I 

118TH CONGRESS 

2D SESSION H. R. 10096 

To amend title XIX of the Social Security Act to ensure access to immunizations under the Medicaid program and the Vaccines for Children program, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

NOVEMBER 1, 2024 

Ms. SCHRIER (for herself and Mr. JOYCE of Pennsylvania) introduced the 

following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To amend title XIX of the Social Security Act to ensure 

access to immunizations under the Medicaid program 

and the Vaccines for Children program, and for other 

purposes. 

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 ‘‘Strengthening the Vac5 cines for Children Program Act of 2024’’. 


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1 SEC. 2. ENSURING ACCESS TO IMMUNIZATIONS UNDER THE 

2 MEDICAID PROGRAM AND THE VACCINES 

3 FOR CHILDREN PROGRAM. 

4 (a) ENCOURAGING INVOLVEMENT OF PROVIDERS.— 

5 Paragraph (3) of section 1928(c) of the Social Security 

6 Act (42 U.S.C. 1396s(c)) is amended— 

7 (1) by redesignating subparagraphs (A) and 

8 (B) as clauses (i) and (ii), respectively, and moving 

9 the margins of each such clause, as so redesignated, 

10 2 ems to the right; 

11 (2) by striking ‘‘PROVIDERS’’ and all that fol12 lows through ‘‘Each program’’ and inserting ‘‘PRO13 VIDERS.— 

14 ‘‘(A) IN GENERAL.—Each program’’; and 

15 (3) by adding at the end the following: 

16 ‘‘(B) INCENTIVE PAYMENTS.— 

17 ‘‘(i) IN GENERAL.— 

18 ‘‘(I) PAYMENT FOR PROGRAM19 REGISTERED PROVIDERS.—The Sec20 retary shall pay to each provider that 

21 requests payment under this subclause 

22 and that is a program-registered pro23 vider under this section as of the date 

24 of the enactment of this subparagraph 

25 an amount equal to $7,500, to be paid 


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1 as soon as practicable after such date 

2 of enactment. 

3 ‘‘(II) ADDITIONAL PAYMENT TO

4 INCENTIVIZE CONTINUED PARTICIPA5 TION.—The Secretary shall pay to 

6 each provider that requests payment 

7 under this subclause and that is a 

8 program-registered provider under 

9 this section for the duration of the pe10 riod beginning on the date of the en11 actment of this subparagraph and 

12 ending on December 31, 2026, and 

13 amount equal to $2,500, to be paid as 

14 soon as practicable after January 1, 

15 2027. 

16 ‘‘(ii) USE OF FUNDS.—Payments 

17 made under clause (i) may only be used by 

18 a provider for purposes of carrying out the 

19 program under this section (including any 

20 operational expenses associated with the 

21 furnishing of immunizations under such 

22 program, as specified by the Secretary). 

23 ‘‘(iii) RECOUPMENT OF PAYMENTS.— 

24 The Secretary may conduct reviews of pro25 viders receiving payments under this subVerDate Sep 11 2014 18:09 Nov 04, 2024 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H10096.IH H10096

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1 paragraph to ensure that such payments 

2 are used in accordance with clause (ii) and 

3 recoup from such providers any such pay4 ments not so used in accordance with such 

5 clause.’’. 

6 (b) EXPANSION OF DEFINITION OF FEDERALLY VAC7 CINE-ELIGIBLE CHILD.—Paragraph (2) of section 

8 1928(b) of the Social Security Act (42 U.S.C. 1396s(b)) 

9 is amended— 

10 (1) in subparagraph (A)— 

11 (A) in clause (iii), by striking ‘‘A child 

12 who’’ and all that follows through the period at 

13 the end and inserting ‘‘A child who is adminis14 tered a qualified pediatric vaccine and is not in15 sured with respect to such vaccine.’’; and 

16 (B) by adding at the end the following new 

17 clause: 

18 ‘‘(v) A child who is enrolled for child 

19 health assistance under a State child 

20 health plan approved under title XXI.’’; 

21 and 

22 (2) in subparagraph (B)(ii)(II), by striking ‘‘for 

23 purposes of subparagraph (A)(iii)(II)’’ and inserting 

24 ‘‘for purposes of subparagraph (A)(iii)’’. 


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1 (c) MINIMUM PAYMENT REQUIREMENT FOR VACCINE

2 ADMINISTRATION AND COUNSELING SERVICES.— 

3 (1) IN GENERAL.—Section 1902(a)(13) of the 

4 Social Security Act (42 U.S.C. 1396a(a)(13)) is 

5 amended— 

6 (A) in subparagraph (B), by striking 

7 ‘‘and’’ at the end; 

8 (B) in subparagraph (C), by striking the 

9 semicolon and inserting ‘‘; and’’; and 

10 (C) by adding at the end the following new 

11 subparagraph: 

12 ‘‘(D) for payment for vaccine administra13 tion and counseling services furnished by a pro14 vider during the period beginning on the date of 

15 the enactment of this subparagraph, and ending 

16 on December 31, 2026 (including, notwith17 standing subsection (c)(2)(C)(ii) of section 

18 1928, any such services furnished with respect 

19 to a vaccine furnished under the program estab20 lished by the State pursuant to such section to 

21 a medicaid-eligible child (as defined in sub22 section (b)(2)(B)(i) of such section)), at a rate 

23 not less than 100 percent of the payment rate 

24 that applies to such services and provider under 

25 part B of title XVIII;’’. 


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1 (2) MANAGED CARE PLANS.—Section 1932(f) 

2 of the Social Security Act (42 U.S.C. 1396u–2(f)) is 

3 amended— 

4 (A) in the header, by striking ‘‘PAYMENT

5 FOR PRIMARY CARE SERVICES’’ and inserting 

6 ‘‘PAYMENTS’’; and 

7 (B) by striking ‘‘section 1902(a)(13)(C)’’ 

8 and inserting ‘‘subparagraph (C) of section 

9 1902(a)(13) and vaccine administration and 

10 counseling services described in subparagraph 

11 (D) of such section’’; and 

12 (C) by striking ‘‘such section’’ and insert13 ing ‘‘such subparagraph (C) or (D), respec14 tively’’; and 

15 (D) by adding at the end the following new 

16 sentence: ‘‘The provisions of the preceding sen17 tence shall apply to contracts entered into with, 

18 and payments made by, other specified entities 

19 (as defined in section 1903(m)(9)(D)(iii)) in the 

20 same manner as such provisions apply with re21 spect to contracts entered into with, and pay22 ments made by, medicaid managed care organi23 zations.’’. 


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1 (3) CHIP.—Section 2103(c) of the Social Secu2 rity Act (42 U.S.C. 1397cc(c)) is amended by add3 ing at the end the following new paragraph: 

4 ‘‘(11) VACCINE ADMINISTRATION SERVICES.— 

5 The child health assistance provided to a targeted 

6 low-income child shall include payment for vaccine 

7 administration and counseling services furnished by 

8 a provider during the period beginning on the date 

9 of the enactment of this paragraph, and ending on 

10 December 31, 2026 (including, notwithstanding sub11 section (c)(2)(C)(ii) of section 1928, any such serv12 ices furnished to such child with respect to a vaccine 

13 furnished under the program established by the 

14 State pursuant to such section), at a rate not less 

15 than 100 percent of the payment rate that applies 

16 to such services and provider under part B of title 

17 XVIII.’’. 

18 (d) CLARIFICATION OF COVERAGE OF PEDIATRIC

19 VACCINE ADMINISTRATION AND VACCINE COUNSELING

20 AND EDUCATIONAL SERVICES UNDER THE VACCINES FOR

21 CHILDREN PROGRAM.—Section 1928(c)(2)(C)(ii) of the 

22 Social Security Act (42 U.S.C. 1396s(c)(2)(C)(ii)) is 

23 amended to read as follows: 

24 ‘‘(ii) The provider may impose— 


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1 ‘‘(I) in the case of a qualified pedi2 atric vaccine not described in subclause 

3 (II), a fee for the administration of and 

4 counseling for such vaccine so long as the 

5 fee in the case of a federally vaccine-eligi6 ble child does not exceed the costs of such 

7 administration and counseling (as deter8 mined by the Secretary based on actual re9 gional costs for such administration and 

10 counseling and updated as determined ap11 propriate by the Secretary to take into ac12 count changes in such costs, including 

13 changes attributable to the inclusion of 

14 new qualified pediatric vaccines in the pro15 gram established under this section); and 

16 ‘‘(II) in the case of a qualified pedi17 atric vaccine that is a multiple component 

18 vaccine, a separate charge for the adminis19 tration of and counseling for each compo20 nent of such vaccine so long as the charge 

21 in the case of a federally vaccine-eligible 

22 child does not exceed— 

23 ‘‘(aa) with respect to the first 

24 component of such vaccine, the costs 

25 of such administration and counseling 


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1 for such component (as determined by 

2 the Secretary based on actual regional 

3 costs for such administration and 

4 counseling for such first component 

5 and updated as determined appro6 priate by the Secretary to take into 

7 account changes in such costs, includ8 ing changes attributable to the inclu9 sion of new qualified pediatric vac10 cines in the program established 

11 under this section); and 

12 ‘‘(bb) with respect to a subse13 quent component of such vaccine, the 

14 payment rate that applies to such ad15 ministration and counseling for such 

16 component and provider under part B 

17 of title XVIII.’’. 

18 (e) INCREASE IN FEDERAL MEDICAL ASSISTANCE

19 PERCENTAGE.— 

20 (1) IN GENERAL.—Subject to paragraph (2), 

21 for each calendar quarter occurring during the pe22 riod beginning on or after January 1, 2025, the 

23 Federal medical assistance percentage determined 

24 for each State, including the District of Columbia, 

25 American Samoa, Guam, the Commonwealth of the 


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1 Northern Mariana Islands, Puerto Rico, and the 

2 United States Virgin Islands, under section 1905(b) 

3 of the Social Security Act (42 U.S.C. 1396d(b)), 

4 after application of section 6008 of the Families 

5 First Coronavirus Response Act (Public Law 116– 

6 127) (if applicable), shall be increased by 1 percent7 age point. 

8 (2) REQUIREMENTS.— 

9 (A) IN GENERAL.—A State described in 

10 paragraph (1) may not receive the increase de11 scribed in such paragraph in the Federal med12 ical assistance percentage for such State, with 

13 respect to a quarter, if such State does not en14 sure culturally competent and effective mes15 sages for vaccination outreach to child popu16 lations, which may include the dissemination of 

17 information highlighting— 

18 (i) advancements in research and vac19 cine development that have saved millions 

20 of individuals from death and disability 

21 from now-preventable diseases; 

22 (ii) information on how individuals 

23 across the lifespan benefit from immuniza24 tions, including those who cannot be vac25 cinated and rely on community immunity; 


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1 (iii) information on the dangers of not 

2 being vaccinated, including the potential 

3 for infectious disease outbreaks within 

4 communities; and 

5 (iv) information on vaccine safety and 

6 the systems in place to monitor vaccine 

7 safety. 

8 (B) REQUIREMENT FOR CERTAIN

9 STATES.—Section 1905(cc) of the Social Secu10 rity Act (42 U.S.C. 1396d(cc)) is amended— 

11 (i) by inserting ‘‘and section 2(e) of 

12 the Strengthening the Vaccines for Chil13 dren Program Act of 2024’’ before ‘‘, ex14 cept that in applying’’; and 

15 (ii) by inserting ‘‘, and in applying 

16 such treatments to the increases in the 

17 Federal medical assistance percentage 

18 under section 2(e) of the Strengthening the 

19 Vaccines for Children Program Act of 

20 2024, the reference to ‘December 31, 

21 2009’ shall be deemed to be a reference to 

22 ‘December 31, 2023’ ’’ before the period at 

23 the end. 

24 (f) TRIBAL EPIDEMIOLOGY CENTER DATA AC25 CESS.—With respect to data access for tribal epidemiology 


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1 centers established under section 214 of the Indian Health 

2 Care Improvement Act (25 U.S.C. 1621m), the Director 

3 of the Centers for Disease control and Prevention may cre4 ate a data sharing strategy that ensures such centers have 

5 access to data, data sets, monitoring systems, delivery sys6 tems, and other protected health information with respect 

7 to health care and public health surveillance systems of 

8 child and adolescent health necessary to accomplish such 

9 centers’ public health authority responsibilities described 

10 in such section or section 164.501 of title 45, Code of Fed11 eral Regulations. 

12 (g) REPORTS.— 

13 (1) IN GENERAL.—For each of fiscal years 

14 2025 and 2026, the Director of the Centers for Dis15 ease Control and Prevention, in coordination with 

16 each State that has established a pediatric vaccine 

17 distribution program under section 1928 of the So18 cial Security Act (42 U.S.C. 1396s), shall publish on 

19 the public internet website of the Centers for Dis20 ease Control and Prevention, in such manner as de21 termined appropriate by the Director, information 

22 on vaccination rates under each such program dur23 ing such year, including such rates disaggregated by 

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1 graphic factors determined appropriate by the Direc2 tor. 

3 (2) EFFECTS ON VACCINATION RATES AND PRO4 GRAM PARTICIPATION.—Not later than 2 years after 

5 the date of the enactment of this Act, the Comp6 troller General of the United States shall submit to 

7 Congress a report containing an analysis of the ef8 fects of the provisions of, and the amendments made 

9 by, this Act on— 

10 (A) vaccination rates under the pediatric 

11 vaccine distribution program under section 

12 1928 of the Social Security Act (42 U.S.C. 

13 1396s); and 

14 (B) provider participation in such pro15 gram. 

Æ 


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