Section 1 Expansion of coverage of vaccines under part b of the medicare program
In general— Section 1861(s)(10)(A) of the Social Security Act (42 U.S.C. 1395x(s)(10)(A)) is amended—
by inserting “(i)” after “(A)”; and
by adding at the end the following new clause:
“(ii) with respect to an adult individual, any other vaccine (which is approved by the Federal Food and Drug Administration) not described in clause (i) that is recommended by the Advisory Committee on Immunization Practices and its administration; and”
Conforming amendments—
Waiver of deductible— The first sentence of section 1833(b) of the Social Security Act (42 U.S.C. 1395l(b)) is amended—
by striking “, and (12)” and inserting “, (12)”;
by striking “section 1861(s)(10)(A)” and inserting “section 1861(s)(10)(A)(i)”; and
by inserting before the period at the end the following: “, and (13) such deductible shall not apply with respect to vaccines recommended by the Advisory Committee on Immunization Practices and their administration described in section 1861(s)(10)(A)(ii)”.
Waiver of cost-sharing under medicare advantage— Section 1852(a)(1)(B) of the Social Security Act (42 U.S.C. 1395w–22(a)(1)(B)), as amended by section 3713(c) of the CARES Act (Public Law 116–136), is amended—
in clause (iv)—
by redesignating subclause (VII) as subclause (VIII);
by inserting after subclause (VI) the following new subclause:
“(VII) Vaccines recommended by the Advisory Committee on Immunization Practices and their administration described in section 1861(s)(10)(A)(ii).”
in subclause (VI), by striking “section 1861(s)(10)(A)” and inserting “section 1861(s)(10)(A)(i)”; and
in clause (v), by striking “and (VI)” and inserting “(VI), and (VII)”.
Initial preventive medical examination— Section 1861(ww)(2)(A) of the Social Security Act (42 U.S.C. 1395x(ww)(2)(A)) is amended by striking “and hepatitis B vaccine” and inserting “COVID–19, hepatitis B, and other vaccines described in section 1861(s)(10)(A)(ii)”.
Effective date— The amendments made by this section shall take effect on the date of enactment of this Act.
Implementation— Notwithstanding any other provision of law, the Secretary may implement the provisions of, and the amendments made by, this section by program instruction or otherwise.