,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ifgb  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #ad1 #bjbf,mr4  
,doggett 7= himself & ,mr4 ,smuck]7     
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d ! ,public ,heal?      
,s]vice ,act to make updates to !       
,vacc9e ,injury ,comp5sation ,program1 &
 = o!r purposes4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,vacc9e ,injury    
,comp5sation ,mod]nization ,act ( #bjbf4
  #b4 ,*anges to ,vacc9e ,injury        
,comp5sation ,program  7a7 ,special     
ma/]s  7#a7 ,e/abli% m9imum numb] (     
special ma/]s ,section #baab7;c77#a7 ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #cjj;aa-#ab7;c77#a77 is am5d$ 
by /rik+ n m ?an #h & ins]t+ n less ?an 
#aj4  7#b7 ,t]ms ,section #baab7;c77#d7 

( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #cjj;aa-#ab7;c77#d77 is am5d$ 
to read z foll[s3  7#d7 ,! appo9tm5t (  
any individual z a special ma/] %all be 
= an initial t]m ( #d ye>s1 subject to  
t]m9ation "u p>agraphs 7#b7 & 7#c74 ,an 
individual appo9t$ z special ma/] may be
 reappo9t$ to s]ve "o or m additional   
t]ms ( up to #h ye>s ea*1 pursuant to   
p>agraph 7#a71 & subject to t]m9ation "u
 p>agraphs 7#b7 & 7#c74  4  7#c7        
,additional report+ requirem5ts ,section
 #baab7;c77#f77;,e7 ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;aa-#ab7;c77#f77;,e77 is am5d$--    
7,a7 by ins]t+ aft] disposition (       
petitions1 ! foll[+3 ! numb] ( petitions
 fil$ t are p5d+ disposition1 ! numb] ( 
he>+s s*$ul$ ) respect to a p5d+        
disposition12 &  7,b7 by ins]t+ 1       
includ+ recomm5dations on :e!r          
additional special ma/]s are ne$$ to    
ensure an exp$iti\s & fair resolution ( 
petitions or o!rwise improve ! ,program 
aft] 9 ! ,program4  7b7 ,recomm5dations 

f ,,cdc ,section #baad7;e77#b7 ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;aa-#ad7;e77#b77 is       
am5d$-- 7#a7 9 ! matt] prec$+           
subp>agraph 7,a7--  7,a7 by /rik+ r\t9e 
adm9i/ration to *ildr5 & ins]t+         
adm9i/ration to *ildr51 adults1 or      
pregnant wom52 &  7,b7 by /rik+ )9 #b   
ye>s ( & ins]t+ )9 #f mon?s (2 &  7#b7 9
 subp>agraph 7,a71 by /rik+ r\t9e       
adm9i/ration to *ildr5 & ins]t+         
adm9i/ration to *ildr51 adults1 or      
pregnant wom54  7c7 ,increase 9         
comp5sation  7#a7 ,comp5sation = dea?   
,section #baae7;a77#b7 ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;aa-#ae7;a77#b77 is am5d$ to read z 
foll[s3  7#b7 ,9 ! ev5t ( a             
vacc9e-relat$ dea?1 an aw>d ( #fjj1jjj4 
4  7#b7 ,comp5sation = pa9 & suff]+     
,section #baae7;a77#d7 ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;aa-#ae7;a77#d77 is am5d$ to read z 
foll[s3  7#d7 ,= actual & project$ pa9 &
 suff]+ & emotional di/ress f !         

vacc9e-relat$ injury1 an aw>d n to exce$
 #fjj1jjj4  4  7d7 ,increase /atute (   
limitations ,section #baaf7;a77#b7 ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;aa-#af7;a77#b77 is am5d$ 
by /rik+ #cf mon?s & ins]t+ #e ye>s4    
7e7 ,program integrity  7#a7 ,includ+   
m$ical records 9 petitions ,section     
#baaa7;a77#b77;,a7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;aa-#aa7;a77#b77;,a77 is am5d$1 9 ! 
matt] prec$+ clause 7i71 by ins]t+ t    
includes ! m$ical records & o!r         
in=mation requir$ "u subsection 7c7     
7includ+1 if applicable1 an             
id5tification ( unavailable records &   
explanation ( unavailability pursuant to
 subsection 7c77#c77 aft] unless a      
petition4  7#b7  ,decision tim+ =       
special ma/]s  ,section                 
#baab7;d77#c77;,a77ii7 ( ! ,public      
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;aa-#ab7;d77#c77;,a77ii77 is am5d$  
by /rik+ ! petition 0 fil$ & ins]t+ on  
:i* ! petition & ! m$ical records & o!r 

in=mation requir$ to be fil$ ) su*      
petition "u section #baaa7;c7 0 fil$4   
#c4 ,treatm5t ( ,,covid-#ai vacc9es  7a7
 ,vacc9e injury table ,n lat] ?an #fj   
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all promulgate regulations to 
add1 9 accordance ) section             
#baad7;c77#c7 ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4                    
#cjj;aa-#ad7;c77#c771 ,,covid-#ai       
vacc9es to ! ,vacc9e ,injury ,table4 ,9 
promulgat+ su* regulations1 ! ,secret>y 
%all provide = notice & opportunity = a 
public he>+ & at lea/ #cj days ( public 
comm5t4  7b7 ,eligibility = comp5sation 
,not)/&+ sections #cai;,f-#c &          
#cai;,f-#d ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bdg;d-#f;d2 #db    
,u4,s4,c4 #bdg;d-#f;e71 any individual  
:o receiv$ a ,,covid-#ai vacc9e1 or any 
o!r vacc9e t is add$ to ! ,vacc9e       
,injury ,table pursuant to section #baad
 ( su* ,act 7#db ,u4,s4,c4 #cjj;aa-#ad71
 %all be eligible to file a petition =  

comp5sation "u section #baaa ( su* ,act 
7#db ,u4,s4,c4 #cjj;aa-#aa71 subject to 
! requirem5ts ( section #baaf ( su* ,act
 7#db ,u4,s4,c4 #cjj;aa-#af74  7c7      
,concurr5t rem$y ,section #baae7;g7 ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;aa-#ae7;g77 is am5d$ by  
/rik+ ! p]iod at ! end & ins]t+ 1 or    
7#c7 "u ! ,c\nt]measures ,injury        
,comp5sation ,program "u sections       
#cai;,f-#c & #cai;,f-#d1 :i* %all be    
consid]$ a concurr5t rem$y4 ,sections   
#cai;,f-#c & #cai;,f-#d %all n o!rwise  
impact ! availability ( comp5sation "u  
?is ,act1 ) respect to a vacc9e-relat$  
injury or vacc9e-relat$ dea?4  7d7      
,vacc9e ,liability ,rules  7#a7 ,9 g5]al
 ,no?+ 9 ?is section1 or any am5dm5t    
made by ?is ,act1 %all be con/ru$ to    
affect or limit ! application ( section 
#cai;,f-#c ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bdg;d-#f;d7        
7includ+ ! liability protections = cov]$
 c\nt]measures provid$ "u su* section7 &
 any decl>ation made "u su* section     

#cai;,f-#c1 or any am5dm5ts made to su* 
a decl>ation4  7#b7 ,,covid-#ai vacc9es 
,any civil action 7o!r ?an a petition = 
comp5sation "u ! ,national ,vacc9e      
,injury ,comp5sation ,program pursuant  
to section #baaa ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;aa-#aa77 t is relat$ to !          
adm9i/ration to an individual ( a       
,,covid-#ai vacc9e :i* 01 at ! "t (     
adm9i/ration1 a cov]$ c\nt]measure1 w be
 subject to ! proc$ures specifi$ 9      
section #cai;,f-#c ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#bdg;d-#f;d71 reg>dless ( :e!r !        
individual involv$ has fil$ a petition =
 comp5sation pursuant to section #baaa (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #cjj;aa-#aa7 & elects1        
pursuant to section #baba ( su* ,act    
7#db ,u4,s4,c4 #cjj;aa-#ba71 to )draw ! 
petition or to file a civil action      
in/ead ( accept+ ! comp5sation or       
judgm5t on ! petition4  7#c7 ,"t-b>r$ & 
,f9al ,actions ,no?+ 9 ?is ,act %all be 

con/ru$ to all[ any civil action 7o!r   
?an a petition = comp5sation "u !       
,national ,vacc9e ,injury ,comp5sation  
,program pursuant to section #baaa ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;aa-#aa77 if1 on ! date ( 
enactm5t ( ?is ,act1 su* civil action 0 
"t-b>r$ "u applicable law or t 0 !      
subject ( a f9al judgm5t or ord]4  7e7  
,,covid-#ai vacc9e def9$  ,9 ?is        
section1 ! t]m ,,covid-#ai vacc9e ref]s 
to any vacc9e t is int5d$ to prev5t1    
mitigate1 or limit ! h>m f ,,covid-#ai1 
or ! transmission ( ,,s>s-,co,v-#b or a 
virus mutat+ !refrom1 includ+ any vacc9e
 t is lic5s$ "u section #cea ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bfb7 or au?oriz$ = em]g5cy use "u      
section #efd ( ! ,f$]al ,food1 ,drug1 & 
,cosmetic ,act 7#ba ,u4,s4,c4           
#cfj;bbb-#c71 reg>dless ( ! plat=m or   
te*nology us$ to produce su* vacc9e4    
#d4 ,pr(essional judgm5t budget  7a7 ,9 
g5]al ,! ,secret>y ( ,heal? & ,human    
,s]vices-- 7#a7 9 consultation ) !      

,attorney ,g5]al1 %all submit a budget  
outl9+ ! res\rce ne$s = ea* ag5cy =     
purposes ( c>ry+ out ! ,national ,vacc9e
 ,injury ,comp5sation ,program "u       
subtitle #b ( title ,,xxi ( su* ,act    
7#db ,u4,s4,c4 #cjj;aa-#aj et seq47 =   
fiscal ye>s #bjbg ?r\gh #bjca2 &  7#b7  
%all submit a budget outl9+ res\rce ne$s
 = purposes ( c>ry+ out ! ,c\nt]measures
 ,injury ,comp5sation ,program "u       
section #cai;,f-#d ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bdg;d-#f;e7
 = fiscal ye>s #bjbg ?r\gh #bjca4  7b7  
,inclusions ,! budgets describ$ 9       
p>agraphs 7#a7 & 7#b7 ( subsection 7a7  
%all include e/imates ( bo?--  7#a7 !   
res\rces necess>y to process curr5t     
backlogs "u ea* program ref]r$ to 9 su* 
subsection2 &  7#b7 ea* program's       
ability to r$uce process+ times = claims
 "u ! programs ref]r$ to 9 su*          
p>agraphs4  #e4 ,addition ( miscellane\s
 vacc9es to li/ ( taxable vacc9es  7a7  
,d5gue vacc9e  7#a7 ,9 g5]al ,section   
#dacb7;a77#a7 ( ! ,int]nal ,rev5ue ,code

 ( #aihf is am5d$ by add+ at ! end !    
foll[+ new subp>agraph3  7,q7 ,any      
vacc9e aga9/ d5gue4  4  7#b7 ,effective 
date  7,a7 ,sales1 etc ,! am5dm5t made  
by p>agraph 7#a7 %all apply to sales &  
uses on or aft] ! lat] (-- 7i7 ! fir/   
day ( ! fir/ mon? :i* beg9s m ?an #d    
weeks aft] ! date ( ! enactm5t ( ?is    
,act1 or  7ii7 ! date on :i* ! ,secret>y
 ( ,heal? & ,human ,s]vices li/s any    
vacc9e aga9/ d5gue 7o!r ?an any vacc9e  
aga9/ d5gue li/$ by ! ,secret>y prior to
 ! date ( ! enactm5t ( ?is ,act7 =      
purposes ( comp5sation = any            
vacc9e-relat$ injury or dea? ?r\gh !    
,vacc9e ,injury ,comp5sation ,tru/      
,fund4  7,b7 ,deliv]ies ,= purposes (   
subp>agraph 7,a7 & section #daca ( !    
,int]nal ,rev5ue ,code ( #aihf1 9 ! case
 ( sales on or be=e ! effective date    
describ$ 9 su* subp>agraph = :i* deliv]y
 is made aft] su* date1 ! deliv]y date  
%all be consid]$ ! sale date4  7b7      
,,s>s-,co,v-#b vacc9e  7#a7 ,9 g5]al    
,section #dacb7;a77#a7 ( ! ,int]nal     

,rev5ue ,code ( #aihf1 z am5d$ by       
subsection 7a77#a71 is am5d$ by add+ at 
! end ! foll[+ new subp>agraph3  7,r7   
,any vacc9e aga9/ ,,s>s-,co,v-#b4  4    
7#b7 ,effective date  7,a7 ,sales1 etc  
,! am5dm5t made by p>agraph 7#a7 %all   
apply to sales & uses on or aft] ! lat] 
(-- 7i7 ! fir/ day ( ! fir/ mon? :i*    
beg9s m ?an #d weeks aft] ! date ( !    
enactm5t ( ?is ,act1 or  7ii7 ! date on 
:i* ! ,secret>y ( ,heal? & ,human       
,s]vices li/s any vacc9e aga9/          
,,s>s-,co,v-#b 7o!r ?an any vacc9e aga9/
 ,,s>s-,co,v-#b li/$ by ! ,secret>y     
prior to ! date ( ! enactm5t ( ?is ,act7
 = purposes ( comp5sation = any         
vacc9e-relat$ injury or dea? ?r\gh !    
,vacc9e ,injury ,comp5sation ,tru/      
,fund4  7,b7 ,deliv]ies  7i7 ,9 g5]al   
,except z provid$ 9 clause 7ii71 =      
purposes ( subp>agraph 7,a7 & section   
#daca ( ! ,int]nal ,rev5ue ,code (      
#aihf1 9 ! case ( sales on or be=e !    
effective date describ$ 9 su*           
subp>agraph = :i* deliv]y is made aft]  

su* date1 ! deliv]y date %all be        
consid]$ ! sale date4  7ii7 ,exception  
,clause 7i7 %all n apply to any sale to 
! ,unit$ ,/ates ,gov]nm5t4  7c7         
,respiratory syncytial virus vacc9e     
7#a7 ,9 g5]al ,section #dacb7;a77#a7 ( !
 ,int]nal ,rev5ue ,code ( #aihf1 z am5d$
 by subsection 7b77#a71 is am5d$ by add+
 at ! end ! foll[+ new subp>agraph3     
7,s7 ,any vacc9e aga9/ respiratory      
syncytial virus4  4  7#b7 ,effective    
date  7,a7 ,sales1 etc ,! am5dm5t made  
by p>agraph 7#a7 %all apply to sales &  
uses on or aft] ! lat] (--  7i7 ! fir/  
day ( ! fir/ mon? :i* beg9s m ?an #d    
weeks aft] ! date ( ! enactm5t ( ?is    
,act1 or  7ii7 ! date on :i* ! ,secret>y
 ( ,heal? & ,human ,s]vices li/s any    
vacc9e aga9/ respiratory syncytial virus
 7o!r ?an any vacc9e aga9/ respiratory  
syncytial virus li/$ by ! ,secret>y     
prior to ! date ( ! enactm5t ( ?is ,act7
 = purposes ( comp5sation = any         
vacc9e-relat$ injury or dea? ?r\gh !    
,vacc9e ,injury ,comp5sation ,tru/      

,fund4  7,b7 ,deliv]ies ,= purposes (   
subp>agraph 7,a7 & section #daca ( !    
,int]nal ,rev5ue ,code ( #aihf1 9 ! case
 ( sales on or be=e ! effective date    
describ$ 9 su* subp>agraph = :i* deliv]y
 is made aft] su* date1 ! deliv]y date  
%all be consid]$ ! sale date4  7d7      
,h]pes zo/] 7%+les7 vacc9e  7#a7 ,9     
g5]al ,section #dacb7;a77#a7 ( !        
,int]nal ,rev5ue ,code ( #aihf1 z am5d$ 
by subsection 7c77#a71 is am5d$ by add+ 
at ! end ! foll[+ new subp>agraph3  7,t7
 ,any vacc9e aga9/ h]pes zo/] 7%+les74  
4  7#b7 ,effective date  7,a7 ,sales1   
etc ,! am5dm5t made by p>agraph 7#a7    
%all apply to sales & uses on or aft] ! 
lat] (--  7i7 ! fir/ day ( ! fir/ mon?  
:i* beg9s m ?an #d weeks aft] ! date ( !
 enactm5t ( ?is ,act1 or  7ii7 ! date on
 :i* ! ,secret>y ( ,heal? & ,human      
,s]vices li/s any vacc9e aga9/ h]pes    
zo/] 7%+les7 7o!r ?an any vacc9e aga9/  
h]pes zo/] 7%+les7 li/$ by ! ,secret>y  
prior to ! date ( ! enactm5t ( ?is ,act7
 = purposes ( comp5sation = any         

vacc9e-relat$ injury or dea? ?r\gh !    
,vacc9e ,injury ,comp5sation ,tru/      
,fund4  7,b7 ,deliv]ies ,= purposes (   
subp>agraph 7,a7 & section #daca ( !    
,int]nal ,rev5ue ,code ( #aihf1 9 ! case
 ( sales on or be=e ! effective date    
describ$ 9 su* subp>agraph = :i* deliv]y
 is made aft] su* date1 ! deliv]y date  
%all be consid]$ ! sale date4  7e7      
,r\t9ely adm9i/]$ vacc9es  7#a7 ,9 g5]al
 ,section #dacb7;a77#a7 ( ! ,int]nal    
,rev5ue ,code ( #aihf1 z am5d$ by       
subsection 7d77#a71 is am5d$ by add+ at 
! end ! foll[+ new subp>agraph3  7,u7   
,any vacc9e n describ$ 9 ?is p>agraph-- 
7i7 :i* ei!r--  7,i7 is lic5s$ "u       
section #cea ( ! ,public ,heal? ,s]vice 
,act1 or  7,,ii7 is au?oriz$ = em]g5cy  
use "u section #efd ( ! ,f$]al ,food1   
,drug1 & ,cosmetic ,act1 &  7ii7 :i* is 
comm]cially di/ribut$ 9 ! ,unit$ ,/ates4
  4  7#b7 ,effective date  7,a7 ,sales1 
etc ,! am5dm5t made by p>agraph 7#a7    
%all apply to sales & uses ( vacc9es    
describ$ 9 subp>agraph 7,u7 ( section   

#dacb7;a77#a7 ( ! ,int]nal ,rev5ue ,code
 ( #aihf1 z am5d$ by p>agraph 7#a71 on  
or aft] ! lat] (--  7i7 ! fir/ day ( !  
fir/ mon? :i* beg9s m ?an #d weeks aft] 
! date ( ! enactm5t ( ?is ,act1 or  7ii7
 ! date on :i* ! ,secret>y ( ,heal? &   
,human ,s]vices li/s any su* vacc9e 7o!r
 ?an any su* vacc9e li/$ by ! ,secret>y 
prior to ! date ( ! enactm5t ( ?is ,act7
 = purposes ( comp5sation = any         
vacc9e-relat$ injury or dea? ?r\gh !    
,vacc9e ,injury ,comp5sation ,tru/      
,fund4  7,b7 ,deliv]ies ,= purposes (   
subp>agraph 7,a7 & section #daca ( !    
,int]nal ,rev5ue ,code ( #aihf1 9 ! case
 ( sales on or be=e ! effective date    
describ$ 9 su* subp>agraph = :i* deliv]y
 is made aft] su* date1 ! deliv]y date  
%all be consid]$ ! sale date4  7f7      
,cl>ification ( def9ition ( vacc9e  7#a7
 ,9 g5]al ,section #dacb7;a77#b7 ( !    
,int]nal ,rev5ue ,code ( #aihf is am5d$ 
by ins]t+ by /imulat+ active immunity or
 by provid+ passive immunity = long-t]m 
protection ?r\gh long-act+ monoclonal   

antibody products includ$ 9             
recomm5dations ( ! ,advisory ,committee 
on ,immunization ,practices t h be5     
adopt$ by ! ,director ( ! ,c5t]s =      
,disease ,control & ,prev5tion be=e !   
p]iod4  7#b7 ,effective date ,! am5dm5t 
made by p>agraph 7#a7 %all apply to     
sales & uses on or aft] ! date ( !      
enactm5t ( ?is ,act4  7g7 ,notification 
requirem5t  7#a7 ,9 g5]al ,n lat] ?an   
#cj days aft] a vacc9e--  7,a7 is ei!r--
 7i7 lic5s$ "u section #cea ( ! ,public 
,heal? ,s]vice ,act1 or  7ii7 au?oriz$ =
 em]g5cy use "u section #efd ( ! ,f$]al 
,food1 ,drug1 & ,cosmetic ,act1 &  7,b7 
is fir/ comm]cially di/ribut$ 9 ! ,unit$
 ,/ates1  ! ,secret>y ( ,heal? & ,human 
,s]vices %all provide notice ( su*      
lic5se or au?orization to ! appropriate 
recipi5ts4  7#b7 ,appropriate recipi5ts 
,= purposes ( p>agraph 7#a71 ! t]m      
appropriate recipi5ts means-- 7,a7 !    
,secret>y ( ! ,treasury1  7,b7 !        
,committees on ,ways & ,means & ,en]gy &
 ,comm]ce ( ! ,h\se ( ,repres5tatives1 &

  7,c7 ! ,committees on ,f9ance &       
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate4  #f4 ,increase 9 vacc9e      
excise tax  7a7 ,9 g5]al ,section       
#daca7;b77#a7 ( ! ,int]nal ,rev5ue ,code
 ( #aihf is am5d$ by /rik+ #ge c5ts &   
ins]t+ #b4bj4  7b7 ,effective date ,!   
am5dm5t made by ?is section %all apply  
to sales & uses on or aft] ! fir/ day ( 
! fir/ mon? :i* beg9s m ?an #f mon?s    
aft] ! date ( ! enactm5t ( ?is ,act4