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(d) DEFINITIONS.—For purposes of this Act:
(1) The term ‘‘Secretary’’ means the Secretary
of Health and Human Services.
(2) The term ‘‘parent’’ means any parent, step-
parent, grandparent, or duly appointed guardian.
(3) The term ‘‘United States’’ includes Puerto
Rico, Guam, the Virgin Islands, American Samoa,
and the Northern Mariana Islands.
(e) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this Act, there are authorized to
be appropriated such sums as may be necessary for fiscal
year 1994 and each subsequent fiscal year.
SEC. 9. NATIONAL IMMUNIZATION REGISTRY SYSTEM.
(a) IN GENERAL.—The Secretary, acting through the
Director of the Centers for Disease Control, shall establish
a national immunization registry system (in this section
referred to as the ‘‘registry’’). The purpose of the system
is to provide for national surveillance of childhood immuni-
zation status through age six.
(b) 
2-YEAR
RESEARCH
AND
DEMONSTRATION
PHASE.—
(1) IN GENERAL.—The Secretary shall make
grants to public and nonprofit private entities to
conduct research and demonstration projects aimed
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at identifying mechanisms and structures to develop
the registry, including—
(A) projects to test methods for collecting
birth certificate and immunization information
in a large central data system;
(B) projects to evaluate the capacity of
public health agencies to provide birth certifi-
cate and immunization information in a cost-ef-
fective and efficient manner;
(C) projects to assess techniques for track-
ing children in mobile populations across geo-
graphic areas;
(D) projects to explore the feasibility of a
registry which requires the participation by pri-
vate providers of immunization services; and
(E) projects to demonstrate the efficient
use of registry information in providing immu-
nization status.
(2) AUTHORIZATION
OF
APPROPRIATIONS.—
There are authorized to be appropriated to carry out
this subsection $7,000,000 in fiscal year 1994 and
$12,000,000 in fiscal year 1995.
(c) ENHANCEMENT OF INFORMATION SYSTEMS.—
(1) IN
GENERAL.—The Secretary, based on
projects conducted under subsection (b), shall ex-
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pand the registry to cover the entire Nation. In
doing this, the Secretary shall—
(A) develop the capacity to link and proc-
ess all birth certificate records through a
central registry;
(B) enhance State and local technical ca-
pacity to provide information through use of re-
sources (such as new computer hardware and
software or technical assistance);
(C) promote participation by private pro-
viders who administer childhood vaccines; and
(D) develop mechanisms to collect informa-
tion on all doses of vaccine administered to pre-
school age children in both the public and pri-
vate sectors.
(2) AUTHORIZATION
OF
APPROPRIATIONS.—
There are authorized to be appropriated to carry out
this subsection $50,000,000 in fiscal year 1996.
(d) FULL IMPLEMENTATION.—
(1) IN GENERAL.—Beginning with fiscal year
1997, the Secretary shall provide for full implemen-
tation of the registry. In implementing such registry,
the Secretary shall provide that—
(A) all infants born in the United States
are registered through birth certificate informa-
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tion that relates to immunization tracking and
vaccine administration;
(B) information on doses of vaccines ad-
ministered to all children under six years of age
is collected;
(C) appropriate notices are provided to
parents regarding overdue vaccinations; and
(D) appropriate records are provided to
parents for their children entering schools or
day care programs.
The Secretary shall include information on the oper-
ation of the registry with annual reports submitted
to Congress on the operation of the vaccine system
provided under the other provisions of this Act.
(2) AUTHORIZATION
OF
APPROPRIATIONS.—
There are authorized to be appropriated to carry out
this subsection $50,000,000 in each fiscal year, be-
ginning with fiscal year 1997.
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