,,ii #aaith ,,congress #ast ,session ,s4 #bheg ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,september #ah 7legislative day1 ,september #af71 #bjbe,mr4 ,wyden 7for himself and ,mr4 ,sanders7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to require coverage of certain immunizations recommended by the ,advisory ,committee on ,immunization ,practices under the ,medicare program1 the ,medicaid program1 the ,children's ,health ,insurance ,program1 group health plans1 and health insurance coverage4 #a4 ,short title ,this ,act may be cited as the ,protecting ,free ,vaccines ,act of #bjbe4 #b4 ,requiring coverage of certain immunizations recommended by the ,advisory ,committee on ,immunization ,practices 7a7 ,group health plans and health insurance coverage 7#a7 ,,phsa 7,a7 ,in general ,part ,d of title ,,xxvii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#aaa et seq47 is amended by adding at the end the following new section3 #bgii;,a-#aa4 ,coverage of certain immunizations recommended by the ,advisory ,committee on ,immunization ,practices 7a7 ,in general ,with respect to plan years occurring during the date of the enactment of this section1 or beginning on or after the date of the enactment of this section and before ,january #a1 #bjcj1 a group health plan and a health insurance issuer offering group or individual health insurance coverage shall provide coverage for and shall not impose any cost sharing requirements for immunizations that had in effect a recommendation from the ,advisory ,committee on ,immunization ,practices of the ,centers for ,disease ,control and ,prevention with respect to the individual involved as of ,october #be1 #bjbd1 including such an immunization involving a vaccine as updated or changed after such date under an approved supplemental application to a biological product licensed under section #cea on or before such date4 7b7 ,special rule ,subsection 7a7 shall not apply in the case of an immunization administered during the minimum interval established under section #bgac7;b7 with respect to such immunization4 4 7,b7 ,conforming amendment ,section #acjb7;e77#a77;,b77i7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjbb7;e77#a77;,b77i77 is amended by striking section #bgac and inserting sections #bgac and #bgii;,a-#aa of the ,public ,health ,service ,act4 7#b7 ,,erisa 7,a7 ,in general ,subpart ,b of part #g of subtitle ,b of title ,i of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aahe et seq47 is amended by adding at the end the following new section3 #gbf4 ,coverage of certain immunizations recommended by the ,advisory ,committee on ,immunization ,practices 7a7 ,in general ,with respect to plan years occurring during the date of the enactment of this section1 or beginning on or after the date of the enactment of this section and before ,january #a1 #bjcj1 a group health plan and a health insurance issuer offering group health insurance coverage shall provide coverage for and shall not impose any cost sharing requirements for immunizations that had in effect a recommendation from the ,advisory ,committee on ,immunization ,practices of the ,centers for ,disease ,control and ,prevention with respect to the individual involved as of ,october #be1 #bjbd1 including such an immunization involving a vaccine as updated or changed after such date under an approved supplemental application to a biological product licensed under section #cea of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bfb7 on or before such date4 7b7 ,special rule ,subsection 7a7 shall not apply in the case of an immunization administered during the minimum interval established under section #bgac7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ac7;b77 with respect to such immunization4 4 7,b7 ,clerical amendment ,the table of contents in section #a of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #ajja note7 is amended by inserting after the item relating to section #gbe the following new item3 ,sec4 #gbf4 ,coverage of certain immunizations recommended by the ,advisory ,committee on ,immunization ,practices4 4 7#c7 ,,irc 7,a7 ,in general ,subchapter ,b of chapter #ajj of the ,internal ,revenue ,code of #aihf is amended by adding at the end the following new section3 #ihbf4 ,coverage of certain immunizations recommended by the ,advisory ,committee on ,immunization ,practices 7a7 ,in general ,with respect to plan years occurring during the date of the enactment of this section1 or beginning on or after the date of the enactment of this section and before ,january #a1 #bjcj1 a group health plan shall provide coverage for and shall not impose any cost sharing requirements for immunizations that had in effect a recommendation from the ,advisory ,committee on ,immunization ,practices of the ,centers for ,disease ,control and ,prevention with respect to the individual involved as of ,october #be1 #bjbd1 including such an immunization involving a vaccine as updated or changed after such date under an approved supplemental application to a biological product licensed under section #cea of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bfb7 on or before such date4 7b7 ,special rule ,subsection 7a7 shall not apply in the case of an immunization administered during the minimum interval established under section #bgac7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ac7;b77 with respect to such immunization4 4 7,b7 ,clerical amendment ,the table of sections for subchapter ,b of chapter #ajj of the ,internal ,revenue ,code of #aihf is amended by adding at the end the following new item3 ,sec4 #ihbf4 ,coverage of certain immunizations recommended by the ,advisory ,committee on ,immunization ,practices4 4 7b7 ,medicare ,section #ahfj;,d-#b7;b77#h77;,b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajb7;b77#h77;,b77 is amended-- 7#a7 by striking with recommendations and inserting with-- 7i7 recommendations 2 7#b7 by striking the period at the end and inserting 2 or2 and 7#c7 by adding at the end the following new clause3 7ii7 for plan years occurring during the date of the enactment of this clause1 or beginning on or after the date of the enactment of this clause and before ,january #a1 #bjcj1 in the case of a vaccine with respect to which such a recommendation is revoked with respect to the individual involved on or after ,october #be1 #bjbd1 including such a vaccine as updated or changed after such date under an approved supplemental application to a biological product licensed under section #cea of the ,public ,health ,service ,act on or before such date1 the most recent recommendation that was in effect with respect to such vaccine and such individual prior to such revocation4 4 7c7 ,medicaid 7#a7 ,in general ,section #aije of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7 is amended-- 7,a7 in subsection 7a77#ac77;,b7-- 7i7 by striking individual1 approved and inserting individual-- 7i7 approved 2 and 7ii7 by adding at the end the following new clause3 7ii7 for the period beginning on the date of the enactment of this clause and ending on ,december #ca1 #bjbi1 approved vaccines1 and the administration of such vaccines1 that were recommended by such advisory committee with respect to the individual involved as of ,october #be1 #bjbd1 including such a vaccine as updated or changed after such date under an approved supplemental application to a biological product licensed under section #cea of the ,public ,health ,service ,act on or before such date2 and 2 and 7,b7 in subsection 7r77#a77;,b77iii71 by-- 7i7 striking section #aibh7;c77#b77;,b77i7 and inserting clause 7i7 of section #aibh7;c77#b77;,b72 and 7ii7 inserting 1 subject to the limitation described in clause 7iii7 of such section after pediatric vaccines4 7#b7 ,coverage for pregnant individuals ,section #aijb7;a77#aj7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#aj77 is amended in the matter following subparagraph 7,g7 by inserting medical assistance for vaccines described in section #aije7;a77#ac77;,b7 and the administration of such vaccines1 after complicate pregnancy14 7#c7 ,program for distribution of pediatric vaccines ,section #aibh of the ,social ,security ,act 7#db ,u4,s4,c4 #acifs7 is amended-- 7,a7 in subsection 7c77#b77;,b7-- 7i7 in clause 7i71 by striking clause 7ii7 and inserting clauses 7ii7 and 7iii72 and 7ii7 by adding at the end the following new clause3 7iii7 ,for the period beginning on the date of the enactment of this clause and ending on ,december #ca1 #bjbi1 the provider will not take into account any change in the schedule described in clause 7i7 that removes the recommendation to administer a pediatric vaccine with respect to the vaccine-eligible child involved if such pediatric vaccine was recommended with respect to such child under such schedule as of ,october #be1 #bjbd1 including with respect to such pediatric vaccine as updated or changed after such date under an approved supplemental application to a biological product licensed under section #cea of the ,public ,health ,service ,act on or before such date4 2 and 7,b7 in subsection 7e71 by inserting ,for purposes of the preceding sentence1 during the period beginning on the date of the enactment of this sentence and ending on ,december #ca1 #bjbi1 the ,secretary may not take into account any revision of such list that occurs on or after ,october #be1 #bjbd1 that removes a pediatric vaccine from such list if such vaccine was included in such list as of such date1 including with respect to such vaccine as updated or changed after such date under an approved supplemental application to a biological product licensed under section #cea of the ,public ,health ,service ,act on or before such date4 after the period at the end4 7#d7 ,state flexibility in benefit packages ,section #aicg7;b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifu-#g7;b77 is amended by adding at the end the following new paragraph3 7#i7 ,coverage of adult vaccines ,notwithstanding the previous provisions of this section1 a ,state may not provide for medical assistance through enrollment of an individual with benchmark coverage or benchmark-equivalent coverage under this section unless such coverage includes 7and does not impose any deduction1 cost sharing1 or similar charge for7 the medical assistance described in section #aije7;a77#ac77;,b74 4 7d7 ,,chip ,section #bajc of the ,social ,security ,act 7#db ,u4,s4,c4 #acig;cc7 is amended-- 7#a7 in subsection 7c71 by adding at the end the following new paragraph3 7#ac7 ,required coverage of certain vaccines recommended by the ,advisory ,committee on ,immunization ,practices ,regardless of the type of coverage elected by a ,state under subsection 7a71 the child health assistance provided for a targeted low-income child shall include coverage1 during the period beginning on the date of the enactment of this paragraph and ending on ,december #ca1 #bjbi1 of vaccines1 and the administration of such vaccines1 that had in effect a recommendation from the ,advisory ,committee on ,immunization ,practices of the ,centers for ,disease ,control and ,prevention with respect to the child involved as of ,october #be1 #bjbd1 including such a vaccine as updated or changed after such date under an approved supplemental application to a biological product licensed under section #cea of the ,public ,health ,service ,act on or before such date4 2 and 7#b7 in subsection 7e77#b71 by inserting vaccines described in subsection 7c77#ac7 administered during the period beginning on the date of the enactment of such subsection and ending on ,december #ca1 #bjbi 7and the administration of such vaccines71 before services described in section #aiaf7;a77#b77;,g74