IMPROVING ACCESS TO ADULT VACCINES UNDER MEDICAID AND CHIP.

SEC. 11405. IMPROVING ACCESS TO ADULT VACCINES UNDER MEDICAID AND CHIP.(a) Medicaid.—(1) Requiring coverage of adult vaccinations.—(A) In general.—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) Medically needy.—Section 1902(a)(10)(C)(iv) of such Act (42 U.S.C. 1396a(a)(10)(C)(iv)) is amended by inserting “, (13)(B),” after “(5)”. (2) No cost sharing for vaccinations.—(A) General cost-sharing limitations.—Section 1916 of the Social Security Act (42 U.S.C. 1396o) is amended—(i) in subsection (a)(2)—(I) in subparagraph (G), by inserting a comma after “State plan”; (II) in subparagraph (H), by striking “; or” and inserting a comma; (III) in subparagraph (I), by striking “; and” and inserting “, or”; and (IV) by adding at the end the following new subparagraph:“(J) vaccines described in section 1905(a)(13)(B) and the administration of such vaccines; and” ; and (ii) in subsection (b)(2)—(I) in subparagraph (G), by inserting a comma after “State plan”; (II) in subparagraph (H), by striking “; or” and inserting a comma; (III) in subparagraph (I), by striking “; and” and inserting “, or”; and (IV) by adding at the end the following new subparagraph:“(J) vaccines described in section 1905(a)(13)(B) and the administration of such vaccines; and” . (B) Application to alternative cost sharing.—Section 1916A(b)(3)(B) of the Social Security Act (42 U.S.C. 136 STAT. 1901 1396o–1(b)(3)(B)) is amended by adding at the end the following new clause:“(xiv) Vaccines described in section 1905(a)(13)(B) and the administration of such vaccines.” . (3) Increased fmap for adult vaccines and their administration.—Section 1905(b) of the Social Security Act (42 U.S.C. 1396d(b)) is amended—(A) by striking “and (5)” and inserting “(5)”; (B) 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”; (C) by striking “medical assistance for such services and vaccines” and inserting “medical assistance for such services”; and (D) by inserting “, and (6) during the first 8 fiscal quarters beginning on or after the effective date of this clause, in the case of a State which, as of the date of enactment of the Act titled ‘An Act to provide for reconciliation pursuant to title II of S. Con. Res. 14’, provides medical assistance for vaccines described in subsection (a)(13)(B) and their administration and prohibits cost-sharing for such vaccines, the Federal medical assistance percentage, as determined under this subsection and subsection (y), shall be increased by 1 percentage point with respect to medical assistance for such vaccines and their administration” before the first period. (b) CHIP.—(1) Requiring coverage of adult vaccinations.—Section 2103(c) of the Social Security Act (42 U.S.C. 1397cc(c)) is amended by adding at the end the following paragraph:“(12) Required coverage of approved, recommended adult vaccines and their administration.—Regardless of the type of coverage elected by a State under subsection (a), if the State child health plan or a waiver of such plan provides child health assistance or pregnancy-related assistance (as defined in section 2112) to an individual who is 19 years of age or older, such assistance shall include coverage of vaccines described in section 1905(a)(13)(B) and their administration.” . (2) No cost-sharing for vaccinations.—Section 2103(e)(2) of such Act (42 U.S.C. 1397cc(e)(2)) is amended by inserting “vaccines described in subsection (c)(12) (and the administration of such vaccines),” after “in vitro diagnostic products described in subsection (c)(10) (and administration of such products),”. (c) Effective Date.—The amendments made by this section take effect on the 1st day of the 1st fiscal quarter that begins on or after the date that is 1 year after the date of enactment of this Act and shall apply to expenditures made under a State plan or waiver of such plan under title XIX of the Social Security Act (42 U.S.C. 1396 through 1396w–6) or under a State child health plan or waiver of such plan under title XXI of such Act (42 U.S.C. 1397aa through 1397mm) on or after such effective date.136 STAT. 1902