Maternal Immunization Enhancement Act

II 116TH CONGRESS 2D SESSION S. 4690 To increase vaccination rates among pregnant women enrolled in Medicaid or CHIP, and for other purposes. IN THE SENATE OF THE UNITED STATES SEPTEMBER 24, 2020 Ms. HASSAN (for herself and Mr. CASSIDY) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To increase vaccination rates among pregnant women enrolled in Medicaid or CHIP, and for other purposes. 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 ‘‘Maternal Immuniza- 4 tion Enhancement Act’’. 5 SEC. 2. DEFINITIONS. 6 In this Act: 7 (1) CHIP.—The term ‘‘CHIP’’ means the chil- 8 dren’s health insurance program established under 9 title XXI of the Social Security Act (42 U.S.C. 10 VerDate Sep 11 2014 23:20 Oct 10, 2020 Jkt 019200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S4690.IS S4690 pbinns on DSKJLVW7X2PROD with BILLS 2 •S 4690 IS 1397aa et seq.) and includes any waivers of such 1 program. 2 (2) MEDICAID.—The term ‘‘Medicaid’’ means 3 the medical assistance program established under 4 title XIX of the Social Security Act (42 U.S.C. 1396 5 et seq.) and includes any waivers of such program. 6 (3) SECRETARY.—The term ‘‘Secretary’’ means 7 the Secretary of Health and Human Services. 8 (4) STATE.—The term ‘‘State’’ has the mean- 9 ing given that term for purposes of title XIX of the 10 Social Security Act (42 U.S.C. 1396 et seq.). 11 SEC. 3. CMS GUIDANCE ON INCREASING VACCINATION 12 RATES AMONG PREGNANT WOMEN EN- 13 ROLLED IN MEDICAID OR CHIP. 14 (a) IN GENERAL.—Not later than 1 year after the 15 date of enactment of this Act, the Administrator of the 16 Centers for Medicare & Medicaid Services, in consultation 17 with the Director of the Centers for Disease Control and 18 Prevention, shall issue guidance to States on increasing 19 the vaccination rates for Advisory Committee on Immuni- 20 zation Practices recommended vaccines among pregnant 21 women enrolled in Medicaid or CHIP. 22 (b) REQUIREMENTS.—The guidance issued under 23 subsection (a) shall at a minimum include options and best 24 practices for— 25 VerDate Sep 11 2014 23:20 Oct 10, 2020 Jkt 019200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S4690.IS S4690 pbinns on DSKJLVW7X2PROD with BILLS 3 •S 4690 IS (1) increasing the vaccination rates for Advi- 1 sory Committee on Immunization Practices rec- 2 ommended vaccines among pregnant women, par- 3 ticularly with respect to the influenza, diphtheria, 4 tetanus, and whooping cough (pertussis) vaccines; 5 (2) billing and receiving Federal payments 6 under Medicaid and CHIP for obtaining and admin- 7 istering such recommended vaccines to pregnant 8 women; and 9 (3) providing counseling and patient outreach 10 and education regarding such vaccines. 11 SEC. 4. INCLUSION OF PRENATAL IMMUNIZATION STATUS 12 FOR PREGNANT WOMEN QUALITY MEASURE 13 IN THE CORE SETS OF HEALTH CARE QUAL- 14 ITY MEASURES FOR CHILDREN ENROLLED IN 15 MEDICAID OR CHIP AND ADULTS ENROLLED 16 IN MEDICAID. 17 (a) IN GENERAL.—Not later than 2 years after the 18 date of enactment of this Act, the Secretary shall include 19 a prenatal immunization status for pregnant women qual- 20 ity measure in— 21 (1) the core set of child health quality measures 22 for Medicaid and CHIP; and 23 (2) the adult health care quality measures for 24 Medicaid. 25 VerDate Sep 11 2014 23:20 Oct 10, 2020 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S4690.IS S4690 pbinns on DSKJLVW7X2PROD with BILLS 4 •S 4690 IS (b) REQUIREMENT.—The prenatal immunization sta- 1 tus for pregnant women quality measure included in such 2 core sets of health quality measures shall measure the per- 3 centage of deliveries in which pregnant women received 4 vaccines recommended by the Advisory Committee on Im- 5 munization Practices of the Centers for Disease Control 6 and Prevention during pregnancy. 7 SEC. 5. GAO REPORT. 8 Not later than 2 years after the date of enactment 9 of this Act, the Comptroller General of the United States 10 shall submit a report to Congress on the vaccination rates 11 among pregnant women enrolled in Medicaid or CHIP 12 with respect to the Advisory Committee on Immunization 13 Practices vaccines recommended for pregnant women. To 14 the extent data are available, the report shall include the 15 following: 16 (1) The percentage of pregnant women enrolled 17 in Medicaid or CHIP who did not receive vaccines 18 paid for by Medicaid or CHIP as recommended by 19 the Advisory Committee on Immunization Practices 20 while pregnant. 21 (2) To the extent practicable, an analysis of 22 whether structural barriers, such as cost sharing or 23 other specific requirements, are imposed under Med- 24 icaid or CHIP which impact the vaccination rates 25 VerDate Sep 11 2014 23:20 Oct 10, 2020 Jkt 019200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S4690.IS S4690 pbinns on DSKJLVW7X2PROD with BILLS 5 •S 4690 IS among pregnant women enrolled in Medicaid or 1 CHIP with respect to the Advisory Committee on 2 Immunization Practices vaccines recommended for 3 pregnant women. 4 (3) To the extent practicable, an analysis of the 5 reasons why women enrolled in Medicaid or CHIP 6 do not receive such recommended vaccines rec- 7 ommended while pregnant. 8 (4) To the extent practicable, demographic de- 9 tails regarding the population of pregnant women 10 enrolled in Medicaid or CHIP, including race, eth- 11 nicity, and rural or urban geographic location. 12 (5) As the Comptroller General deems appro- 13 priate, recommendations for legislative or adminis- 14 trative actions relating to increasing the vaccination 15 rates among pregnant women enrolled in Medicaid 16 or CHIP with respect to the Advisory Committee on 17 Immunization Practices vaccines recommended for 18 pregnant women. 19 Æ VerDate Sep 11 2014 23:20 Oct 10, 2020 Jkt 019200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6301 E:\BILLS\S4690.IS S4690 pbinns on DSKJLVW7X2PROD with BILLS