Page:United States Statutes at Large Volume 107 Part 1.djvu/671

 PUBLIC LAW 103-66—AUG. 10, 1993 107 STAT. 645 of the State legislature that begins after the date of the enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature, (g) SCHEDULE OF IMMUNIZATIONS UNDER EPSDT. — (1) IN GENERAL.—Section 1905(r)(l) (42 U.S.C. 1396d(r)(l)) is amended^ (A) in subparagraph (A)(i), by inserting "and, with respect to immunizations under subparagraph (B)(iii), in accordance with the schedule referred to in section 1928(c)(2)(B)(i) for pediatric vaccines" after "child health care"; and (B) in subparagraph (B)(iii), by inserting "(according to the schediile referred to in section 1928(c)(2)(B)(i) for pediatric vaccines)" after "appropriate immunizations". (2) EFFECTIVE DATE. —The amendments made by subparagraphs (A) and (B) of paragraph (1) shall first apply 90 days after the date the schedule referred to in subparagraphs (A)(i) and subparagraph (B)(iii) of section 1905(r)(l) of the Social Security Act (as amended by such respective subparagraphs) is first established. (h) DENIAL OF FEDERAL FINANCIAL PARTICIPATION FOR INAPPRO- PRiATE ADMINISTRATION OF SINGLE-ANTIGEN VACCINE.— (1) IN GENERAL. —Section 1903(i) (42 U.S.C. 1396b(i)), as amended by subsection (c), is amended— (A) in paragraph (13), by striking "or" at the end, (B) in paragraph (14), by striking the period at the end and inserting "; or", and (C) by inserting after paragraph (14) the following new paragraph: "(15) with respect to any amount expended for a singleantigen vaccine and its administration in any case in which the administration of a combined-antigen vaccine was medically appropriate (as determined by the Secretary).". (2) EFFECTIVE DATE.—The amendments made by paragraph (1) shall apply to amounts expended for vaccines administered on or after October 1, 1993. (i) EFFECTIVE DATE. —Except as otherwise provided in this section, the amendments made by this section shall apply to payments under State plans approved under title XIX of the Social SBCurity Act for calendar quarters beginning on or after October 1, 1994. SEC. 13632. NATIONAL VACCINE INJURY COMPENSATION PROGRAM ABIENDMENTS. (a) AMENDMENT OF VACCINE INJURY TABLE. — (1) FIUNG.—Section 2116(b) of the Public Health Service Act (42 U.S.C. 300aa-16(b)) is amended by striking "such person may file" and inserting "or to significantly increase the likelihood of obtaining compensation, such person may, notwithstanding section 2111(b)(2), file". (2) ADDITIONAL VACCINES.—Section 2114(e) of the Public Health Service Act (42 U.S.C. 300aa-14) is amended to read as follows: "(e) ADDITIONAL VACCINES.— 42 USC 1396s note. 42 USC 1396b note. 42 USC 1396a note.

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