Page:United States Statutes at Large Volume 107 Part 1.djvu/669

 PUBLIC LAW 103-66 —AUG. 10, 1993 107 STAT. 643 "(6) The term 'pediatric vaccine' means a vaccine included on the list under subsection (e). "(8) The term 'qualified pediatric vaccine' means a pediatric vaccine with respect to which a contract is in effect under subsection (d). "(9) The terms 'vaccine-eligible child', 'federally vaccineeligible child', and 'State vaccine-eligible child' have the meaning given such terms in subsection (b).". (c) LIMITATION ON MEDICAID PAYMENTS. — Section 1903(i) (42 U.S.C. 1396b(i)), as amended by section 2(b)(2) of the Medicaid Volimtary Contribution and Provider-Specific Tax Amendments of 1991, is amended— (1) in the paragraph (10) inserted by section 4401(a)(l)(B) of OBRA-1990, by striking all that follows 1927(g) and inserting a semicolon; (2) by redesignating the paragraph (12) inserted by section 4752(a)(2) of OBRA-1990 as paragraph (11), by transferring and inserting it after the paragraph (10) inserted by section 4401(a)(l)(B) of OBRA-1990, and by striking the period at the end and inserting a semicolon; (3) by redesignating the paragraph (14) inserted by section 4752(e) of OBRA-1990 as paragraph (12), by transferring and inserting it after paragraph (11), as redesignated by paragraph (2), and by striking the period at the end and inserting a semicolon; (4) by redesignating the paragraph (11) inserted by section 4801(e)(16XA) of OBRA-1990 as paragraph (13), by transferring and inserting it after paragraph (12), as redesignated by paragraph (3), and by striking the period at the end and inserting "; or"; and (5) by inserting after paragraph (13), as so redesignated, the following new paragraph: "(14) with respect to any amount expended on administrative costs to carry out the program under section 1928.". (d) CONTINUED COVERAGE OF COSTS OF A PEDIATRIC VACCINE 42 USC 300bb-7 UNDER CERTAIN GROUP HEALTH PLANS. — "°*®- (1) REQUIREMENT.— The requirement of this paragraph, with respect to a group health plan for plan years beginning after the date of the enactment of this Act, is that the group health plan not reduce its coverage of the costs of pediatric vaccines (as defined under section 1928(h)(6) of the Social Security Act) below the coverage it provided as of May 1, 1993. (2) ENFORCEMENT. —For purposes of section 2207 of the Public Health Service Act, the requirement of paragraph (1) is deemed a requirement of title XXII of such Act. (e) AVAILABILITY OF MEDICAID PAYMENTS FOR CHILDHOOD VAC- CINE REPLACEMENT PROGRAMS. — (1) IN GENERAL.— Section 1902(a)(32) (42 U.S.C. 1396a(a)(32)) is amended— (A) by striking "and" at the end of subparagraph (B), (B) by striking the period at the end of subparagraph (C) and inserting "; and", and (C) by adding at the end the following new subparagraph:
 * (7) The term 'program-registered provider* has the meaning given such term in subsection (c).

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