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‘‘(i) increasing the number or type of
facilities through which vaccines may be
made available and the capacity of such fa-
cilities to immunize more children;
‘‘(ii) developing alternative methods of
delivering vaccines, such as mobile health
clinics;
‘‘(iii) increasing the number of hours
during which vaccines are made available
by providers within the State; or
‘‘(iv) coordinating with federally quali-
fied health centers to reach and immunize
underserved children through education,
outreach, tracking, and the provision of
services;
except that, the Secretary may waive any spe-
cific requirement of this subparagraph if the Sec-
retary determines that State immunization de-
livery efforts are sufficient without the imposi-
tion of such requirement;
‘‘(C) population-based assessment criteria
through which the State is able to assess the ef-
fectiveness of immunization activities in the
State, which may be fulfilled through the imple-
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mentation of a State immunization registry
under section 2146;
‘‘(D) a public awareness campaign, in con-
junction with the National Campaign established
under subsection (a)(1), to provide parents with
information about the importance of immuniza-
tion, the types and schedules for the administra-
tion of vaccines, and the locations of vaccines
providers;
‘‘(E) coordinated community outreach ac-
tivities among public or private health pro-
grams, including local health departments and
health centers, and other public or private enti-
ties, to encourage and facilitate the ability of
parents to obtain immunization services for their
children; and
‘‘(F) other activities that are not inconsist-
ent with the purposes of this subtitle, subject to
the approval of the Secretary.
‘‘(3) IMMUNIZATION
IMPROVEMENT
PLAN
AP-
PROVAL.—
‘‘(A) GOALS.—As part of the immunization
improvement plan of a State, the State shall es-
tablish immunization rate goals for children re-
siding within the State.
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‘‘(B) APPROVAL.—The immunization im-
provement plan developed by a State under this
subsection shall be submitted to the Secretary for
approval prior to the distribution of grant funds
to the States under this subsection. The Secretary
shall periodically review the progress that the
State has made under such plan in achieving the
goals established under subparagraph (A).
‘‘(C) 
DISTRIBUTION
OF
GRANTS.—In
awarding grants under this section, the Sec-
retary shall ensure that grant awards will be eq-
uitably distributed between rural and urban
areas. In determining such distribution, the Sec-
retary shall take into account the added costs of
supporting the health care delivery infrastruc-
ture in sparsely populated areas.
‘‘(D) REPORTING.—A State shall annually
prepare and submit to the Director of the Cen-
ters for Disease Control and Prevention a report
concerning the implementation of the State im-
munization improvement plan. If the Director or
the Secretary, in reviewing the reports submitted
under this subparagraph determine that the
State has exceeded the goals established under
subparagraph (A), the Secretary may award a
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bonus to the State in an amount not to exceed
5 percent of the amount the State received under
the grant for the purposes of the grant.
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There are
authorized to be appropriated to carry out this section,
$250,000,000 for fiscal year 1994, and such sums as may
be necessary for each of the fiscal years 1995 through 1999.
‘‘Part D—General Provisions
‘‘SEC. 2161. REPORT.
‘‘Not later than October 1, 1995, and biennially there-
after, the Secretary shall prepare and submit to the appro-
priate committees of Congress a report concerning the costs,
efficiency, and effectiveness of procedures established to de-
liver vaccine to health care providers.
‘‘SEC. 2162. NATIONAL VACCINE PROGRAM.
‘‘The Secretary shall authorize a report to be prepared
by the National Academy of Sciences concerning the role
of the National Vaccine Program established under this title
in achieving progress towards the nationally established im-
munization goals for the year 2000, and recommendations
with respect to the changes in such Program that would
facilitate greater progress towards achieving such goals.
‘‘SEC. 2163. DEFINITIONS.
‘‘For purposes of this subtitle—
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‘‘(1) 
HEALTH
CARE
PROVIDER.—The 
term
‘health care provider’, with respect to the administra-
tion of vaccines to children, means an entity that is
licensed or otherwise authorized for such administra-
tion under the law of the State in which the entity
administers the vaccine, subject to section 333(e).
‘‘(2) HEALTH CENTER.—The term ‘health center’
means—
‘‘(A) a federally-qualified health center, as
defined in section 1905(l)(2) of the Social Secu-
rity Act; or
‘‘(B) a public or nonprofit private entity
receiving Federal funds under—
‘‘(i) section 329, 330 or 340;
‘‘(ii) section 340A (relating to grants
for health services for residents of public
housing); or
‘‘(iii) section 501(a)(2) of the Social
Security Act (relating to special projects of
regional and national significance).
‘‘(3) IMMUNIZATION.—The term ‘immunization’
means an immunization against a vaccine-prevent-
able disease.
‘‘(4) PARENT.—The term ‘parent’, with respect
to a child, means a legal guardian of the child.
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‘‘(5) PEDIATRIC VACCINE.—The term ‘pediatric
vaccine’ means a vaccine included on the list estab-
lished under section 2141.
‘‘(6) STATE.—The term ‘State’ means the 50
States, the District of Columbia, the Commonwealth
of Puerto Rico, Guam, American Samoa, the U.S.
Virgin Islands, the Republic of the Marshall Islands,
Micronesia, the Northern Mariana Islands, and
Palau.’’.
SEC. 12203. NATIONAL VACCINE INJURY COMPENSATION
PROGRAM AMENDMENTS.
(a) AMENDMENT OF VACCINE INJURY TABLE.—
(1) ADDITION OF VACCINES.—Section 2114 (42
U.S.C. 300aa–14) is amended by adding at the end
thereof the following new subsection:
‘‘(f) ADDITION OF VACCINES TO TABLE.—
‘‘(1) IN
GENERAL.—The Vaccine Injury table
contained in subsection (a) shall also include any rec-
ommended childhood vaccine included in the list pro-
mulgated by the Secretary under section 2141.
‘‘(2) REVIEW OF INFORMATION AND REVISION.—
Not later than 2 years after the addition of a new
vaccine to the table contained in subsection (a), and
on a regular basis thereafter, the Secretary shall re-
view information obtained under sections 2125 and