Page:United States Statutes at Large Volume 107 Part 1.djvu/668

 107 STAT. 642 PUBLIC LAW 103-66 —AUG. 10, 1993 for quantities of pediatric vaccines such that an adequate supply of such vaccines will be maintained to meet unanticipated needs for the vaccines. For purposes of the preceding sentence, the Secretary shall negotiate for a 6-month supply of vaccines in addition to the quantity that the Secretary otherwise would provide for in such negotiations. In carrying out this paragraph, the Secretary shall consider the potential for outbreaks of the diseases with respect to which the vaccines have been developed. "(7) MULTIPLE SUPPLIERS.—In the case of the pediatric vaccine involved, the Secretary shall, as appropriate, enter into a contract referred to in paragraph (1) with each manufacturer of the vaccine that meets the terms and conditions of the Secretary for an award of such a contract (including terms and conditions regarding safety and quality). With respect to multiple contracts entered into pursuant to this paragraph, the Secretary may have in effect different prices under each of such contracts and, with respect to a purchase by Stotes pursuant to paragraph (4)(B), the Secretary shall determine which of such contracto will be applicable to the purchase, "(e) USE OF PEDIATRIC VACCINES LIST.— The Secretary shall use, for the purpose of the purchase, delivery, and administration of pediatric vaccines under this section, the list established (and periodically reviewed and as appropriate revised) by the Advisory Committee on Immimization Practices (an advisory committee established by the Secretary, acting through the Director of the Centers for Disease Control and Prevention). "(f) REQUIREMENT OF STATE MAINTENANCE OF IMMUNIZATION LAWS.—In the case of a Stote that had in effect as of Ma^ 1, 1993, a law that requires some or all health insurance policies or plans to provide some coverage with respect to a pediatric vaccine, a Stote program under this section does not comply with the requiremento of this section unless the Stote certifies to the Secretary that the Stote has not modified or repealed such law in a manner that reduces the amount of coverage so required. "(g) TERMINATION.— This section, and the requirement of section 1902(a)(62), shall cease to be in effect beginning on such date as may be prescribed in Federal law providing for immunization services for all children as part of a broad-based reform of the national health care system. "(h) DEFINITIONS. —For purposes of this section: "(1) The term 'child' means an individual 18 years of age or younger. "(2) The term immunization' means an immimization against a vaccine-preventoble disease. "(3) The terms 'Indian', 'Indian tribe' and 'tribal organization' have the meanings given such terms in section 4 of the Indian Health Care Improvement Act. "(4) The term 'manufacturer' means any corporation, organization, or institution, whether public or private (including Federal, Stote, and local departmento, agencies, and instrumentalities), which manufactures, importe, m'ocesses, or distributes under ito label any pediatric vaccine. The term 'manufacture' means to manufacture, import, process, or distribute a vaccine. "(5) The term 'parent^ includes, with respect to a child, an individual who qualifies as a legal guardian under Stote law.

�