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‘‘(4) is in such form, is made in such manner,
and contains such agreements, assurances, and infor-
mation as the Secretary determines to be necessary to
carry out this part.
‘‘SEC. 2151. DETERMINATION OF AMOUNT OF ALLOTMENT.
‘‘The Secretary shall determine the amount of the allot-
ments required in section 2146 for States for a fiscal year
in accordance with a formula established by the Secretary
that allots the amounts appropriated under section 2152
for the fiscal year on the basis of the costs of the States
in establishing and operating registries under section 2146.
‘‘SEC. 2152. AUTHORIZATION OF APPROPRIATIONS.
‘‘For the purpose of carrying out this part, other than
section 2153, there are authorized to be appropriated
$152,000,000 for fiscal year 1994, $125,000,000 for fiscal
year 1995, and $35,000,000 for each of the fiscal years 1996
through 1999.
‘‘SEC. 2153. NATIONAL IMMUNIZATION SURVEILLANCE PRO-
GRAM.
‘‘(a) IN GENERAL.—The Secretary shall establish a na-
tional immunization surveillance program for the purpose
of assessing the effects of the programs and activities pro-
vided for in this subtitle towards appropriately immuniz-
ing children and facilitating State immunization registries.
The national immunization surveillance program shall—
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‘‘(1) provide technical assistance to States for the
development of vaccination registries and monitoring
systems; and
‘‘(2) receive aggregate epidemiologic data (that is
in a format that is not person specific) collected by
States as provided for in section 2147 at intervals de-
termined appropriate by the Secretary for the purpose
of—
‘‘(A) compiling accurate and up-to-date
surveillance data regarding immunization rates
at the State level in order to assess the progress
made towards achieving nationally established
immunization goals;
‘‘(B) assisting in the effective administra-
tion and management of immunization pro-
grams at the State level by providing technical
assistance to guide immunization program ef-
forts at the request of the State;
‘‘(C) providing technical assistance to
States and localities to facilitate monitoring the
immunization status of children who move across
geographic boundaries that are covered by dif-
ferent State or local registries at the request of
such States or localities; and
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‘‘(D) monitoring the safety and effectiveness
of vaccines by linking vaccine dosage informa-
tion with adverse events reporting under section
2125(b) and disease outbreak patterns.
‘‘(b) RULE OF CONSTRUCTION.—Nothing in this sub-
title shall be construed to authorize the release of person
specific information to the Secretary for the purpose of im-
munization surveillance.
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There are
authorized to be appropriated such sums as may be nec-
essary to carry out this section in each of the fiscal years
1994 through 1999.
‘‘SEC. 2154. REPORT.
‘‘Not later than January 1, 1995, and biennially there-
after, the Secretary shall prepare and submit to the appro-
priate committees of Congress a report concerning the plan-
ning, development, operation and effectiveness of the na-
tional immunization surveillance program and the State
immunization registries.
‘‘Part C—Distribution of Vaccines, Public Outreach
and Education
‘‘SEC. 2155. DISTRIBUTION OF VACCINES.
‘‘(a) IN GENERAL.—
‘‘(1) HEALTH CARE PROVIDERS.—The Secretary
shall provide for the distribution, without charge, of
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recommended pediatric vaccines (in accordance with
section 2141) purchased by the Secretary to health
care providers who serve children and who—
‘‘(A) are members of a uniformed service, or
are officers or employees of the United States;
‘‘(B) are health centers (as defined in sec-
tion 2163); or
‘‘(C) provide services under section 503 of
the Indian Health Care Improvement Act or
pursuant to a contract under section 102 of the
Indian Self Determination Act.
‘‘(2) STATES.—The Secretary shall provide for
the distribution, without charge, of those rec-
ommended pediatric vaccines that are purchased by
the Secretary and provided to States for the purposes
of immunizing medicaid-eligible children, and addi-
tional vaccines that may be purchased by the Sec-
retary for children within those States.
‘‘(b) DUTIES OF HEALTH CARE PROVIDERS.—
‘‘(1) FREE PROVISION TO CHILDREN.—A health
care provider or entity receiving vaccine under this
section may use such vaccine only for administration
to children and may not impose a charge for such
vaccine. A provider or health care entity may impose
a fee that reflects actual regional costs as determined