II 

117TH CONGRESS 

1ST SESSION S. 581 

To amend title XIX of the Social Security Act to improve access to adult 

vaccines under Medicaid. 

IN THE SENATE OF THE UNITED STATES 

MARCH 3, 2021 

Mr. BROWN introduced the following bill; which was read twice and referred 

to the Committee on Finance 

A BILL 

To amend title XIX of the Social Security Act to improve 

access to adult vaccines under Medicaid. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Helping Adults Protect 

5 Immunity Act’’ or the ‘‘HAPI Act’’. 

6 SEC. 2. IMPROVING ACCESS TO ADULT VACCINES UNDER 

7 MEDICAID. 

8 (a) REQUIRING MEDICAID PLANS TO COVER ADULT

9 VACCINATIONS.—Section 1902(a)(10)(A) of the Social Se10 curity Act (42 U.S.C. 1396a(a)(10)(A)) is amended in the 


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•S 581 IS

1 matter preceding clause (i) by inserting ‘‘(13)(B),’’ after 

2 ‘‘(5),’’. 

3 (b) NO COST SHARING FOR VACCINATIONS.— 

4 (1) GENERAL COST-SHARING LIMITATIONS.— 

5 Section 1916 of the Social Security Act (42 U.S.C. 

6 1396o) is amended— 

7 (A) in subsection (a)(2)— 

8 (i) in subparagraph (F), by striking ‘‘, 

9 or’’ and inserting a comma; 

10 (ii) in subparagraph (G), by striking 

11 ‘‘; and’’ and inserting ‘‘, or’’; and 

12 (iii) by adding at the end the fol13 lowing new subparagraph: 

14 ‘‘(H) vaccines described in section 

15 1905(a)(13)(B) (and the administration of such 

16 vaccines); and’’; and 

17 (B) in subsection (b)(2)— 

18 (i) in subparagraph (F), by striking ‘‘, 

19 or’’ and inserting a comma; 

20 (ii) in subparagraph (G), by striking 

21 ‘‘; and’’ and inserting ‘‘, or’’; and 

22 (iii) by adding at the end the fol23 lowing new subparagraph: 


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•S 581 IS

1 ‘‘(H) vaccines described in section 

2 1905(a)(13)(B) (and the administration of such 

3 vaccines); and’’. 

4 (2) APPLICATION TO ALTERNATIVE COST SHAR5 ING.—Section 1916A(b)(3)(B) of the Social Security 

6 Act (42 U.S.C. 1396o–1(b)(3)(B)) is amended by 

7 adding at the end the following new clause: 

8 ‘‘(xii) Vaccines described in section 

9 1905(a)(13)(B) (and the administration of 

10 such vaccines).’’. 

11 (c) ENHANCED FMAP FOR ADULT VACCINES.—Sec12 tion 1905(b) of the Social Security Act (42 U.S.C. 

13 1396d(b)) is amended— 

14 (1) by striking ‘‘and (5)’’ and inserting ‘‘(5)’’; 

15 (2) by striking ‘‘services and vaccines described 

16 in subparagraphs (A) and (B) of subsection (a)(13), 

17 and prohibits cost-sharing for such services and vac18 cines’’ and inserting ‘‘services described in sub19 section (a)(13)(A), and prohibits cost-sharing for 

20 such services’’; 

21 (3) by striking ‘‘medical assistance for such 

22 services and vaccines’’ and inserting ‘‘medical assist23 ance for such services’’; and 

24 (4) by inserting ‘‘, and (6) with respect to med25 ical assistance for vaccines described in subsection 


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•S 581 IS

1 (a)(13)(B), the Federal medical assistance percent2 age, as determined under this subsection and sub3 section (y) (without regard to paragraph (1)(C) of 

4 such subsection), shall be increased by 1 percentage 

5 point’’ before the first period. 

Æ 


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