117th CONGRESS 1st Session |
To amend title XIX of the Social Security Act to improve access to adult vaccines under Medicaid.
March 23, 2021
Mr. Soto introduced the following bill; which was referred to the Committee on Energy and Commerce
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 Representatives of the United States of America in Congress assembled,
This Act may be cited as the “Helping Adults Protect Immunity Act” or the “HAPI Act”.
SEC. 2. Improving access to adult vaccines under Medicaid.
(a) Requiring medicaid plans to cover adult vaccinations.—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) No cost sharing for vaccinations.—
(1) GENERAL COST-SHARING LIMITATIONS.—Section 1916 of the Social Security Act (42 U.S.C. 1396o) is amended—
(i) in subparagraph (F), by striking “, or” and inserting a comma;
(ii) in subparagraph (G), by striking “; and” and inserting “, or”; and
(iii) by adding at the end the following new subparagraph:
“(H) vaccines described in section 1905(a)(13)(B) (and the administration of such vaccines); and”; and
(i) in subparagraph (F), by striking “, or” and inserting a comma;
(ii) in subparagraph (G), by striking “; and” and inserting “, or”; and
(iii) by adding at the end the following new subparagraph:
“(H) vaccines described in section 1905(a)(13)(B) (and the administration of such vaccines); and”.
(2) APPLICATION TO ALTERNATIVE COST-SHARING.—Section 1916A(b)(3)(B) of the Social Security Act (42 U.S.C. 1396o–1(b)(3)(B)) is amended by adding at the end the following new clause:
“(xii) Vaccines described in section 1905(a)(13)(B) (and the administration of such vaccines).”.
(c) Enhanced fmap for adult vaccines.—Section 1905(b) of the Social Security Act (42 U.S.C. 1396d(b)) is amended—
(1) by striking “and (5)” and inserting “(5)”;
(2) 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”;
(3) by striking “medical assistance for such services and vaccines” and inserting “medical assistance for such services”; and
(4) by inserting “, 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” before the first period.