I 117TH CONGRESS 1ST SESSION H. R. 2170 To amend title XIX of the Social Security Act to improve access to adult vaccines under Medicaid. IN THE HOUSE OF REPRESENTATIVES MARCH 23, 2021 Mr. SOTO introduced the following bill; which was referred to the Committee on Energy and Commerce 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 Representa- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Helping Adults Protect 4 Immunity Act’’ or the ‘‘HAPI Act’’. 5 SEC. 2. IMPROVING ACCESS TO ADULT VACCINES UNDER 6 MEDICAID. 7 (a) REQUIRING MEDICAID PLANS TO COVER ADULT 8 VACCINATIONS.—Section 1902(a)(10)(A) of the Social Se- 9 curity Act (42 U.S.C. 1396a(a)(10)(A)) is amended in the 10 VerDate Sep 11 2014 01:01 May 21, 2021 Jkt 019200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H2170.IH H2170 pbinns on DSKJLVW7X2PROD with BILLS 2 •HR 2170 IH matter preceding clause (i) by inserting ‘‘(13)(B),’’ after 1 ‘‘(5),’’. 2 (b) NO COST SHARING FOR VACCINATIONS.— 3 (1) GENERAL COST-SHARING LIMITATIONS.— 4 Section 1916 of the Social Security Act (42 U.S.C. 5 1396o) is amended— 6 (A) in subsection (a)(2)— 7 (i) in subparagraph (F), by striking ‘‘, 8 or’’ and inserting a comma; 9 (ii) in subparagraph (G), by striking 10 ‘‘; and’’ and inserting ‘‘, or’’; and 11 (iii) by adding at the end the fol- 12 lowing new subparagraph: 13 ‘‘(H) vaccines described in section 14 1905(a)(13)(B) (and the administration of such 15 vaccines); and’’; and 16 (B) in subsection (b)(2)— 17 (i) in subparagraph (F), by striking ‘‘, 18 or’’ and inserting a comma; 19 (ii) in subparagraph (G), by striking 20 ‘‘; and’’ and inserting ‘‘, or’’; and 21 (iii) by adding at the end the fol- 22 lowing new subparagraph: 23 VerDate Sep 11 2014 01:01 May 21, 2021 Jkt 019200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H2170.IH H2170 pbinns on DSKJLVW7X2PROD with BILLS 3 •HR 2170 IH ‘‘(H) vaccines described in section 1 1905(a)(13)(B) (and the administration of such 2 vaccines); and’’. 3 (2) APPLICATION TO ALTERNATIVE COST-SHAR- 4 ING.—Section 1916A(b)(3)(B) of the Social Security 5 Act (42 U.S.C. 1396o–1(b)(3)(B)) is amended by 6 adding at the end the following new clause: 7 ‘‘(xii) Vaccines described in section 8 1905(a)(13)(B) (and the administration of 9 such vaccines).’’. 10 (c) ENHANCED FMAP FOR ADULT VACCINES.—Sec- 11 tion 1905(b) of the Social Security Act (42 U.S.C. 12 1396d(b)) is amended— 13 (1) by striking ‘‘and (5)’’ and inserting ‘‘(5)’’; 14 (2) by striking ‘‘services and vaccines described 15 in subparagraphs (A) and (B) of subsection (a)(13), 16 and prohibits cost-sharing for such services and vac- 17 cines’’ and inserting ‘‘services described in sub- 18 section (a)(13)(A), and prohibits cost-sharing for 19 such services’’; 20 (3) by striking ‘‘medical assistance for such 21 services and vaccines’’ and inserting ‘‘medical assist- 22 ance for such services’’; and 23 (4) by inserting ‘‘, and (6) with respect to med- 24 ical assistance for vaccines described in subsection 25 VerDate Sep 11 2014 01:01 May 21, 2021 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H2170.IH H2170 pbinns on DSKJLVW7X2PROD with BILLS 4 •HR 2170 IH (a)(13)(B), the Federal medical assistance percent- 1 age, as determined under this subsection and sub- 2 section (y) (without regard to paragraph (1)(C) of 3 such subsection), shall be increased by 1 percentage 4 point’’ before the first period. 5 Æ VerDate Sep 11 2014 01:01 May 21, 2021 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6301 E:\BILLS\H2170.IH H2170 pbinns on DSKJLVW7X2PROD with BILLS