To amend title XVIII of the Social Security Act to provide for the expansion of coverage of vaccines under part B of the Medicare program, and for other purposes.
Bill: H.R.6007 | Sponsor: Rep. O'Halleran, Tom (D-AZ)
Policy area: Health

Summary:
This bill expands Medicare coverage of vaccines to include any vaccine for adults that is recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention. Currently, Medicare covers vaccines for influenza, hepatitis B, pneumococcal disease, and COVID-19.

To amend title XVIII of the Social Security Act to provide for the 
expansion of coverage of vaccines under part B of the Medicare program, 
                        and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. EXPANSION OF COVERAGE OF VACCINES UNDER PART B OF THE 
              MEDICARE PROGRAM.

    (a) In General.--Section 1861(s)(10)(A) of the Social Security Act 
(42 U.S.C. 1395x(s)(10)(A)) is amended--
            (1) by inserting ``(i)'' after ``(A)''; and
            (2) by adding at the end the following new clause:
                            ``(ii) with respect to an adult individual, 
                        any other vaccine (which is approved by the 
                        Federal Food and Drug Administration) not 
                        described in clause (i) that is recommended by 
                        the Advisory Committee on Immunization 
                        Practices and its administration; and''.
    (b) Conforming Amendments.--
            (1) Waiver of deductible.--The first sentence of section 
        1833(b) of the Social Security Act (42 U.S.C. 1395l(b)) is 
        amended--
                    (A) by striking ``, and (12)'' and inserting ``, 
                (12)'';
                    (B) by striking ``section 1861(s)(10)(A)'' and 
                inserting ``section 1861(s)(10)(A)(i)''; and
                    (C) by inserting before the period at the end the 
                following: ``, and (13) such deductible shall not apply 
                with respect to vaccines recommended by the Advisory 
                Committee on Immunization Practices and their 
                administration described in section 
                1861(s)(10)(A)(ii)''.
            (2) Waiver of cost-sharing under medicare advantage.--
        Section 1852(a)(1)(B) of the Social Security Act (42 U.S.C. 
        1395w-22(a)(1)(B)), as amended by section 3713(c) of the CARES 
        Act (Public Law 116-136), is amended--
                    (A) in clause (iv)--
                            (i) by redesignating subclause (VII) as 
                        subclause (VIII);
                            (ii) by inserting after subclause (VI) the 
                        following new subclause:
                                    ``(VII) Vaccines recommended by the 
                                Advisory Committee on Immunization 
                                Practices and their administration 
                                described in section 
                                1861(s)(10)(A)(ii).''; and
                            (iii) in subclause (VI), by striking 
                        ``section 1861(s)(10)(A)'' and inserting 
                        ``section 1861(s)(10)(A)(i)''; and
                    (B) in clause (v), by striking ``and (VI)'' and 
                inserting ``(VI), and (VII)''.
            (3) Initial preventive medical examination.--Section 
        1861(ww)(2)(A) of the Social Security Act (42 U.S.C. 
        1395x(ww)(2)(A)) is amended by striking ``and hepatitis B 
        vaccine'' and inserting ``COVID-19, hepatitis B, and other 
        vaccines described in section 1861(s)(10)(A)(ii)''.
    (c) Effective Date.--The amendments made by this section shall take 
effect on the date of enactment of this Act.
    (d) Implementation.--Notwithstanding any other provision of law, 
the Secretary may implement the provisions of, and the amendments made 
by, this section by program instruction or otherwise.
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