[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 4864 Introduced in Senate (IS)]

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116th CONGRESS
  2d Session
                                S. 4864

  To amend title XIX of the Social Security Act to improve access to 
                     adult vaccines under Medicaid.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

             October 26 (legislative day, October 19), 2020

   Mr. Brown 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 improve access to 
                     adult vaccines under Medicaid.

    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 ``Helping Adults Protect Immunity 
Act'' or the ``HAPI Act''.

SEC. 2. IMPROVING ACCESS TO ADULT VACCINES UNDER MEDICAID.

    (a) Requiring Medicaid Plans To Cover Adult Vaccinations.--Section 
1902(a)(10)(A) of the Social Security Act (42 U.S.C. 1396a(a)(10)(A)) 
is amended in the matter preceding clause (i) by inserting ``(13)(B),'' 
after ``(5),''.
    (b) No Cost-sharing for Vaccinations.--
            (1) General cost-sharing limitations.--Section 1916 of the 
        Social Security Act (42 U.S.C. 1396o) is amended--
                    (A) in subsection (a)(2)--
                            (i) in subparagraph (F), by striking ``, 
                        or'' and inserting a comma;
                            (ii) in subparagraph (G), by striking ``; 
                        and'' and inserting ``, or''; and
                            (iii) by adding at the end the following 
                        new subparagraph:
                    ``(H) vaccines described in section 1905(a)(13)(B) 
                (and the administration of such vaccines); and''; and
                    (B) in subsection (b)(2)--
                            (i) in subparagraph (F), by striking ``, 
                        or'' and inserting a comma;
                            (ii) in subparagraph (G), by striking ``; 
                        and'' and inserting ``, or''; and
                            (iii) by adding at the end the following 
                        new subparagraph:
                    ``(H) vaccines described in section 1905(a)(13)(B) 
                (and the administration of such vaccines); and''.
            (2) Application to alternative cost-sharing.--Section 
        1916A(b)(3)(B) of the Social Security Act (42 U.S.C. 1396o-
        1(b)(3)(B)) is amended by adding at the end the following new 
        clause:
                            ``(xii) Vaccines described in section 
                        1905(a)(13)(B) (and the administration of such 
                        vaccines).''.
    (c) Enhanced FMAP for Adult Vaccines.--Section 1905(b) of the 
Social Security Act (42 U.S.C. 1396d(b)) is amended--
            (1) by striking ``and (5)'' and inserting ``(5)'';
            (2) by striking ``services and vaccines described in 
        subparagraphs (A) and (B) of subsection (a)(13), and prohibits 
        cost-sharing for such services and vaccines'' and inserting 
        ``services described in subsection (a)(13)(A), and prohibits 
        cost-sharing for such services'';
            (3) by striking ``medical assistance for such services and 
        vaccines'' and inserting ``medical assistance for such 
        services''; and
            (4) by inserting ``, and (6) with respect to medical 
        assistance for vaccines described in subsection (a)(13)(B), the 
        Federal medical assistance percentage, as determined under this 
        subsection and subsection (y) (without regard to paragraph 
        (1)(C) of such subsection), shall be increased by 1 percentage 
        point'' before the first period.
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