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 sub-
sequently 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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Medicare Improvement 
Act of 2007’’. 
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SEC. 2. INCLUSION OF IMMUNIZATIONS UNDER PART B OF 
THE MEDICARE PROGRAM. 
(a) IN
GENERAL.—Paragraph (10) of section 
1861(s) of the Social Security Act (42 U.S.C. 1395w(s)) 
is amended to read as follows: 
‘‘(10) federally recommended vaccines (as de-
fined subsection (ccc)) and their respective adminis-
tration;’’. 
(b) FEDERALLY
RECOMMENDED
VACCINES
DE-
FINED.—Such section is further amended by adding at the 
end the following new subsection: 
‘‘Federally Recommended Vaccines 
‘‘(ccc) The term ‘federally recommended vaccine’ 
means— 
‘‘(1) with respect to an adult, an approved vac-
cine recommended by the Advisory Committee on 
Immunization Practices (an advisory committee es-
tablished by the Secretary, acting through the Direc-
tor of the Centers for Disease Control and Preven-
tion); and 
‘‘(2) with respect to a child, a vaccine on the 
list referred to in section 1928(e) of the Social Secu-
rity Act.’’. 
(c) CONFORMING AMENDMENTS.— 
(1) Section 1833 of such Act (42 U.S.C. 1395l) 
is amended, in each of subsections (a)(2)(B), 
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(a)(2)(G), 
(a)(3)(A), 
(b)(1), 
by 
striking 
‘‘1861(s)(10)(A)’’ or ‘‘1861(s)(10)(B)’’ and insert-
ing ‘‘1861(s)(10)’’ each place it appears. 
(2) Section 1842(o)(1)(A)(iv) of such Act (42 
U.S.C. 1395u(o)(1)(A)(iv)) is amended by striking 
‘‘subparagraph (A) or (B) of’’. 
(3) Section 1847A(c)(6) of such Act (42 U.S.C. 
1395w–3a(c)(6)) is amended by striking subpara-
graph (G). 
(4) Section 1860D–2(e)(1) of such Act (42 
U.S.C. 1395w–102(e)(1)) is amended by striking 
‘‘such term includes a vaccine’’ and all that follows 
through ‘‘its administration) and’’. 
(5) Section 1861(ww)(2)(A) of such Act (42 
U.S.C. 1395w(ww)(2)(A))) is amended by striking 
‘‘and hepatitis B’’ and inserting ‘‘hepatitis B, and 
any other adult vaccine’’. 
(6) Section 1866(a)(2)(A) of such Act (42 
U.S.C. 1395cc(a)(2)(A)) is amended by striking 
‘‘1861(s)(10)(A)’’ and inserting ‘‘1861(s)(10)’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to vaccines administered on or 
after January 1, 2008. 
Æ 
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