I 
111TH CONGRESS 
1ST SESSION H. R. 2596 
To authorize the Secretary of Health and Human Services to carry out 
a demonstration program to test the feasibility of using the Nation’s 
elementary and secondary schools as influenza vaccination centers. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 21, 2009 
Mr. GENE GREEN of Texas (for himself and Mr. TIM MURPHY of Pennsyl-
vania) introduced the following bill; which was referred to the Committee 
on Energy and Commerce, and in addition to the Committee on Edu-
cation and Labor, 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 authorize the Secretary of Health and Human Services 
to carry out a demonstration program to test the feasi-
bility of using the Nation’s elementary and secondary 
schools as influenza vaccination centers. 
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 ‘‘No Child Left 
Unimmunized Against Influenza Act of 2009’’. 
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SEC. 2. FINDINGS. 
The Congress finds as follows: 
(1) The influenza is a contagious respiratory ill-
ness caused by influenza viruses. The best way to 
prevent the influenza is by getting a influenza vac-
cination each year. 
(2) Every year in the United States, on aver-
age, more than 200,000 people are hospitalized from 
influenza-related complications, and about 36,000 
people die from influenza-related causes. 
(3) The Centers for Disease Control and Pre-
vention (CDC) Advisory Committee on Immuniza-
tion Practices recommends routine influenza vac-
cination for all children aged 6 months through 18 
years with influenza vaccine, effective July 1, 2008. 
(4) Children 2 to 17 years of age are twice as 
likely to get influenza as adults, including the elder-
ly. 
(5) School-aged children are the population 
group most responsible for transmission of con-
tagious respiratory viruses, including influenza. 
(6) The elderly and young children are the most 
vulnerable population to severe illness from influenza 
due to weaker immune response to vaccination. Ex-
perts have recognized that the best way to protect 
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the elderly from influenza may be to vaccinate chil-
dren. 
(7) School-based vaccination programs are ef-
fective and cost-saving ways to vaccinate children 
while reducing transmission and infection rates to 
the larger community and at the same time reducing 
rates of school absenteeism due to influenza. 
(8) Increased focus on providing influenza vac-
cine to children targeted for immunization will also 
help efforts to build a sound foundation for future 
vaccination efforts. 
(9) School-based vaccination programs also po-
tentially represent the most feasible mechanism for 
community-based pandemic vaccination. 
(10) Increased participation in annual influenza 
vaccination programs builds the infrastructure nec-
essary for pandemic vaccination. 
(11) School-based programs will investigate the 
feasibility of conducting mass immunization clinics 
and build partnerships with local public health 
teams, in the event of a public health emergency. 
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SEC. 3. DEMONSTRATION PROGRAM USING ELEMENTARY 
AND SECONDARY SCHOOLS AS INFLUENZA 
VACCINATION CENTERS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, in consultation with the Secretary of 
Education and the Secretary of Labor, shall carry out a 
multistate demonstration program designed to test the 
feasibility of using the Nation’s elementary schools and 
secondary schools as influenza vaccination centers in co-
ordination with school nurses, school health care pro-
grams, local health departments, community health care 
providers, State insurance agencies, and private insurers. 
(b) PROGRAM DESCRIPTION.— 
(1) VACCINATION.— 
(A) CHILDREN COVERED BY OTHER FED-
ERAL PROGRAMS.—For children who are eligible 
under other federally funded programs for pay-
ment of the costs of purchasing and admin-
istering the influenza vaccine, the Secretary 
shall not use the demonstration program under 
this section to supplant payment of such costs. 
(B) CHILDREN
COVERED
BY
PRIVATE 
HEALTH INSURANCE.—For children who have 
private insurance, the Secretary shall work with 
the Secretary of Labor, State insurance agen-
cies, and private insurers to ensure that such 
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