ii ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bjb et seq47 is am5d$ by     
ins]t+ aft] section #bbb 7#db ,u4,s4,c4 
#bl#g;a7 ! foll[+3  #bbb;,a4 ,advisory  
,committee on ,immunization ,practices  
7a7 ,9 g5]al ,! ,advisory ,committee on 
,immunization ,practices e/abli%$       
pursuant to section #bbb 7ref]r$ to 9   
?is section z ! ,advisory ,committee7   
%all c>ry out ! duties specifi$ 9 ?is   
section4  7b7 ,application ( *apt] #aj (

 title #e1 ,unit$ ,/ates ,code ,!       
provisions ( *apt] #aj ( title #e1      
,unit$ ,/ates ,code 7o!r ?an section    
#ajac71 %all apply ) respect to !       
,advisory ,committee4  7c7 ,advice1     
guidance1 & recomm5dations f ,advisory  
,committee  7#a7 ,9 g5]al ,! ,advisory  
,committee %all1 bas$ on a prepond]ance 
( ! be/ available1 pe]-review$ sci5tific
 evid5ce1 provide advice & guidance1 &  
make recomm5dations1 to ! ,director     
reg>d+ ! use ( vacc9es & relat$ ag5ts   
lic5s$ "u section #cea = effective      
control ( vacc9e-prev5table diseases 9 !
 civilian population ( ! ,unit$ ,/ates4 
7#b7 ,proc$ure = publication  7,a7  ,9  
g5]al  ,! ,director %all review any     
recomm5dations receiv$ "u p>agraph 7#a74
 ,! ,director %all adopt any su*        
recomm5dation unless ! ,director        
det]m9es su* recomm5dation is n support$
 by a prepond]ance ( ! be/ available1   
pe]-review$ sci5tific evid5ce & publi%es
 ! results ( t review4  7,b7 ,adopt$ ,if
 ! ,director adopts su* a               

recomm5dation-- 7i7 su* recomm5dation   
%all be consid]$ z an (ficial           
recomm5dation ( ! ,secret>y1 act+ ?r\gh 
! ,director1 ^u su* adoption2 &  7ii7 ! 
,director %all-- 7,i7 publi% su*        
recomm5dation on ! public website ( !   
,dep>tm5t ( ,heal? & ,human ,s]vices2 & 
7,,ii7 in=m ! ,secret>y & ! ,assi/ant   
,secret>y = ,heal?1 9 writ+1 ( su*      
recomm5dation4  7,c7 ,n adopt$ ,if !    
,director does n adopt su* a            
recomm5dation1 ! ,director %all--  7i7  
publi% ! basis = n adopt+ su*           
recomm5dation1 includ+ an explanation on
 :y ! ,director f\nd t ! recomm5dation  
does n support ! f9d+s ( a prepond]ance 
( ! be/ available1 pe]-review$ sci5tific
 evid5ce2 &  7ii7 n lat] ?an #dh h\rs   
aft] su* det]m9ation1 submit a          
notification to ! ,committee on ,en]gy &
 ,comm]ce ( ! ,h\se ( ,repres5tatives & 
! ,committee on ,heal?1 ,education1     
,labor1 & ,p5sions ( ! ,s5ate conta9+ ! 
in=mation describ$ 9 clause 7i74  7#c7  
,consid]ation ( new vacc9es ,^u !       

lic5sure ( any vacc9e or any new        
indication = a vacc9e "u section #cea1 !
 ,advisory ,committee %all-- 7,a7       
consid] ! use ( ! vacc9e n lat] ?an its 
next regul>ly s*$ul$ meet+2  7,b7 n lat]
 ?an #ij days aft] receiv+ a            
notification 9 writ+ f ! hold] ( !      
lic5se ( ! vacc9e or new indication = a 
vacc9e "u section #cea1 make a          
recomm5dation ) respect to ! use ( su*  
vacc9e "u p>agraph 7#a72 &  7,c7 submit 
to ! ,committee on ,en]gy & ,comm]ce ( !
 ,h\se ( ,repres5tatives & ! ,committee 
on ,heal?1 ,education1 ,labor1 &        
,p5sions ( ! ,s5ate an update on ! /atus
 ( ! ,advisory ,committee's consid]ation
 ( ! use ( ! vacc9e4  7#d7 ,consid]ation
 = break?r\gh !rapies & = pot5tial use  
dur+ public heal? em]g5cy ,! ,advisory  
,committee %all make recomm5dations "u  
p>agraph 7#a7 ) respect to ! use (      
vacc9es t-- 7,a7 are designat$ z a      
break?r\gh !rapy "u section #ejf ( !    
,f$]al ,food1 ,drug1 & ,cosmetic ,act & 
lic5s$ "u section #cea ( ?is ,act2 or   

7,b7 are int5d$ to address a public     
heal? em]g5cy z det]m9$ by ! ,secret>y  
"u section #cai4  7#e7 ,limitation ,if !
 ,secret>y or ! ,director takes an      
action reg>d+ ! use ( vacc9es & relat$  
ag5ts lic5s$ "u section #cea = effective
 control ( vacc9e-prev5table diseases 9 
! civilian population ( ! ,unit$ ,/ates 
7includ+ an action ) respect to cov]age 
"u section #bgac or ! li/+ ( vacc9es =  
purposes ( ! program "u section #aibh ( 
! ,social ,security ,act7 t is contr>y  
to a recomm5dation ( ! ,advisory        
,committee1 ! ,secret>y or ! ,director  
7z applicable7 %all--  7,a7 publi% !    
basis = ! action1 includ+ an explanation
 on :y ! ,secret>y or ! ,director 7z    
applicable7 f\nd t ! action supports !  
f9d+s ( a prepond]ance ( ! be/          
available1 pe]-review$ sci5tific        
evid5ce2 &  7,b7 n lat] ?an #dh h\rs    
aft] tak+ su* action1 ! ,secret>y or !  
,director 7z applicable7 %all submit a  
notification to ! ,committee on ,en]gy &
 ,comm]ce ( ! ,h\se ( ,repres5tatives & 

! ,committee on ,heal?1 ,education1     
,labor1 & ,p5sions ( ! ,s5ate conta9+ ! 
in=mation describ$ 9 subp>agraph 7,a74  
7d7 ,duties  7#a7 ,9 g5]al  7,a7 ,9     
g5]al ,! ,advisory ,committee %all d !  
foll[+3 7i7 ,provide advice & guidance1 
& make recomm5dations1 to ! ,director z 
specifi$ 9 subsection 7c77#a74  7ii7    
,make immunization recomm5dations =     
purposes ( ! requirem5t "u section #bgac
 = gr\p heal? plans & heal? insurance   
issu]s (f]+ gr\p or individual heal?    
insurance cov]age to provide cov]age =  
immunizations t h 9 effect a            
recomm5dation f ! ,advisory ,committee4 
7iii7 ,9 accordance ) section #aibh ( ! 
,social ,security ,act & ?is section1   
e/abli% & p]iodically review &1 z       
appropriate1 revise ! li/ ( vacc9es =   
adm9i/ration to *ildr5 & adolesc5ts     
eligible to receive vacc9es ?r\gh !     
,vacc9es = ,*ildr5 ,program1 along )    
s*$ules reg>d+ ! appropriate dose & dos+
 int]val1 & contra9dications to         
adm9i/ration ( ! p$iatric vacc9es4  7,b7

 ,use ( li/ ,! ,secret>y1 & z delegat$1 
! ,director1 %all use ! li/ e/abli%$ by 
! ,advisory ,committee = ! purpose ( !  
pur*ase1 deliv]y1 & adm9i/ration (      
p$iatric vacc9es 9 ! ,vacc9es = ,*ildr5 
,program "u section #aibh ( ! ,social   
,security ,act4  7#b7 ,advice & guidance
 cont5t ,advice & guidance provid$ "u   
p>agraph 7#a7--  7,a7 %all address-- 7i7
 ! g5]al use ( vacc9es & immune globul9 
prep>ations z a class ( biologic ag5ts2 
7ii7 ! use ( specific antibody products 
= prev5tion ( infecti\s diseases2 &     
7iii7 special situations or populations 
t may w>rant modification ( ! r\t9e     
recomm5dations = vacc9e use2  7,b7 may  
include recomm5dations = ! adm9i/ration 
( immune globul9 prep>ations or         
antimicrobial !rapy %[n to be effective 
9 controll+ a vacc9e-prev5table disease 
= :i* a vacc9e is available2 &  7,c7 )  
respect to ea* vacc9e describ$ 9 su*    
p>agraph1 %all include--  7i7 population
 gr\ps or circum/ances 9 :i* a vacc9e or
 relat$ ag5t is recomm5d$2  7ii7        

contra9dications & precautions = use ( !
 vacc9e & relat$ ag5ts2 &  7iii7        
in=mation on recogniz$ adv]se ev5ts     
associat$ ) ! use ( su* vacc9e4  7#c7   
,em]g5cy use au?orization ,guidance =   
use ( vacc9es & relat$ ag5ts au?oriz$ = 
em]g5cy use "u section #efd ( ! ,f$]al  
,food1 ,drug1 & ,cosmetic ,act may be   
develop$ by ! ,advisory ,committee if   
circum/ances w>rant1 includ+ 9 ! case ( 
a public heal? em]g5cy1 z det]m9$ by !  
,secret>y "u section #cai4  7#d7        
,consid]ations = recomm5dation          
developm5t or )drawal ( recomm5dation ,!
 ,advisory ,committee1 :5 mak+ new      
recomm5dations "u subsection 7c77#a71 or
 revisions or )drawals ( su*            
recomm5dations "u p>agraph 7#e71 %all   
review evid5ce 9 ! foll[+ categories3   
7,a7 ,id5tification ( ! specific        
int]v5tion1 includ+ dosage & s*$ule4    
7,b7 ,! /r5g? ( ! design ( ! /udy us$ to
 provide ! evid5ce consid]$4  7,c7      
,r&omiz$ controll$ trials or ov]:elm+   
evid5ce f obs]vational /udies4  7,d7    

,comp>ison & outcome ( ! t>get          
population = ! vacc9e1 includ+ /&>d (   
c>e1 exi/+ vacc9es1 & o!r prev5tion     
options4  7,e7 ,prev5tion outcome or    
sci5tifically v]ifi$ adv]se effects     
associat$ ) vacc9ation4  7#e7 ,revision 
or )drawal ( recomm5dation ,! ,advisory 
,committee may revise or )draw any      
recomm5dation reg>d+ a p>ticul> vacc9e  
"u ?is subsection if & :5 new in=mation 
on disease epidemiology1 vacc9e         
effectiv5ess or safety1 or o!r data     
become available1 & z support$ by a     
prepond]ance ( ! be/ available1         
pe]-review$ sci5tific evid5ce4  7e7     
,adm9i/ration  7#a7 ,report+ /ructure ,!
 ,advisory ,committee %all report to !  
,director4 ,! ,director %all in=m !     
,secret>y1 ! ,assi/ant ,secret>y =      
,heal?1 & ! ,adm9i/rator ( ! ,c5t]s =   
,m$ic>e  ,m$icaid ,s]vices (            
immunization recomm5dations made by !   
,advisory ,committee4  7#b7 ,ag5cy      
support ,= purposes ( support+ !        
,advisory ,committee 9 c>ry+ out ?is    

section-- 7,a7 ! ,(fice ( ! ,director1  
,national ,c5t] = ,immunization &       
,respiratory ,diseases ( ! ,c5t]s =     
,disease ,control & ,prev5tion %all     
provide managem5t & support s]vices2 &  
7,b7 ! ,advisory ,committee may ent]    
into an agreem5t ) ! ,national          
,academies ( ,sci5ces1 ,eng9e]+1 &      
,m$ic9e to provide ext]nal support4     
7#c7 ,designat$ ,f$]al ,(fic]  7,a7     
,selection ,! ,director %all select a   
full-"t or p]man5t "p-"t ,f$]al employee
 to s]ve z ! ,designat$ ,f$]al ,(fic]4  
7,b7 ,duties ,! ,designat$ ,f$]al ,(fic]
 select$ "u subp>agraph 7,a7 %all--  7i7
 att5d ea* meet+ ( ! ,advisory          
,committee 7& any subcommittee !re(7 or 
select a designee to att5d su* a meet+2 
7ii7 ensure t all proc$ures ( !         
,advisory ,committee = su* a meet+ are  
)9 applicable /atutory1 regulatory1 &   
,,hhs ,g5]al ,adm9i/ration ,manual      
directives2 &  7iii7 approve & prep>e   
all policies & ag5das = ea* su* meet+1  
call any su* meet+1 adj\rn any meet+ :5 

! ,designat$ ,f$]al ,(fic] deems        
adj\rnm5t to be 9 ! public int]e/1 &    
*air meet+s :5 direct$ to d s by !      
(ficial to :om ! ,advisory ,committee   
reports4  7,c7 ,assignm5t ,9 ! ev5t t ! 
,designat$ ,f$]al ,(fic] _c fulfill !   
assign$ duties ( ! ,advisory ,committee1
 "o or m full-"t or p]man5t "p-"t ,f$]al
 employees %all be assign$ z !          
,designat$ ,f$]al ,(fic] & c>ry out su* 
duties on a tempor>y basis4  7f7 ,meet+s
  7#a7 ,frequ5cy ,pursuant to ! call ( !
 ,designat$ ,f$]al ,(fic]1 9            
consultation ) ! ,*air ( ! ,advisory    
,committee1 meet+s %all be held-- 7,a7 n
 less ?an ?ree times p] cal5d> ye>2 &   
7,b7 ^u ! lic5sure ( any vacc9e1 or any 
new indication = a vacc9e1 "u section   
#cea7;a71 n lat] ?an #ij days aft] !    
date ( ! fir/ m>ket+ ( su* vacc9e4  7#b7
 ,op5 to ! public ,meet+s ( ! ,advisory 
,committee %all be op5 to ! public      
except z det]m9$ o!rwise by ! ,director1
 or o!r (ficial1 to :om ! au?ority has  
be5 delegat$1 9 accordance ) sections   

#eeb;b7c7 & #ajji ( title #e1 ,unit$    
,/ates ,code4 ,notice ( all su* meet+s  
%all be giv5 to ! public4  7g7 ,memb]%ip
  7#a7 ,9 g5]al ,! ,secret>y %all appo9t
 at lea/ #ae & n m ?an #ai individuals  
to s]ve z memb]s 7includ+ ! *airp]son7 (
 ! ,advisory ,committee4 ,su*           
individuals %all be appo9t$ f among     
individuals recomm5d$ by ! ,comptroll]  
,g5]al ( ! ,unit$ ,/ates4 ,su* memb]s   
%all s]ve z ,special ,gov]nm5t          
,employees4  7#b7 ,requir$ exp]tise ,!  
,comptroll] ,g5]al ( ! ,unit$ ,/ates may
 only recomm5d z a memb] ( ! ,advisory  
,committee an individual :o has exp]tise
 or exp]i5ce ) respect to "o or m ( !   
foll[+3  7,a7 ,a preval5ce ( pe]-review$
 & be/ available sci5tific rese>*4  7,b7
 ,exp]tise relat+ to epidemiology &     
vacc9e-prev5table disease burd54  7,c7  
,exp]t exp]i5ce to rigor\sly evaluate ! 
be/ available sci5tific evid5ce )       
immunization recomm5dations & public    
heal?4  7,d7 ,exp]tise 9 immunology z   
evid5c$ by publications on ! topic (    

immunology 9 pe]-review$ j\rnals4  7,e7 
,exp]tise 9 ! use ( vacc9es & o!r       
immunobiologic ag5ts 9 cl9ical practice 
or prev5tive m$ic9e4  7,f7 ,exp]tise 9  
infecti\s diseases1 p>ticul>ly human    
immune responses to vacc9es1 assessm5t (
 vacc9e efficacy or effectiv5ess1 or    
vacc9e safety1 z evid5c$ by publications
 on ! topic 9 pe]-review$ j\rnals4  7,g7
 ,exp]tise ) cl9ical or laboratory      
vacc9e rese>*4  7,h7 ,exp]tise 9        
assessm5t ( vacc9e efficacy & safety4   
7,i7 ,k ab\t consum] p]spectives or !   
social & community aspects (            
immunization programs1 or bo?4  7#c7    
,ex-(ficio memb]s ,9 addition to !      
individuals appo9t$ "u p>agraph 7#a71 ! 
memb]%ip ( ! ,advisory ,committee %all  
also consi/ ( ! foll[+ #f non-vot+      
ex-(ficio memb]s 7or _! designees73     
7,a7 ,! ,adm9i/rator ( ! ,heal?         
,res\rces & ,s]vices ,adm9i/ration4     
7,b7 ,! ,commission] ( ,food & ,drugs4  
7,c7 ,! ,adm9i/rator ( ! ,c5t]s =       
,m$ic>e  ,m$icaid ,s]vices4  7,d7 ,!    

,director ( ! ,national ,in/itutes (    
,heal?4  7,e7 ,! ,director ( ! ,indian  
,heal? ,s]vice4  7,f7 ,! ,director ( !  
,national ,vacc9e ,program ,(fice4  7#d7
 ,quorum ,two-?irds ( ! vot+ memb]s ( ! 
,advisory ,committee %all con/itute a   
quorum = purposes ( meet+s ( ! ,advisory
 ,committee4  7#e7 ,vot+ if less ?an    
quorum pres5t ,if few] ?an a quorum (   
memb]s ( ! ,advisory ,committee are     
eligible to vote due to abs5ce or a     
f9ancial or o!r conflict ( int]e/ at any
 meet+ ( ! ,advisory ,committee1 !      
,designat$ ,f$]al ,(fic]1 or _!         
designee1 %all h ! au?ority to          
tempor>ily designate ! ex-(ficio memb]s 
"u p>agraph 7#c7 z vot+ memb]s4  7#f7   
,non-vot+ liaison repres5tatives ,meet+s
 ( ! ,advisory ,committee may also be   
att5d$ by non-vot+ liaison              
repres5tatives :o %all be deem$         
repres5tatives f a /akehold]            
organization4  7#g7 ,t]ms  7,a7 ,9 g5]al
 ,except z specifi$ 9 subp>agraph 7,b71 
individuals appo9t$ "u p>agraph 7#a7    

%all be invit$ to s]ve z memb]s ( !     
,advisory ,committee = ov]lapp+ t]ms (  
#d ye>s1 except t any memb] appo9t$ to  
fill a vacancy = an unexpir$ t]m %all be
 appo9t$ = ! rema9d] ( t t]m4 ,a memb] (
 ! ,advisory ,committee may cont9ue to  
s]ve on ! ,advisory ,committee = a p]iod
 n to exce$ #ahj days aft] ! expiration 
( t memb]'s t]m if a successor has n    
tak5 (fice4  7,b7 ,*airp]son ,! t]m ( ! 
,*airp]son ( ! ,advisory ,committee %all
 be #g ye>s4  7h7 ,subcommittees  7#a7  
,9 g5]al ,! ,advisory ,committee may1   
subject to approval by ! ,secret>y 7or !
 ,secret>y's designee71 e/abli%         
subcommittees compos$1 9 "p1 ( memb]s ( 
! ,advisory ,committee & o!r subject    
matt] exp]ts4  7#b7 ,report+ ,!         
subcommittees %all report back to ! p>5t
 committee & may n provide advice or "w 
products directly to ! ,dep>tm5t (      
,heal? & ,human ,s]vices4  7#c7         
,dep>tm5t ,committee ,managem5t ,(fic]  
,! ,secret>y %all--  7,a7 notify !      
,dep>tm5t ,committee ,managem5t ,(fic]  

^u e/abli%m5t ( ea* subcommittee2 &     
7,b7 provide to su* ,(fic] in=mation on 
! "n1 memb]%ip1 function1 & e/imat$     
frequ5cy ( meet+s ( su* subcommittee4   
7i7 ,recordkeep+ ,! records ( !         
,advisory ,committee1 e/abli%$          
subcommittees1 or o!r subgr\ps ( !      
committee1 %all be manag$ 9 accordance )
 ,g5]al ,records ,s*$ule #f4b1 ,f$]al   
,advisory ,committee ,records1 or o!r   
approv$ ag5cy records disposition       
s*$ule4 ,su* records %all be available =
 public inspection & copy+1 subject to  
section #eeb ( title #e1 ,unit$ ,/ates  
,code4  7j7 ,def9itions ,9 ?is section3 
7#a7 ,/akehold] organization ,! t]m     
/akehold] organization means-- 7,a7 !   
,am]ican ,academy ( ,family ,physicians2
  7,b7 ! ,am]ican ,academy ( ,p$iatrics2
  7,c7 ! ,am]ican ,academy ( ,physician 
,associates2  7,d7 ! ,am]ican ,college  
,heal? ,association2  7,e7 ! ,am]ican   
,college ( ,nurse ,midwives2  7,f7 !    
,am]ican ,college ( ,ob/etricians &     
,gynecologi/s2  7,g7 ! ,am]ican ,college

 ( ,physicians2  7,h7 ! ,am]ican        
,g]iatrics ,society2  7,i7 ! ,am]ica's  
,heal? ,insurance ,plans2  7,j7 !       
,am]ican ,immunization ,regi/ry         
,association2  7,k7 ! ,am]ican ,m$ical  
,association2  7,l7 ! ,am]ican ,nurses  
,association2  7,m7 ! ,am]ican          
,o/eopa?ic ,association2  7,n7 !        
,am]ican ,ph>maci/s ,association2  7,o7 
! ,association ( ,immunization ,manag]s2
  7,p7 ! ,association = ,prev5tion      
,tea*+ & ,rese>*2  7,q7 ! ,association (
 ,/ate & ,t]ritorial ,heal? ,(ficials2  
7,r7 ! ,biote*nology ,innovation        
,organization2  7,s7 ! ,c\ncil ( ,/ate &
 ,t]ritorial ,epidemiologi/s2  7,t7 !   
,canadian ,national ,advisory ,committee
 on ,immunization2  7,u7 ! ,infecti\s   
,diseases ,society ( ,am]ica2  7,v7 !   
,int]national ,society ( ,travel        
,m$ic9e2  7,w7 ! ,national ,association 
( ,c\nty & ,city ,heal? ,(ficials2  7,x7
 ! ,national ,association ( ,p$iatric   
,nurse ,practition]s2  7,y7 ! ,national 
,f\ndation = ,infecti\s ,diseases2  7,z7

 ! ,national ,m$ical ,association2      
7,,aa7 ! ,p$iatric ,infecti\s ,diseases 
,society2  7,,bb7 ! ,ph>maceutical      
,rese>* & ,manufactur]s ( ,am]ica2      
7,,cc7 ! ,society = ,adolesc5t ,heal? & 
,m$ic9e2  7,,dd7 ! ,am]ican ,public     
,heal? ,association2  7,,ee7 ! ,society 
= ,heal?c>e ,epidemiology ( ,am]ica2 &  
7,,ff7 su* o!r non-vot+ liaison z !     
,secret>y det]m9es necess>y to          
effectively c>ry out ! functions ( !    
,advisory ,committee4  7#b7 ,vacc9e ,!  
t]m vacc9e means any sub/ance 7& any    
relat$ ag5t7 t is lic5s$ "u section #cea
 = ! prev5tion ( #a or m diseases4 ,su* 
t]m includes relat$ ag5ts t are adm9i/]$
 prophylactically = active or passive   
antig5-specific immunity4  7k7 ,fund+   
,!re are au?oriz$ to be appropriat$ to  
c>ry out ?is section1 includ+ op]at+    
co/s1 comp5sation & travel exp5ses =    
memb]s1 & /aff support ( ! ,advisory    
,committee1 #b1hjj1jjj = ea* ( fiscal   
ye>s #bjbf ?r\gh #bjbi4  4  7b7 ,rule ( 
con/ruction ,except z expressly provid$ 

9 ! am5dm5t made by subsection 7a71 no?+
 9 su* am5dm5t %all be con/ru$ z limit+ 
! au?ority ( ! ,advisory ,committee on  
,immunization ,practices1 or ! duties ( 
su* ,advisory ,committee1 t 7 9 effect z
 ( ! day be=e ! date ( ! enactm5t ( ?is 
,act1 includ+ ) respect to subsections  
7c77#b77;,b77i7 & 7e7 ( section #aibh ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acifs7 & section #bgac7;a77#b7 ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#ac7;a77#b77 7z su*   
sections 7 9 effect on ! day be=e ! date
 ( ! enactm5t ( ?is ,act74  #c4         
,national ,vacc9e ,injury ,comp5sation  
,program ,subsection 7c7 ( section #baad
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #cjj;aa-#ad7 is am5d$ by add+ 
at ! end ! foll[+3  7#e7 ,any removal ( 
a vacc9e f ! ,vacc9e ,injury ,table1 or 
any o!r modification "u p>agraph 7#a71  
includ+ any additions to ! li/ (        
injuries1 disabilities1 illnesses1      
conditions1 & dea?s = :i* comp5sation   
may be provid$1 %all be support$ by !   

prepond]ance ( ! be/ available sci5tific
 evid5ce reg>d+ ! safety or efficacy ( !
 vacc9e4 ,no?+ 9 ! prec$+ s5t5ce %all be
 con/ru$ to limit ! au?ority ( !        
,secret>y to am5d ! ,vacc9e ,injury     
,table to include new vacc9es pursuant  
to subsection 7e74  4