[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 1117 Introduced in Senate (IS)]
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117th CONGRESS
1st Session
S. 1117
To amend title XIX of the Social Security Act to require Medicaid
coverage of approved vaccines for pregnant women.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
April 14, 2021
Mr. Cassidy (for himself and Ms. Hassan) 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 require Medicaid
coverage of approved vaccines for pregnant women.
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 ``Maternal Immunization Coverage
Act''.
SEC. 2. MANDATORY COVERAGE UNDER MEDICAID OF VACCINES FOR PREGNANT
WOMEN.
(a) Medical Assistance.--Section 1905(a)(4) of the Social Security
Act (42 U.S.C. 1396d(a)(4)) is amended by striking ``and (D) counseling
and pharmacotherapy for cessation of tobacco use by pregnant women (as
defined in subsection (bb)); and'' and inserting ``(D)(i) counseling
and pharmacotherapy for cessation of tobacco use by pregnant women (as
defined in subsection (bb)) and (ii) approved vaccines recommended for
pregnant women by the Advisory Committee on Immunization Practices (an
advisory committee established by the Secretary, acting through the
Director of the Centers for Disease Control and Prevention) and their
administration, for women who are pregnant or who had a pregnancy end
within the period ending on the last day of the month in which the 60-
day period beginning on the last day of the pregnancy ends (or, if a
State election under section 1902(e)(16) is in effect, ending on the
last day of the month in which the 12-month period beginning on the
last day of the pregnancy ends) and who are eligible for and receiving
medical assistance under the State plan or a waiver of such plan;''.
(b) Conforming Amendments.--Section 1902(a)(10) of such Act (42
U.S.C. 1396a(a)(10)) is amended in the matter following subparagraph
(G)--
(1) by striking ``or to any other condition which may
complicate pregnancy shall not'' and inserting ``or to any
other condition which may complicate pregnancy, and vaccines
described in section 1905(a)(4)(D)(ii) and the administration
of such vaccines, shall not'';
(2) by striking ``making available of such services, or the
making available of such services of the same'' the first place
it appears and inserting ``making available of such services or
vaccines, or the making available of such services or vaccines
of the same'';
(3) by striking ``vaccines described in section
1905(a)(4)(E) and the administration of such vaccines during
the period described in such section'' and inserting ``vaccines
described in subparagraphs (D)(ii) and (E) of section
1905(a)(4) and the administration of such vaccines (but in the
case of vaccines described in section 1905(a)(4)(E), only
during the period described in such section)'';
(4) by striking ``cancer (XV)'' and inserting ``cancer,
(XV)'';
(5) by striking ``and (XVIII)'' and inserting ``(XVIII)'';
(6) by striking ``and (XIX)'' and inserting ``(XIX)''; and
(7) by striking ``that would not otherwise include coverage
of a COVID-19 vaccine and its administration;'' and inserting
``that would not otherwise include coverage of a COVID-19
vaccine and its administration, and (XX) medical assistance
shall be made available for vaccines described in section
1905(a)(4)(D)(ii) and the administration of such vaccines, for
women who are pregnant or who had a pregnancy end within the
period ending on the last day of the month in which the 60-day
period beginning on the last day of the pregnancy ends (or, if
a State election under section 1902(e)(16) is in effect, ending
on the last day of the month in which the 12-month period
beginning on the last day of the pregnancy ends) and who are
eligible for and receiving medical assistance under the State
plan or a waiver of such plan, notwithstanding any provision of
this title or waiver under section 1115 impacting such women's
eligibility for medical assistance under such plan or waiver to
coverage for a limited type of benefits and services that would
not otherwise include coverage of such vaccines and their
administration;''.
(c) No Cost-Sharing.--
(1) In general.--Section 1916 of the Social Security Act
(42 U.S.C. 1396o) is amended, in each of subsections (a)(2)(B)
and (b)(2)(B)--
(A) by striking ``and counseling'' and inserting
``counseling''; and
(B) by inserting ``, and vaccines described in
section 1905(a)(4)(D)(ii) and the administration of
such vaccines'' after ``section 1905(bb)(2)(A)''.
(2) Application to alternative cost sharing.--Section
1916A(b)(3)(B)(iii) of the Social Security Act (42 U.S.C.
1396o-1(b)(3)(B)(iii)) is amended--
(A) by striking ``and counseling'' and inserting
``counseling''; and
(B) by inserting ``, and vaccines described in
section 1905(a)(4)(D)(ii) and the administration of
such vaccines'' after ``section 1905(bb))'' before the
period.
(d) Effective Date.--
(1) In general.--Except as provided in paragraph (2), the
amendments made by this section shall take effect on the date
of enactment of this Act.
(2) Delayed compliance.--A State plan shall not be regarded
as failing to comply with the requirements imposed by the
amendments made by this section before the end of the 60-day
period that begins on the day after the last day of the 1st
regular session of the State legislature that begins after the
date of enactment of this Act. For purposes of the previous
sentence, in the case of a State that has a 2-year legislative
session, each year of such session shall be deemed to be a
separate regular session of the State legislature.
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