HR 2659 EAS
(1) SHORT TITLE.—This section may be cited as
the ‘‘Comprehensive Child Immunization Act of
1994’’.
(2) REFERENCES.—Except as otherwise expressly
provided, whenever in this section an amendment or
repeal is expressed in terms of an amendment to, or
repeal of, a section or other provision, the reference
shall be considered to be made to a section or other
provision of the Public Health Service Act (42 U.S.C.
201 et seq.).
(3) PURPOSE.—It is the purpose of this section
to ensure that children in the United States are ap-
propriately immunized against vaccine preventable
infectious diseases at the earliest appropriate age.
(b) MONITORING OF CHILDHOOD IMMUNIZATIONS.—
Title XXI of the Public Health Service Act (42 U.S.C.
300aa–1 et seq.) is amended by adding at the end thereof
the following new subtitle:
‘‘Subtitle 3—Improved Immuniza-
tion Delivery and Monitoring
Systems
‘‘Part A—List of Vaccines and Administration
‘‘SEC. 2141. LIST OF PEDIATRIC VACCINES; SCHEDULE FOR
ADMINISTRATION.
‘‘(a) RECOMMENDED PEDIATRIC VACCINES.—
HR 2659 EAS
‘‘(1) IN GENERAL.—The Secretary shall establish
a list of the vaccines that the Secretary recommends
for administration to all children for the purpose of
immunizing the children, subject to such contra-
indications for particular medical categories of chil-
dren as the Secretary may establish under subsection
(b)(1)(D). The Secretary shall periodically review the
list, and shall revise the list as appropriate.
‘‘(2) RULE OF CONSTRUCTION.—
‘‘(A) The list of vaccines specified in sub-
paragraph (B) is deemed to be the list of vac-
cines maintained under paragraph (1).
‘‘(B) The list of vaccines specified in this
subparagraph is the list of vaccines that, for pur-
poses of paragraph (1), is established (and peri-
odically reviewed and as appropriate revised) by
the Advisory Committee on Immunization Prac-
tices, an advisory committee established by the
Secretary, acting through the Director of the
Centers for Disease Control and Prevention.
‘‘(b) RECOMMENDED SCHEDULE
FOR ADMINISTRA-
TION.—
‘‘(1) IN GENERAL.—Subject to paragraph (2), in
the case of a pediatric vaccine, the Secretary shall es-
tablish (and periodically review and as appropriate
HR 2659 EAS
revise) a schedule of nonbinding recommendations for
the following:
‘‘(A) The number of immunizations with
the vaccine that children should receive.
‘‘(B) The ages at which children should re-
ceive the immunizations.
‘‘(C) The dose of vaccine that should be ad-
ministered in the immunizations.
‘‘(D) Any contraindications regarding ad-
ministration of the vaccine.
‘‘(E) Such other guidelines as the Secretary
determines to be appropriate with respect to ad-
ministering the vaccine to children.
‘‘(2) VARIATIONS IN MEDICAL PRACTICE.—In es-
tablishing and revising a schedule under paragraph
(1), the Secretary shall ensure that, in the case of the
pediatric vaccine involved, the schedule provides for
the full range of variations in medical judgment re-
garding the administration of the vaccine, subject to
remaining within medical norms.
‘‘(3) RULE OF CONSTRUCTION.—
‘‘(A) The schedule specified in subparagraph
(B) is deemed to be the schedule maintained
under paragraph (1).