children have coverage for all reasonable and 
customary expenses, including the costs of pur-
chasing and administering the vaccine, incurred 
when influenza vaccine is administered outside 
of the physician’s office in a school or other re-
lated setting. 
(C) OTHER CHILDREN.—To the extent to 
which payment of the costs of purchasing and 
administering the influenza vaccine for children 
is not covered through other federally funded 
programs or through private insurance, the Sec-
retary may pay such costs through the dem-
onstration program under this section. 
(2) 
ACIP 
RECOMMENDATIONS.—The 
dem-
onstration program shall be designed to administer 
vaccines consistent with the recommendations of the 
Advisory Committee on Immunization Practices for 
the annual vaccination of all children aged 5 years 
through 19 years. 
(3) LOCATIONS.— 
(A) SELECTION.—The Secretary, in con-
sultation with the Secretary of Education, shall 
select the elementary schools and secondary 
schools to participate in the demonstration pro-
gram. 
VerDate Nov 24 2008 
20:16 May 24, 2009
Jkt 079200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H2596.IH
H2596
sroberts on PROD1PC70 with BILLS
(B) SELECTION
CRITERIA.—The schools 
selected under subparagraph (A) shall include 
elementary schools and secondary schools— 
(i) located in at least 10 metropolitan 
regions in at least 10 States and serving 
primarily low-income public school student 
populations; and 
(ii) located in at least 5 major areas 
in at least 5 States served by rural school 
districts. 
(4) VOLUNTARY PARTICIPATION.—Participation 
in the demonstration program by a school or an in-
dividual shall be voluntary. 
(5) DURATION.—The demonstration program 
shall be conducted for the 2010–2011 and 2011– 
2012 influenza seasons. 
(6) CHOICE OF VACCINE.—The demonstration 
program shall not restrict the discretion of a health 
care provider to administer any influenza vaccine ap-
proved by the Food and Drug Administration for 
use in pediatric populations. 
(c) REPORT.—Not later than 90 days following the 
completion of the demonstration program under this sec-
tion, the Secretary shall submit to the Committees on 
Education and Labor, Energy and Commerce, and Appro-
VerDate Nov 24 2008 
20:16 May 24, 2009
Jkt 079200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H2596.IH
H2596
sroberts on PROD1PC70 with BILLS
priations of the House of Representatives and to the Com-
mittees on Health, Education, Labor, and Pensions and 
Appropriations of the Senate a report on the results of 
the program. The report shall include— 
(1) an assessment of the influenza vaccination 
rates of school-aged children in localities where the 
demonstration program is implemented, compared to 
the national average influenza vaccination rates for 
school-aged children, including whether school-based 
vaccination assists in achieving the recommendations 
of the Advisory Committee on Immunization Prac-
tices for annual influenza vaccination of all children 
aged 6 months to 18 years; 
(2) an assessment of the utility of employing el-
ementary schools and secondary schools as a part of 
a multi-state, community-based pandemic response 
program that is consistent with existing Federal and 
State pandemic response plans; 
(3) an assessment of the feasibility of using ex-
isting Federal and private insurance funding in es-
tablishing a multi-state, school-based vaccination 
program for seasonal influenza vaccination; 
(4) an assessment of the number of education 
days gained by students as a result of seasonal vac-
cinations based on absenteeism rates; 
VerDate Nov 24 2008 
20:16 May 24, 2009
Jkt 079200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H2596.IH
H2596
sroberts on PROD1PC70 with BILLS
(5) a determination of whether the demonstra-
tion program under this section— 
(A) was successful; and 
(B) was implemented for sufficient time 
for gathering enough valid data; and 
(6) a recommendation on whether the dem-
onstration program under this section should be con-
tinued, expanded, or terminated. 
(d) DEFINITIONS.—In this section: 
(1) The terms ‘‘elementary school’’ and ‘‘sec-
ondary school’’ have the meanings given such terms 
in section 9101 of the Elementary and Secondary 
Education Act of 1965 (20 U.S.C. 7801). 
(2) The term ‘‘low-income’’ means at or below 
200 percent of the income level specified in the most 
recent applicable version of the Department of 
Health and Human Services Poverty Guidelines per 
person in a family unit. 
(3) Except as otherwise specified, the term 
‘‘Secretary’’ means the Secretary of Health and 
Human Services. 
(e) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$5,000,000 for each of fiscal years 2010 through 2012. 
Æ 
VerDate Nov 24 2008 
20:16 May 24, 2009
Jkt 079200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6301
E:\BILLS\H2596.IH
H2596
sroberts on PROD1PC70 with BILLS