[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 2272 Introduced in Senate (IS)]







108th CONGRESS
  2d Session
                                S. 2272

 To amend title XIX of the Social Security Act to expand the pediatric 
     vaccine distribution program to include coverage for children 
administered a vaccine at a public health clinic or Indian clinic, and 
                          for other purposes.


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                   IN THE SENATE OF THE UNITED STATES

                             April 1, 2004

Mr. Bingaman (for himself and Mr. Smith) 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 expand the pediatric 
     vaccine distribution program to include coverage for children 
administered a vaccine at a public health clinic or Indian clinic, 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. SHORT TITLE.

    This Act may be cited as the ``Children's Vaccine Access Act of 
2004''.

SEC. 2. EXPANSION OF DEFINITION OF FEDERALLY VACCINE-ELIGIBLE CHILD.

    (a) In General.--Section 1928(b)(2)(A)(iii)(I) of the Social 
Security Act (42 U.S.C. 1396s(b)(2)(A)(iii)(I)) is amended by striking 
``or a rural health clinic (as defined in section 1905(l)(1))'' and 
inserting ``, a rural health clinic (as defined in section 1905(l)(1)), 
or a State or local public health clinic''.
    (b) Conforming Amendment.--Section 1928(h)(3) of the Social 
Security Act (42 U.S.C. 1396s(h)(3)) is amended by striking ``and 
`tribal organization''' and inserting ``, `tribal organization', and 
`urban Indian organization'''.

SEC. 3. REPEAL OF PRICE CAP FOR PRE-1993 VACCINES.

    (a) In General.--Section 1928(d)(3)(B) of the Social Security Act 
(42 U.S.C. 1396s(d)(3)(B)) is repealed.
    (b) Conforming Amendment.--Section 1928(d)(3) of such Act (42 
U.S.C. 1396s(d)(3)) is amended by striking subparagraph (C) and 
inserting the following:
                    ``(B) Negotiation of discounted price.--With 
                respect to contracts entered into for a pediatric 
                vaccine described in this section, the price for the 
                purchase of such vaccine shall be a discounted price 
                negotiated by the Secretary.''.

SEC. 4. SIMPLIFIED ADMINISTRATION OF VACCINE SUPPLY.

    Section 1928(d)(6) of the Social Security Act (42 U.S.C. 
1396s(d)(6)) is amended by inserting after the second sentence the 
following: ``The Secretary may sell such quantities of vaccines from 
such supply to public health departments or back to the vaccine 
manufacturer as the Secretary determines appropriate. Proceeds received 
from such sales shall be available to the Secretary only for the 
purpose of procuring pediatric vaccines stockpiles under this section 
and shall remain available until expended.''.

SEC. 5. EFFECTIVE DATE.

    The amendments made by this Act take effect on October 1, 2004.
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