I 
118TH CONGRESS 
2D SESSION H. R. 10096 
To amend title XIX of the Social Security Act to ensure access to immuniza-
tions under the Medicaid program and the Vaccines for Children pro-
gram, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 1, 2024 
Ms. SCHRIER (for herself and Mr. JOYCE of Pennsylvania) introduced the 
following bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to ensure 
access to immunizations under the Medicaid program 
and the Vaccines for Children program, and for other 
purposes. 
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 ‘‘Strengthening the Vac-
cines for Children Program Act of 2024’’. 
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SEC. 2. ENSURING ACCESS TO IMMUNIZATIONS UNDER THE 
MEDICAID PROGRAM AND THE VACCINES 
FOR CHILDREN PROGRAM. 
(a) ENCOURAGING INVOLVEMENT OF PROVIDERS.— 
Paragraph (3) of section 1928(c) of the Social Security 
Act (42 U.S.C. 1396s(c)) is amended— 
(1) by redesignating subparagraphs (A) and 
(B) as clauses (i) and (ii), respectively, and moving 
the margins of each such clause, as so redesignated, 
2 ems to the right; 
(2) by striking ‘‘PROVIDERS’’ and all that fol-
lows through ‘‘Each program’’ and inserting ‘‘PRO-
VIDERS.— 
‘‘(A) IN GENERAL.—Each program’’; and 
(3) by adding at the end the following: 
‘‘(B) INCENTIVE PAYMENTS.— 
‘‘(i) IN GENERAL.— 
‘‘(I) PAYMENT
FOR
PROGRAM- 
REGISTERED
PROVIDERS.—The Sec-
retary shall pay to each provider that 
requests payment under this subclause 
and that is a program-registered pro-
vider under this section as of the date 
of the enactment of this subparagraph 
an amount equal to $7,500, to be paid 
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as soon as practicable after such date 
of enactment. 
‘‘(II) ADDITIONAL PAYMENT TO 
INCENTIVIZE
CONTINUED
PARTICIPA-
TION.—The Secretary shall pay to 
each provider that requests payment 
under this subclause and that is a 
program-registered 
provider 
under 
this section for the duration of the pe-
riod beginning on the date of the en-
actment of this subparagraph and 
ending on December 31, 2026, and 
amount equal to $2,500, to be paid as 
soon as practicable after January 1, 
2027. 
‘‘(ii) 
USE
OF
FUNDS.—Payments 
made under clause (i) may only be used by 
a provider for purposes of carrying out the 
program under this section (including any 
operational expenses associated with the 
furnishing of immunizations under such 
program, as specified by the Secretary). 
‘‘(iii) RECOUPMENT OF PAYMENTS.— 
The Secretary may conduct reviews of pro-
viders receiving payments under this sub-
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paragraph to ensure that such payments 
are used in accordance with clause (ii) and 
recoup from such providers any such pay-
ments not so used in accordance with such 
clause.’’. 
(b) EXPANSION OF DEFINITION OF FEDERALLY VAC-
CINE-ELIGIBLE
CHILD.—Paragraph 
(2) 
of 
section 
1928(b) of the Social Security Act (42 U.S.C. 1396s(b)) 
is amended— 
(1) in subparagraph (A)— 
(A) in clause (iii), by striking ‘‘A child 
who’’ and all that follows through the period at 
the end and inserting ‘‘A child who is adminis-
tered a qualified pediatric vaccine and is not in-
sured with respect to such vaccine.’’; and 
(B) by adding at the end the following new 
clause: 
‘‘(v) A child who is enrolled for child 
health assistance under a State child 
health plan approved under title XXI.’’; 
and 
(2) in subparagraph (B)(ii)(II), by striking ‘‘for 
purposes of subparagraph (A)(iii)(II)’’ and inserting 
‘‘for purposes of subparagraph (A)(iii)’’. 
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(c) MINIMUM PAYMENT REQUIREMENT FOR VACCINE 
ADMINISTRATION AND COUNSELING SERVICES.— 
(1) IN GENERAL.—Section 1902(a)(13) of the 
Social Security Act (42 U.S.C. 1396a(a)(13)) is 
amended— 
(A) in subparagraph (B), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (C), by striking the 
semicolon and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(D) for payment for vaccine administra-
tion and counseling services furnished by a pro-
vider during the period beginning on the date of 
the enactment of this subparagraph, and ending 
on December 31, 2026 (including, notwith-
standing subsection (c)(2)(C)(ii) of section 
1928, any such services furnished with respect 
to a vaccine furnished under the program estab-
lished by the State pursuant to such section to 
a medicaid-eligible child (as defined in sub-
section (b)(2)(B)(i) of such section)), at a rate 
not less than 100 percent of the payment rate 
that applies to such services and provider under 
part B of title XVIII;’’. 
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(2) MANAGED CARE PLANS.—Section 1932(f) 
of the Social Security Act (42 U.S.C. 1396u–2(f)) is 
amended— 
(A) in the header, by striking ‘‘PAYMENT 
FOR PRIMARY CARE SERVICES’’ and inserting 
‘‘PAYMENTS’’; and 
(B) by striking ‘‘section 1902(a)(13)(C)’’ 
and inserting ‘‘subparagraph (C) of section 
1902(a)(13) and vaccine administration and 
counseling services described in subparagraph 
(D) of such section’’; and 
(C) by striking ‘‘such section’’ and insert-
ing ‘‘such subparagraph (C) or (D), respec-
tively’’; and 
(D) by adding at the end the following new 
sentence: ‘‘The provisions of the preceding sen-
tence shall apply to contracts entered into with, 
and payments made by, other specified entities 
(as defined in section 1903(m)(9)(D)(iii)) in the 
same manner as such provisions apply with re-
spect to contracts entered into with, and pay-
ments made by, medicaid managed care organi-
zations.’’. 
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(3) CHIP.—Section 2103(c) of the Social Secu-
rity Act (42 U.S.C. 1397cc(c)) is amended by add-
ing at the end the following new paragraph: 
‘‘(11) VACCINE ADMINISTRATION SERVICES.— 
The child health assistance provided to a targeted 
low-income child shall include payment for vaccine 
administration and counseling services furnished by 
a provider during the period beginning on the date 
of the enactment of this paragraph, and ending on 
December 31, 2026 (including, notwithstanding sub-
section (c)(2)(C)(ii) of section 1928, any such serv-
ices furnished to such child with respect to a vaccine 
furnished under the program established by the 
State pursuant to such section), at a rate not less 
than 100 percent of the payment rate that applies 
to such services and provider under part B of title 
XVIII.’’. 
(d) CLARIFICATION
OF COVERAGE
OF PEDIATRIC 
VACCINE ADMINISTRATION AND VACCINE COUNSELING 
AND EDUCATIONAL SERVICES UNDER THE VACCINES FOR 
CHILDREN PROGRAM.—Section 1928(c)(2)(C)(ii) of the 
Social Security Act (42 U.S.C. 1396s(c)(2)(C)(ii)) is 
amended to read as follows: 
‘‘(ii) The provider may impose— 
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‘‘(I) in the case of a qualified pedi-
atric vaccine not described in subclause 
(II), a fee for the administration of and 
counseling for such vaccine so long as the 
fee in the case of a federally vaccine-eligi-
ble child does not exceed the costs of such 
administration and counseling (as deter-
mined by the Secretary based on actual re-
gional costs for such administration and 
counseling and updated as determined ap-
propriate by the Secretary to take into ac-
count changes in such costs, including 
changes attributable to the inclusion of 
new qualified pediatric vaccines in the pro-
gram established under this section); and 
‘‘(II) in the case of a qualified pedi-
atric vaccine that is a multiple component 
vaccine, a separate charge for the adminis-
tration of and counseling for each compo-
nent of such vaccine so long as the charge 
in the case of a federally vaccine-eligible 
child does not exceed— 
‘‘(aa) with respect to the first 
component of such vaccine, the costs 
of such administration and counseling 
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for such component (as determined by 
the Secretary based on actual regional 
costs for such administration and 
counseling for such first component 
and updated as determined appro-
priate by the Secretary to take into 
account changes in such costs, includ-
ing changes attributable to the inclu-
sion of new qualified pediatric vac-
cines in the program established 
under this section); and 
‘‘(bb) with respect to a subse-
quent component of such vaccine, the 
payment rate that applies to such ad-
ministration and counseling for such 
component and provider under part B 
of title XVIII.’’. 
(e) INCREASE IN FEDERAL MEDICAL ASSISTANCE 
PERCENTAGE.— 
(1) IN GENERAL.—Subject to paragraph (2), 
for each calendar quarter occurring during the pe-
riod beginning on or after January 1, 2025, the 
Federal medical assistance percentage determined 
for each State, including the District of Columbia, 
American Samoa, Guam, the Commonwealth of the 
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Northern Mariana Islands, Puerto Rico, and the 
United States Virgin Islands, under section 1905(b) 
of the Social Security Act (42 U.S.C. 1396d(b)), 
after application of section 6008 of the Families 
First Coronavirus Response Act (Public Law 116– 
127) (if applicable), shall be increased by 1 percent-
age point. 
(2) REQUIREMENTS.— 
(A) IN GENERAL.—A State described in 
paragraph (1) may not receive the increase de-
scribed in such paragraph in the Federal med-
ical assistance percentage for such State, with 
respect to a quarter, if such State does not en-
sure culturally competent and effective mes-
sages for vaccination outreach to child popu-
lations, which may include the dissemination of 
information highlighting— 
(i) advancements in research and vac-
cine development that have saved millions 
of individuals from death and disability 
from now-preventable diseases; 
(ii) information on how individuals 
across the lifespan benefit from immuniza-
tions, including those who cannot be vac-
cinated and rely on community immunity; 
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(iii) information on the dangers of not 
being vaccinated, including the potential 
for infectious disease outbreaks within 
communities; and 
(iv) information on vaccine safety and 
the systems in place to monitor vaccine 
safety. 
(B) 
REQUIREMENT
FOR
CERTAIN 
STATES.—Section 1905(cc) of the Social Secu-
rity Act (42 U.S.C. 1396d(cc)) is amended— 
(i) by inserting ‘‘and section 2(e) of 
the Strengthening the Vaccines for Chil-
dren Program Act of 2024’’ before ‘‘, ex-
cept that in applying’’; and 
(ii) by inserting ‘‘, and in applying 
such treatments to the increases in the 
Federal 
medical 
assistance 
percentage 
under section 2(e) of the Strengthening the 
Vaccines for Children Program Act of 
2024, the reference to ‘December 31, 
2009’ shall be deemed to be a reference to 
‘December 31, 2023’ ’’ before the period at 
the end. 
(f) TRIBAL
EPIDEMIOLOGY
CENTER
DATA
AC-
CESS.—With respect to data access for tribal epidemiology 
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centers established under section 214 of the Indian Health 
Care Improvement Act (25 U.S.C. 1621m), the Director 
of the Centers for Disease control and Prevention may cre-
ate a data sharing strategy that ensures such centers have 
access to data, data sets, monitoring systems, delivery sys-
tems, and other protected health information with respect 
to health care and public health surveillance systems of 
child and adolescent health necessary to accomplish such 
centers’ public health authority responsibilities described 
in such section or section 164.501 of title 45, Code of Fed-
eral Regulations. 
(g) REPORTS.— 
(1) IN
GENERAL.—For each of fiscal years 
2025 and 2026, the Director of the Centers for Dis-
ease Control and Prevention, in coordination with 
each State that has established a pediatric vaccine 
distribution program under section 1928 of the So-
cial Security Act (42 U.S.C. 1396s), shall publish on 
the public internet website of the Centers for Dis-
ease Control and Prevention, in such manner as de-
termined appropriate by the Director, information 
on vaccination rates under each such program dur-
ing such year, including such rates disaggregated by 
region, age, sex, race, ethnicity, and other demo-
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graphic factors determined appropriate by the Direc-
tor. 
(2) EFFECTS ON VACCINATION RATES AND PRO-
GRAM PARTICIPATION.—Not later than 2 years after 
the date of the enactment of this Act, the Comp-
troller General of the United States shall submit to 
Congress a report containing an analysis of the ef-
fects of the provisions of, and the amendments made 
by, this Act on— 
(A) vaccination rates under the pediatric 
vaccine distribution program under section 
1928 of the Social Security Act (42 U.S.C. 
1396s); and 
(B) provider participation in such pro-
gram. 
Æ 
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