Page:United States Statutes at Large Volume 107 Part 1.djvu/663

 PUBLIC LAW 103-66—AUG. 10, 1993 107 STAT. 637 42 USC 13968, 1396v. (3) by adding at the end the following new paragraph: "(62) provide Tor a program for the distribution of pediatric vaccines to program-registered providers for the immunization of vaccine-eligible children in accordance with section 1928.". (b) DESCRIPTION OF REQUIRED PROGRAM.— Title XIX is amended— (1) by redesignating section 1928 as section 1931 and by moving such section to the end of such title, and (2) by inserting after section 1927 the following new section: "SEC. 1928. (a) ESTABLISHMENT OF PROGRAM.— "(1) IN GENERAL.— In order to meet the requirement of 42 USC i396s. section 1902(a)(62), each State shall establish a pediatric vaccine distribution program (which may be administered by the State department of health), consistent with the requirements of this section, under which— "(A) each vaccine-eligible child (as defined in subsection (b)), in receiving an immunization with a qualified pediatric vaccine (as defined in subsection (h)(8)) from a programregistered provider (as defined in subsection (c)) on or after October 1, 1994, is entitled to receive the immunization without charge for the cost of such vaccine; and "(B)(i) each program-registered provider who administers such a peoiatric vaccine to a vaccine-eligible child on or after such date is entitled to receive such vaccine under the program without charge either for the vaccine or its delivery to the provider, an(r(ii) no vaccine is distributed under the program to a provider unless the provider is a program-registered provider. "(2) DELIVERY OF SUFFICIENT QUANTITIES OF PEDIATRIC VAC- CINES TO IMMUNIZE FEDERALLY VACCINE-ELIGIBLE CHILDREN. — "(A) IN GENERAL. —The Secretary shall provide under subsection (d) for the purchase and delivery on behalf of each State meeting the requirement of section 1902(a)(62) (or, with respect to vaccines administered by an Indian tribe or tribal organization to Indian children, directly to the tribe or organization), without charge to the State, of such quantities of qu£dified pediatric vaccines as may be necessary for the administration of such vaccines to all federally vaccine-eligible children in the State on or after October 1, 1994. This paragraph constitutes budget authority in advance of appropriations Acte, and represente the obligation of the Federal Government to provide for the purchase and delivery to States of the vaccines (or payment under subparagraph (C)) in accordance with this paragraph. ^B) SPECIAL RULES WHERE VACCINE IS UNAVAILABLE.— To the extent that a sufficient quantity of a vaccine is not available for purchase or delivery under subsection (d), Uie Secretary shall provide for the purchase and delivery of the available vaccine in accordance with priorities established by the Secretary, with priority given to federally vaccine-eligible children unless the Secretary finds there are other public health considerations. "(C) SPECIAL RULES WHERE STATE IS A MANUFAC- TURER. —
 * PROGRAM FOR DISTRIBUTION OF PEDIATRIC VACCINES

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