II 117th CONGRESS 1st Session S. 2691 IN THE SENATE OF THE UNITED STATES August 10, 2021 Mr. Reed (for himself and Mrs. Capito ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XIX of the Social Security Act to ensure adequate access to vaccines under the Medicaid program and the Vaccines for Children program, and for other purposes.

1. Short title This Act may be cited as the Strengthening the Vaccines for Children Program Act of 2021 . 2. Ensuring adequate access to vaccines under the Medicaid program and the Vaccines for Children program (a) Expansion of definition of federally vaccine-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 administered a qualified pediatric vaccine and is not insured 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) . (b) Coverage of vaccine counseling and educational services under Medicaid (1) In general Section 1905(a) of the Social Security Act ( 42 U.S.C. 1396d ) is amended— (A) in paragraph (30), by striking and at the end; (B) by redesignating paragraph (31) as paragraph (32); and (C) by inserting after paragraph (30) the following new paragraph: (31) vaccine counseling and educational services furnished to children under the age of 19 on or after the date of the enactment of this paragraph, including any such services furnished as part of a multiple component vaccine (identified as of July 1, 2021, by CPT code 90461) and including any such services furnished under the program established by the State pursuant to section 1928 to a vaccine-eligible child (as defined in subsection (b) of such section); and . (2) Mandatory benefit Section 1902(a)(10)(A) of the Social Security Act ( 42 U.S.C. 1396a(a)(10)(A) ) is amended by striking and (30) and inserting (30), and (31) . (c) Clarification of coverage of pediatric vaccines 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— (I) in the case of a qualified pediatric 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-eligible child does not exceed the costs of such administration and counseling (as determined by the Secretary based on actual regional costs for such administration and counseling); and (II) in the case of a qualified pediatric vaccine that is a multiple component vaccine, a separate charge for the administration of and counseling for each component 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 for such component (as determined by the Secretary based on actual regional costs for such administration and counseling for such first component); and (bb) with respect to a subsequent component of such vaccine, the payment rate that applies to such administration and counseling for such component and provider under part B of title XVIII. . (d) Minimum payment requirement for vaccine administration services Section 1902(a)(13) of the Social Security Act ( 42 U.S.C. 1396a(a)(13) ) is amended— (1) in subparagraph (B), by striking ; and and inserting a semicolon; (2) in subparagraph (C), by striking the semicolon at the end and inserting ; and ; and (3) by adding at the end the following new subparagraph: (D) for payment for vaccine administration, counseling and educational services provided on or after the date of the enactment of this subparagraph, with regard to vaccine administration and counseling services furnished by a provider for each additional component of a vaccine after the first component, at a rate that is at least 80 percent of the payment rate that applies to such services and provider for the first or only component of a vaccine under the State plan at the time of service; . (e) Increase in Federal medical assistance percentage (1) In general Subject to paragraph (2), for each calendar quarter occurring during the period beginning on January 1, 2022, and ending on December 31, 2023, the Federal medical assistance percentage determined for each State, including the District of Columbia, American Samoa, Guam, the Commonwealth of the 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 percentage point. (2) Requirements (A) In general A State described in paragraph (1) may not receive the increase described in such paragraph in the Federal medical assistance percentage for such State, with respect to a quarter, if, throughout such quarter, such State does not ensure culturally competent and effective messages for vaccination outreach to child populations, which may include the dissemination of information highlighting— (i) advancements in research and vaccine 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 immunizations, including those who cannot be vaccinated and rely on community immunity; (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 Security Act ( 42 U.S.C. 1396d(cc) ) is amended— (i) by striking and section 6008 and inserting , section 6008 ; (ii) inserting , and section 2(e) of the Strengthening the Vaccines for Children Program Act of 2021 before , except that in applying ; and (iii) 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 2021 , the reference to December 31, 2009 shall be deemed to be a reference to December 31, 2021 before the period at the end. (f) Tribal epidemiology center data access With respect to data access for tribal epidemiology 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 create a data sharing strategy that ensures such centers have access to data, data sets, monitoring systems, delivery systems, 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 Federal Regulations. (g) Reports (1) In general For each of fiscal years 2022 and 2023, the Director of the Centers for Disease Control and Prevention, in coordination with each State that has established a pediatric vaccine distribution program under section 1928 of the Social Security Act ( 42 U.S.C. 1396s ), shall publish on the public internet website of the Centers for Disease Control and Prevention, in such manner as determined appropriate by the Director, information on vaccination rates under each such program during such year, including such rates disaggregated by region, age, sex, race, ethnicity, and other demographic factors determined appropriate by the Director. (2) Effects on vaccination rates and program participation Not later than 2 years after the date of the enactment of this Act, the Comptroller General of the United States shall submit to Congress a report containing an analysis of the effects 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 program.