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<dc:title>117 HR 2170 IH: Helping Adults Protect Immunity Act</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2021-03-23</dc:date>
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<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<distribution-code display="yes">I</distribution-code><congress display="yes">117th CONGRESS</congress><session display="yes">1st Session</session><legis-num display="yes">H. R. 2170</legis-num><current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber><action display="yes"><action-date date="20210323">March 23, 2021</action-date><action-desc><sponsor name-id="S001200">Mr. Soto</sponsor> introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name></action-desc></action><legis-type>A BILL</legis-type><official-title display="yes">To amend title XIX of the Social Security Act to improve access to adult vaccines under Medicaid.</official-title></form><legis-body id="H45E5F0EA2B80413781A180925DD3A010" style="OLC"> 
<section id="HD305619E64854CF09602B5A6AB4F1DE1" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Helping Adults Protect Immunity Act</short-title></quote> or the <quote><short-title>HAPI Act</short-title></quote>.</text></section> <section id="HB8AC8843245D4D919B282260DDD26E3D"><enum>2.</enum><header>Improving access to adult vaccines under Medicaid</header> <subsection id="H7721F32F164B4C2D84C4ED499C2F9EBA"><enum>(a)</enum><header>Requiring medicaid plans to cover adult vaccinations</header><text>Section 1902(a)(10)(A) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a(a)(10)(A)</external-xref>) is amended in the matter preceding clause (i) by inserting <quote>(13)(B),</quote> after <quote>(5),</quote>.</text></subsection> 
<subsection id="H3B99A9226AFC46ABB3B0079CB1F7E6B0"><enum>(b)</enum><header>No cost sharing for vaccinations</header> 
<paragraph id="H5E99425928124DB58A2B541DEF3D5F94"><enum>(1)</enum><header>General cost-sharing limitations</header><text>Section 1916 of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396o">42 U.S.C. 1396o</external-xref>) is amended—</text> <subparagraph id="H78DA0E9C578744AD80B4153AFA1E2BC8"><enum>(A)</enum><text>in subsection (a)(2)—</text> 
<clause id="H681E53EA936B4B6490ADDF87A674A353"><enum>(i)</enum><text>in subparagraph (F), by striking <quote>, or</quote> and inserting a comma;</text></clause> <clause id="H4AC3699398814E98890620941CDD1B06"><enum>(ii)</enum><text>in subparagraph (G), by striking <quote>; and</quote> and inserting <quote>, or</quote>; and</text></clause> 
<clause id="H351E458F7D804340BABED699C22C8C1A"><enum>(iii)</enum><text>by adding at the end the following new subparagraph:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="HB82FE5A9D7A8416E889C6C9D1401E515"> <subparagraph id="HDE8DDD2114574949BA5F6A1FAD06BC79"><enum>(H)</enum><text>vaccines described in section 1905(a)(13)(B) (and the administration of such vaccines); and</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block></clause></subparagraph> 
<subparagraph id="HAB97D77C2CD94B098235B00316356B4F"><enum>(B)</enum><text>in subsection (b)(2)—</text> <clause id="H8DF98EE032A64464BDE7928012509D15"><enum>(i)</enum><text>in subparagraph (F), by striking <quote>, or</quote> and inserting a comma;</text></clause> 
<clause id="H4B8AA2BA31B44FE0A1CCBC664084D2C6"><enum>(ii)</enum><text>in subparagraph (G), by striking <quote>; and</quote> and inserting <quote>, or</quote>; and</text></clause> <clause id="H40E3AF497A0B4515A9826E9C46676350"><enum>(iii)</enum><text>by adding at the end the following new subparagraph:</text> 
<quoted-block style="OLC" display-inline="no-display-inline" id="H6EB44301B7704CD6A667BB7A83DE1180"> 
<subparagraph id="HCBA5157C3CBB45B6B53D9D7525DE426C"><enum>(H)</enum><text>vaccines described in section 1905(a)(13)(B) (and the administration of such vaccines); and</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></clause></subparagraph></paragraph> <paragraph id="H879F6D766935466B82F61BF90D2D4FDA"><enum>(2)</enum><header>Application to alternative cost-sharing</header><text>Section 1916A(b)(3)(B) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396o-1">42 U.S.C. 1396o–1(b)(3)(B)</external-xref>) is amended by adding at the end the following new clause:</text> 
<quoted-block style="OLC" display-inline="no-display-inline" id="H2F8A5CE2D1F1406A9AC6E5163D63D91D"> 
<clause id="H8CED2E814CA54BC0B841765ADA2B27C1"><enum>(xii)</enum><text>Vaccines described in section 1905(a)(13)(B) (and the administration of such vaccines).</text></clause><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection> <subsection id="HC34FA3C64D4F4A609B7FA965DE6147EA"><enum>(c)</enum><header>Enhanced fmap for adult vaccines</header><text>Section 1905(b) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396d">42 U.S.C. 1396d(b)</external-xref>) is amended—</text> 
<paragraph id="HC4C895C471714EA285B1FD4FB7C7F7A9"><enum>(1)</enum><text>by striking <quote>and (5)</quote> and inserting <quote>(5)</quote>;</text></paragraph> <paragraph id="HC2719FA4E0984118AACFF13B9DD41893"><enum>(2)</enum><text>by striking <quote>services and vaccines described in subparagraphs (A) and (B) of subsection (a)(13), and prohibits cost-sharing for such services and vaccines</quote> and inserting <quote>services described in subsection (a)(13)(A), and prohibits cost-sharing for such services</quote>;</text></paragraph> 
<paragraph id="H75FB2B3057674EE587D5D730BA8DEC8B"><enum>(3)</enum><text>by striking <quote>medical assistance for such services and vaccines</quote> and inserting <quote>medical assistance for such services</quote>; and</text></paragraph> <paragraph id="H5AD5C1348B664FCDB9EFBAF0CB505812"><enum>(4)</enum><text>by inserting <quote>, 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</quote> before the first period.</text></paragraph></subsection></section> 
</legis-body></bill>

