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: 117-hr-6007
Sponsor: full_name: Rep. O'Halleran, Tom [D-AZ-1]
Introduced: 2021-11-17
Policy area: Health
Subjects: Health care coverage and access

Immunology and vaccination

Medicare
Latest action: action_date: 2021-11-18
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2021-11-17
action_desc: Introduced in House
text: <p>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.</p>

tv_txt: I 117th CONGRESS 1st Session H. R. 6007 IN THE HOUSE OF REPRESENTATIVES November 17, 2021 Mr. O'Halleran (for himself and Mr. Joyce of Pennsylvania ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL 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.

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.