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li 2 3 "(e), There are authorized to be appropri,ated'each,year such sums as are necessary to' implement the provisions of thils sectlon."' SECTIOW 4. Section 31'7'of the Publiic Health,Service Act is,amended by: 5, (a) deleti'ng from subsectiion (b)'(2)) the sentence beg,inning:"The (; Secretary shall give special consideration~' and ending;"private entities. 7 and volunteers."; $ (b) by deleting from subsection (c)(3)'(A) the phrase "(including y, vaccines and other p_revention agents)";, 10 (6) by' del'eting, from the first sentence of subsection (f)e the lll phrase begiinni'ng with "rubellia, measles "through" diseases), and"; 1T (d) by delleting from the second' sentence of subsection (f) the 13 words "uaccination programs,"; 114 (e) by deJ!et iing subsect i on .(g) ( i)(A) ; 15 (f) by deleting from subsection (9):(ll)(C)~ the word's "or (B)"; and' 16, (g) by renumbering paragraphs (B), (C) and (D) of subsection 17 (9,)(1) as n(A)", m(B)'"„ and' "(C)," respectively.

Therefore, it is the purpose,of this Act to assist the states too develop programs to immunize chilld!ren against preventable infectious diiseases. SECTION 2. The,Public Health Service Act is amendedby adding the 5 24 "(i)~ be so structured as to achiieve and' maintailn an immuni-O C.W : . 25 zation rate' of 90$ ag,ai'nst the dlseases listed, or to be M O _ w 113 subsection (a) sHall' be determined as follows: 14 "'(,i) for fiscal years 1979, 1980., and'1981„ the Federal 15 'share shall': be 100$ of the costs of the program; 16 "(iil) for fiscal years 1932 and'1983, the Federal share 17 shall be: 75$ of the costs of the program; 18 "(iiii) for fiscal years 1I984 and 1985, the Federal share 119 shall be 50% of the costs of the program; 20 "'(iv), for fi',scal, year 1986 and succeedingi years, the. 21 Federal share shall be 2$% of'the costs of the program,. 22 "(c) Ini order to qualiify for Federall payment und'errthis part, 23 a State''ss mandatory child immunization program shalli: fo'T:lowingin':ew s:ection:. 6 "Sec.31I6. (a) The Secretary shall',, according to the schedule in 7 subsection (b), pay to any state (which has. enacted a mandatory child 8 immuni'zation program meeting the s.tandards of subsection (c))' a portion 9 of the.costso:f p4anning, implementing and administering such program.. ' 10 Such payments shall aiso include the costs of necessary vaccines, 11 medicatiions and other treatments. 12 "(.b) The Federal share payable to; any State that quali'fies under 26 determined by the Secretary as amenable to reduction, under 27 subsection (c)(iili) for all ch:ildren under agc 18 1',n the State 28 withiin two years of enactment of such State program;

B~i',lll No.. IN THE (SEW.'ATE) (klOUSE) OF THE UNITED STATES Date of introd'uced', the fo11!owi'ng bi'1!l;, which was read twice and referred to the Co,rmit,tee 6 Infant and childhood irnunilzation program;, 7' 2)i there is an incteased' incidence of some preventable dilseases g' due to the declining rate of im•munizatilon of i,nfants and chilldren; 9 3) the states, in conjlunction witPo.private and public health D'RAFT' A BIiLL To provide for the immuniaation o'E child'ren against major infectious diseases. 1 Be it enacted'.by the Senate and.House of Represeir,to.tives of the 2 United'States of A'merica in,Conzgress assembled, 3' FIILDItdGS AND D[CLARATlOI: OF PURPOSE. .4 -SECT1'.0H' l. The Congress finds that -- 5 1.) Many communicable diseases are preventable through an adequate services, are the most appropriate forum for administering a child a 1!1 im•nun.iizatiom program; 101 12' 13. 14;. 115 6 16 4)! any inmunization program shoul'.d',be, insofar as practicabie, a part of a prevent.ive health care programicarrried out iniconjunc- tion wiSh other health needs of the chi'ld;, and' - 5)', there should be no f'ilnancial barrcer to immuniization of children.

-3- 2 ''''(ii.) provide for necessary folllow-up immunizations where medicalliyi'ndilcatedr "'(lii) provide immunizations against measles, rubellla, 4 polliomyelAti's,,di'.phtheria, pertussis, and tetanus and such other ' 5 d'.i'seases as the Secretary„ after consultation with national 6 medical and publi.c healith organ.izatilons., may determiine are 7 amenable to red'uction through a comprehensive immunizat.ion programy 8 "(iv) coordinate wlth,, and util'.ize the services of, private 9 health practitioners and facil'iti'es to the extent practicabl'e; 110 "(v) make avaulable immunizations for all chlldren and assure t}iat 11 there sha1P: be no financial, barriers to recei!pt of such im-;unizaticns; 1'2 "(vi')' provide that no chiild shall be forced to receiive \ 13 imnunilzations if that would contravene the child's, or the parents' 14 or gward'ians' thereof, reTigious or moral beliefs; and 115 "(vili)~ provide for an accurate system of records of alli 16 i'nmunizations administered under the program and for notification 17 of an i;ndividual''s personal physician of all' immurrizations admilnistered t U$ by a partg, agency or other entity other than the personal physician... 19 "(d) i'n the event that the Secretary„ after consul!tation with ~ 20 nationall medi:caland.publ'ic health organiaations, determines under ~ 21 subsectiom (c)(Iii) that another disease (or diseases) is (or are) W ~ 222 amenablle to reduction through a comprehensive ilmmuniza~tioo W n program, the , 23, Federall share of the state's expenses of an immunization program d!irected 24 at,such disease (or diiseases) shall, for the first two fiscal years 25'. following such determiinatiion by the Secretary, be ll001percent. For 26 fisca:l years following the first two years, the Federal share s:hal'11 be 27 determined according to subsettiion (b).