I
104TH CONGRESS
1ST SESSION
H. R. 191
To amend part A of title IV of the Social Security Act to deny benefits
under the program of aid to families with dependent children with respect
to any child who has not received preventive health care or been immu-
nized in accordance with recommendations issued by the Surgeon General
of the Public Health Service, and to amend the Child Care and Develop-
ment Block Grant Act to require that child care providers that receive
assistance, directly or indirectly, under such Act require all children
to be immunized in accordance with such recommendations.
IN THE HOUSE OF REPRESENTATIVES
JANUARY 4, 1995
Mrs. ROUKEMA introduced the following bill; which was referred to the Com-
mittee on Ways and Means and, in addition, to the Committee on Com-
merce, for a period to be subsequently determined by the Speaker, in
each case for consideration of such provisions as fall within the jurisdic-
tion of the committee concerned
A BILL
To amend part A of title IV of the Social Security Act
to deny benefits under the program of aid to families
with dependent children with respect to any child who
has not received preventive health care or been immu-
nized in accordance with recommendations issued by the
Surgeon General of the Public Health Service, and to
amend the Child Care and Development Block Grant
Act to require that child care providers that receive as-
sistance, directly or indirectly, under such Act require
all children to be immunized in accordance with such
recommendations.
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 ‘‘Child Immunization
Incentive Act of 1995’’.
SEC. 2. AFDC BENEFITS DENIED FOR CHILDREN WHO HAVE
NOT RECEIVED PREVENTIVE HEALTH CARE
OR IMMUNIZATIONS.
Section 402(a) of the Social Security Act (42 U.S.C.
602(a)) is amended—
(1) by striking ‘‘and’’ at the end of paragraph
(44);
(2) by striking the period at the end of para-
graph (45) and inserting ‘‘; and’’; and
(3) by inserting after paragraph (45) the fol-
lowing:
‘‘(46) provide that—
‘‘(A) aid under the plan shall not be pay-
able with respect to any child who has not at-
tained the age of 6 years, unless the State
agency has received from 1 or more physicians
written verification (on a form prescribed by the
State)—
‘‘(i) that the child has been examined
by a physician not less frequently than—
‘‘(I) in the case of a child who
has not attained the age of 19
months, every 6 months since the
child was born; and
‘‘(II) in the case of any other
child, every 6 months until the child
attained the age of 19 months, and
every year thereafter;
‘‘(ii) that the child has been immu-
nized in accordance with recommendations
issued by the Surgeon General of the Pub-
lic Health Service; and
‘‘(iii) of any contraindication which
exempts the child from receiving an immu-
nization;
‘‘(B) the State will conduct appropriate
education and outreach activities designed to—
‘‘(i) increase public awareness of the
importance of preventive health care and
immunizations for pre-school children; and
‘‘(ii) inform the public about—
by this Act shall take effect on the date of the enactment
of this Act.
(b) APPLICATION OF SECTION 2 AMENDMENTS.—
The amendments made by section 2 shall apply, without
regard to whether regulations to implement the amend-
ments have been promulgated, to—
(1) payments to individuals under State plan
approved under part A of title IV of the Social Secu-
rity Act, for months ending after the 120-day period
that begins with the date of the enactment of this
Act; and
(2) payments to States under such part for cal-
endar quarters ending after such 120-day period.
(c) APPLICATION OF SECTION 3 AMENDMENTS.—
The amendments made by section 3 shall not apply with
respect to fiscal years beginning before the date of the en-
actment of this Act.
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