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H.R. 6007 (117th Congress) — Expansion of coverage of vaccines under part B of the Medicare program

Summary

H. R. 6007 is a bill introduced in the House of Representatives on November 17, 2021, by O’Halleran (for himself and Joyce of Pennsylvania). It would amend title XVIII of the Social Security Act to expand coverage of vaccines under part B of the Medicare program. A new clause covers, for an adult individual, any other vaccine approved by the Federal Food and Drug Administration and recommended by the Advisory Committee on Immunization Practices, along with its administration. The text adds conforming amendments, including a waiver of the deductible, and provides that the amendments take effect on the date of enactment.

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Issuer
Congressional materials
Document type
Bills Bills 117Hr6007Ih Bills 117Hr6007Ih
Case
Bills Bills 117Hr6007Ih Bills 117Hr6007Ih

Cite this document

“H.R. 6007 (117th Congress) — Expansion of coverage of vaccines under part B of the Medicare program.” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/bills-bills-117hr6007ih-bills-117hr6007ih/, SHA-256 0ae1f9b1383aa96dd838ec2911ccc19ded801f2ee214e61c91db6c7f129f0a81.

Full text

                                                                                                                                                                          I




                                                                       117TH CONGRESS
                                                                          1ST SESSION
                                                                                                            H. R. 6007
                                                                       To amend title XVIII of the Social Security Act to provide for the expansion
                                                                           of coverage of vaccines under part B of the Medicare program, and
                                                                           for other purposes.




                                                                                     IN THE HOUSE OF REPRESENTATIVES
                                                                                                   NOVEMBER 17, 2021
                                                                       Mr. O’HALLERAN (for himself and Mr. JOYCE of Pennsylvania) introduced the
                                                                           following bill; which was referred to the Committee on Energy and Com-
                                                                           merce, and in addition to the Committee on Ways and Means, for a pe-
                                                                           riod to be subsequently determined by the Speaker, in each case for con-
                                                                           sideration of such provisions as fall within the jurisdiction of the com-
                                                                           mittee concerned




                                                                                                                 A BILL
                                                                       To amend title XVIII of the Social Security Act to provide
                                                                          for the expansion of coverage of vaccines under part
                                                                          B of the Medicare program, and for other purposes.

                                                                         1              Be it enacted by the Senate and House of Representa-
                                                                         2 tives of the United States of America in Congress assembled,
                                                                         3     SECTION 1. EXPANSION OF COVERAGE OF VACCINES

                                                                         4                             UNDER PART B OF THE MEDICARE PROGRAM.

                                                                         5              (a) IN GENERAL.—Section 1861(s)(10)(A) of the So-




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                                                                         6 cial Security Act (42 U.S.C. 1395x(s)(10)(A)) is amend-
                                                                         7 ed—


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                                                                         1                       (1) by inserting ‘‘(i)’’ after ‘‘(A)’’; and
                                                                         2                       (2) by adding at the end the following new
                                                                         3              clause:
                                                                         4                                        ‘‘(ii) with respect to an adult indi-
                                                                         5                                 vidual, any other vaccine (which is ap-
                                                                         6                                 proved by the Federal Food and Drug Ad-
                                                                         7                                 ministration) not described in clause (i)
                                                                         8                                 that is recommended by the Advisory Com-
                                                                         9                                 mittee on Immunization Practices and its
                                                                       10                                  administration; and’’.
                                                                       11               (b) CONFORMING AMENDMENTS.—
                                                                       12                        (1) WAIVER OF DEDUCTIBLE.—The first sen-
                                                                       13               tence of section 1833(b) of the Social Security Act
                                                                       14               (42 U.S.C. 1395l(b)) is amended—
                                                                       15                                  (A) by striking ‘‘, and (12)’’ and inserting
                                                                       16                        ‘‘, (12)’’;
                                                                       17                                  (B) by striking ‘‘section 1861(s)(10)(A)’’
                                                                       18                        and inserting ‘‘section 1861(s)(10)(A)(i)’’; and
                                                                       19                                  (C) by inserting before the period at the
                                                                       20                        end the following: ‘‘, and (13) such deductible
                                                                       21                        shall not apply with respect to vaccines rec-
                                                                       22                        ommended by the Advisory Committee on Im-
                                                                       23                        munization Practices and their administration
                                                                       24                        described in section 1861(s)(10)(A)(ii)’’.



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                                                                         1                       (2) WAIVER OF COST-SHARING UNDER MEDI-
                                                                         2              CARE ADVANTAGE.—Section                                  1852(a)(1)(B) of the
                                                                         3              Social Security Act (42 U.S.C. 1395w–22(a)(1)(B)),
                                                                         4              as amended by section 3713(c) of the CARES Act
                                                                         5              (Public Law 116–136), is amended—
                                                                         6                                 (A) in clause (iv)—
                                                                         7                                        (i) by redesignating subclause (VII) as
                                                                         8                                 subclause (VIII);
                                                                         9                                        (ii) by inserting after subclause (VI)
                                                                       10                                  the following new subclause:
                                                                       11                                                  ‘‘(VII) Vaccines recommended by
                                                                       12                                         the Advisory Committee on Immuni-
                                                                       13                                         zation Practices and their administra-
                                                                       14                                         tion                described                   in      section
                                                                       15                                         1861(s)(10)(A)(ii).’’; and
                                                                       16                                         (iii) in subclause (VI), by striking
                                                                       17                                  ‘‘section 1861(s)(10)(A)’’ and inserting
                                                                       18                                  ‘‘section 1861(s)(10)(A)(i)’’; and
                                                                       19                                  (B) in clause (v), by striking ‘‘and (VI)’’
                                                                       20                        and inserting ‘‘(VI), and (VII)’’.
                                                                       21                        (3) INITIAL PREVENTIVE MEDICAL EXAMINA-
                                                                       22               TION.—Section 1861(ww)(2)(A) of the Social Secu-

                                                                       23               rity Act (42 U.S.C. 1395x(ww)(2)(A)) is amended
                                                                       24               by striking ‘‘and hepatitis B vaccine’’ and inserting



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                                                                         1              ‘‘COVID–19, hepatitis B, and other vaccines de-
                                                                         2              scribed in section 1861(s)(10)(A)(ii)’’.
                                                                         3              (c) EFFECTIVE DATE.—The amendments made by
                                                                         4 this section shall take effect on the date of enactment of
                                                                         5 this Act.
                                                                         6              (d) IMPLEMENTATION.—Notwithstanding any other
                                                                         7 provision of law, the Secretary may implement the provi-
                                                                         8 sions of, and the amendments made by, this section by
                                                                         9 program instruction or otherwise.
                                                                                                                                  Æ




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