I 

110TH CONGRESS 

2D SESSION H. R. 4992 

To amend title XVIII of the Social Security Act to provide for coverage 

of federally recommended vaccines under Medicare part B. 

IN THE HOUSE OF REPRESENTATIVES 

JANUARY 16, 2008 

Mr. WAXMAN (for himself and Ms. ROYBAL-ALLARD) introduced the following 

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

in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of 

such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To amend title XVIII of the Social Security Act to provide 

for coverage of federally recommended vaccines under 

Medicare part B. 

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 ‘‘Medicare Improvement 

5 Act of 2007’’. 


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1 SEC. 2. INCLUSION OF IMMUNIZATIONS UNDER PART B OF 

2 THE MEDICARE PROGRAM. 

3 (a) IN GENERAL.—Paragraph (10) of section 

4 1861(s) of the Social Security Act (42 U.S.C. 1395w(s)) 

5 is amended to read as follows: 

6 ‘‘(10) federally recommended vaccines (as de7 fined subsection (ccc)) and their respective adminis8 tration;’’. 

9 (b) FEDERALLY RECOMMENDED VACCINES DE10 FINED.—Such section is further amended by adding at the 

11 end the following new subsection: 

12 ‘‘Federally Recommended Vaccines 

13 ‘‘(ccc) The term ‘federally recommended vaccine’ 

14 means— 

15 ‘‘(1) with respect to an adult, an approved vac16 cine recommended by the Advisory Committee on 

17 Immunization Practices (an advisory committee es18 tablished by the Secretary, acting through the Direc19 tor of the Centers for Disease Control and Preven20 tion); and 

21 ‘‘(2) with respect to a child, a vaccine on the 

22 list referred to in section 1928(e) of the Social Secu23 rity Act.’’. 

24 (c) CONFORMING AMENDMENTS.— 

25 (1) Section 1833 of such Act (42 U.S.C. 1395l) 

26 is amended, in each of subsections (a)(2)(B), 


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1 (a)(2)(G), (a)(3)(A), (b)(1), by striking 

2 ‘‘1861(s)(10)(A)’’ or ‘‘1861(s)(10)(B)’’ and insert3 ing ‘‘1861(s)(10)’’ each place it appears. 

4 (2) Section 1842(o)(1)(A)(iv) of such Act (42 

5 U.S.C. 1395u(o)(1)(A)(iv)) is amended by striking 

6 ‘‘subparagraph (A) or (B) of’’. 

7 (3) Section 1847A(c)(6) of such Act (42 U.S.C. 

8 1395w–3a(c)(6)) is amended by striking subpara9 graph (G). 

10 (4) Section 1860D–2(e)(1) of such Act (42 

11 U.S.C. 1395w–102(e)(1)) is amended by striking 

12 ‘‘such term includes a vaccine’’ and all that follows 

13 through ‘‘its administration) and’’. 

14 (5) Section 1861(ww)(2)(A) of such Act (42 

15 U.S.C. 1395w(ww)(2)(A))) is amended by striking 

16 ‘‘and hepatitis B’’ and inserting ‘‘hepatitis B, and 

17 any other adult vaccine’’. 

18 (6) Section 1866(a)(2)(A) of such Act (42 

19 U.S.C. 1395cc(a)(2)(A)) is amended by striking 

20 ‘‘1861(s)(10)(A)’’ and inserting ‘‘1861(s)(10)’’. 

21 (d) EFFECTIVE DATE.—The amendments made by 

22 this section shall apply to vaccines administered on or 

23 after January 1, 2008. 

Æ 


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