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Family Vaccine Protection Act

Introduced Jun 4, 2025 · Last action Jun 4, 2025 Referred to the House Committee on Energy and Commerce.

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Summary

This legislation is called the Family Vaccine Protection Act. Referred to the House Committee on Energy and Commerce.

Full bill text

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3701 Introduced in House (IH)]

<DOC>

119th CONGRESS
  1st Session
                                H. R. 3701

To amend the Public Health Service Act to codify the Advisory Committee
           on Immunization Practices, and for other purposes.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                              June 4, 2025

  Mr. Pallone (for himself and Ms. Schrier) introduced the following
    bill; which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL

To amend the Public Health Service Act to codify the Advisory Committee
           on Immunization Practices, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Family Vaccine Protection Act''.

SEC. 2. CODIFICATION OF ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES.

    (a) In General.--Title II of the Public Health Service Act (42
U.S.C. 202 et seq.) is amended by inserting after section 222 (42
U.S.C. 2l7a) the following:

``SEC. 222A. ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES.

    ``(a) In General.--The Advisory Committee on Immunization Practices
established pursuant to section 222 (referred to in this section as the
`Advisory Committee') shall carry out the duties specified in this
section.
    ``(b) Application of Chapter 10 of Title 5, United States Code.--
The provisions of chapter 10 of title 5, United States Code (other than
section 1013), shall apply with respect to the Advisory Committee.
    ``(c) Advice, Guidance, and Recommendations From Advisory
Committee.--
            ``(1) In general.--The Advisory Committee shall, based on a
        preponderance of the best available, peer-reviewed scientific
        evidence, provide advice and guidance, and make
        recommendations, to the Director regarding the use of vaccines
        and related agents licensed under section 351 for effective
        control of vaccine-preventable diseases in the civilian
        population of the United States.
            ``(2) Procedure for publication.--
                    ``(A) In general.--The Director shall review any
                recommendations received under paragraph (1). The
                Director shall adopt any such recommendation unless the
                Director determines such recommendation is not
                supported by a preponderance of the best available,
                peer-reviewed scientific evidence and publishes the
                results of that review.
                    ``(B) Adopted.--If the Director adopts such a
                recommendation--
                            ``(i) such recommendation shall be
                        considered as an official recommendation of the
                        Secretary, acting through the Director, upon
                        such adoption; and
                            ``(ii) the Director shall--
                                    ``(I) publish such recommendation
                                on the public website of the Department
                                of Health and Human Services; and
                                    ``(II) inform the Secretary and the
                                Assistant Secretary for Health, in
                                writing, of such recommendation.
                    ``(C) Not adopted.--If the Director does not adopt
                such a recommendation, the Director shall--
                            ``(i) publish the basis for not adopting
                        such recommendation, including an explanation
                        on why the Director found that the
                        recommendation does not support the findings of
                        a preponderance of the best available, peer-
                        reviewed scientific evidence; and
                            ``(ii) not later than 48 hours after such
                        determination, submit a notification to the
                        Committee on Energy and Commerce of the House
                        of Representatives and the Committee on Health,
                        Education, Labor, and Pensions of the Senate
                        containing the information described in clause
                        (i).
            ``(3) Consideration of new vaccines.--Upon the licensure of
        any vaccine or any new indication for a vaccine under section
        351, the Advisory Committee shall--
                    ``(A) consider the use of the vaccine not later
                than its next regularly scheduled meeting;
                    ``(B) not later than 90 days after receiving a
                notification in writing from the holder of the license
                of the vaccine or new indication for a vaccine under
                section 351, make a recommendation with respect to the
                use of such vaccine under paragraph (1); and
                    ``(C) submit to the Committee on Energy and
                Commerce of the House of Representatives and the
                Committee on Health, Education, Labor, and Pensions of
                the Senate an update on the status of the Advisory
                Committee's consideration of the use of the vaccine.
            ``(4) Consideration for breakthrough therapies and for
        potential use during public health emergency.--The Advisory
        Committee shall make recommendations under paragraph (1) with
        respect to the use of vaccines that--
                    ``(A) are designated as a breakthrough therapy
                under section 506 of the Federal Food, Drug, and
                Cosmetic Act and licensed under section 351 of this
                Act; or
                    ``(B) are intended to address a public health
                emergency as determined by the Secretary under section
                319.
            ``(5) Limitation.--If the Secretary or the Director takes
        an action regarding the use of vaccines and related agents
        licensed under section 351 for effective control of vaccine-
        preventable diseases in the civilian population of the United
        States (including an action with respect to coverage under
        section 2713 or the listing of vaccines for purposes of the
        program under section 1928 of the Social Security Act) that is
        contrary to a recommendation of the Advisory Committee, the
        Secretary or the Director (as applicable) shall--
                    ``(A) publish the basis for the action, including
                an explanation on why the Secretary or the Director (as
                applicable) found that the action supports the findings
                of a preponderance of the best available, peer-reviewed
                scientific evidence; and
                    ``(B) not later than 48 hours after taking such
                action, the Secretary or the Director (as applicable)
                shall submit a notification to the Committee on Energy
                and Commerce of the House of Representatives and the
                Committee on Health, Education, Labor, and Pensions of
                the Senate containing the information described in
                subparagraph (A).
    ``(d) Duties.--
            ``(1) In general.--
                    ``(A) In general.--The Advisory Committee shall do
                the following:
                            ``(i) Provide advice and guidance, and make
                        recommendations, to the Director as specified
                        in subsection (c)(1).
                            ``(ii) Make immunization recommendations
                        for purposes of the requirement under section
                        2713 for group health plans and health
                        insurance issuers offering group or individual
                        health insurance coverage to provide coverage
                        for immunizations that have in effect a
                        recommendation from the Advisory Committee.
                            ``(iii) In accordance with section 1928 of
                        the Social Security Act and this section,
                        establish and periodically review and, as
                        appropriate, revise the list of vaccines for
                        administration to children and adolescents
                        eligible to receive vaccines through the
                        Vaccines for Children Program, along with
                        schedules regarding the appropriate dose and
                        dosing interval, and contraindications to
                        administration of the pediatric vaccines.
                    ``(B) Use of list.--The Secretary, and as
                delegated, the Director, shall use the list established
                by the Advisory Committee for the purpose of the
                purchase, delivery, and administration of pediatric
                vaccines in the Vaccines for Children Program under
                section 1928 of the Social Security Act.
            ``(2) Advice and guidance content.--Advice and guidance
        provided under paragraph (1)--
                    ``(A) shall address--
                            ``(i) the general use of vaccines and
                        immune globulin preparations as a class of
                        biologic agents;
                            ``(ii) the use of specific antibody
                        products for prevention of infectious diseases;
                        and
                            ``(iii) special situations or populations
                        that may warrant modification of the routine
                        recommendations for vaccine use;
                    ``(B) may include recommendations for the
                administration of immune globulin preparations or
                antimicrobial therapy shown to be effective in
                controlling a vaccine-preventable disease for which a
                vaccine is available; and
                    ``(C) with respect to each vaccine described in
                such paragraph, shall include--
                            ``(i) population groups or circumstances in
                        which a vaccine or related agent is
                        recommended;
                            ``(ii) contraindications and precautions
                        for use of the vaccine and related agents; and
                            ``(iii) information on recognized adverse
                        events associated with the use of such vaccine.
            ``(3) Emergency use authorization.--Guidance for use of
        vaccines and related agents authorized for emergency use under
        section 564 of the Federal Food, Drug, and Cosmetic Act may be
        developed by the Advisory Committee if circumstances warrant,
        including in the case of a public health emergency, as
        determined by the Secretary under section 319.
            ``(4) Considerations for recommendation development or
        withdrawal of recommendation.--The Advisory Committee, when
        making new recommendations under subsection (c)(1), or
        revisions or withdrawals of such recommendations under
        paragraph (5), shall review evidence in the following
        categories:
                    ``(A) Identification of the specific intervention,
                including dosage and schedule.
                    ``(B) The strength of the design of the study used
                to provide the evidence considered.
                    ``(C) Randomized controlled trials or overwhelming
                evidence from observational studies.
                    ``(D) Comparison and outcome of the target
                population for the vaccine, including standard of care,
                existing vaccines, and other prevention options.
                    ``(E) Prevention outcome or scientifically verified
                adverse effects associated with vaccination.
            ``(5) Revision or withdrawal of recommendation.--The
        Advisory Committee may revise or withdraw any recommendation
        regarding a particular vaccine under this subsection if and
        when new information on disease epidemiology, vaccine
        effectiveness or safety, or other data become available, and as
        supported by a preponderance of the best available, peer-
        reviewed scientific evidence.
    ``(e) Administration.--
            ``(1) Reporting structure.--The Advisory Committee shall
        report to the Director. The Director shall inform the
        Secretary, the Assistant Secretary for Health, and the
        Administrator of the Centers for Medicare & Medicaid Services
        of immunization recommendations made by the Advisory Committee.
            ``(2) Agency support.--For purposes of supporting the
        Advisory Committee in carrying out this section--
                    ``(A) the Office of the Director, National Center
                for Immunization and Respiratory Diseases of the
                Centers for Disease Control and Prevention shall
                provide management and support services; and
                    ``(B) the Advisory Committee may enter into an
                agreement with the National Academies of Sciences,
                Engineering, and Medicine to provide external support.
            ``(3) Designated federal officer.--
                    ``(A) Selection.--The Director shall select a full-
                time or permanent part-time Federal employee to serve
                as the Designated Federal Officer.
                    ``(B) Duties.--The Designated Federal Officer
                selected under subparagraph (A) shall--
                            ``(i) attend each meeting of the Advisory
                        Committee (and any subcommittee thereof) or
                        select a designee to attend such a meeting;
                            ``(ii) ensure that all procedures of the
                        Advisory Committee for such a meeting are
                        within applicable statutory, regulatory, and
                        HHS General Administration Manual directives;
                        and
                            ``(iii) approve and prepare all policies
                        and agendas for each such meeting, call any
                        such meeting, adjourn any meeting when the
                        Designated Federal Officer deems adjournment to
                        be in the public interest, and chair meetings
                        when directed to do so by the official to whom
                        the Advisory Committee reports.
                    ``(C) Assignment.--In the event that the Designated
                Federal Officer cannot fulfill the assigned duties of
                the Advisory Committee, one or more full-time or
                permanent part-time Federal employees shall be assigned
                as the Designated Federal Officer and carry out such
                duties on a temporary basis.
    ``(f) Meetings.--
            ``(1) Frequency.--Pursuant to the call of the Designated
        Federal Officer, in consultation with the Chair of the Advisory
        Committee, meetings shall be held--
                    ``(A) not less than three times per calendar year;
                and
                    ``(B) upon the licensure of any vaccine, or any new
                indication for a vaccine, under section 351(a), not
                later than 90 days after the date of the first
                marketing of such vaccine.
            ``(2) Open to the public.--Meetings of the Advisory
        Committee shall be open to the public except as determined
        otherwise by the Director, or other official, to whom the
        authority has been delegated, in accordance with sections
        552b(c) and 1009 of title 5, United States Code. Notice of all
        such meetings shall be given to the public.
    ``(g) Membership.--
            ``(1) In general.--The Secretary shall appoint at least 15
        and not more than 19 individuals to serve as members (including
        the chairperson) of the Advisory Committee. Such individuals
        shall be appointed from among individuals recommended by the
        Comptroller General of the United States. Such members shall
        serve as Special Government Employees.
            ``(2) Required expertise.--The Comptroller General of the
        United States may only recommend as a member of the Advisory
        Committee an individual who has expertise or experience with
        respect to one or more of the following:
                    ``(A) A prevalence of peer-reviewed and best
                available scientific research.
                    ``(B) Expertise relating to epidemiology and
                vaccine-preventable disease burden.
                    ``(C) Expert experience to rigorously evaluate the
                best available scientific evidence with immunization
                recommendations and public health.
                    ``(D) Expertise in immunology as evidenced by
                publications on the topic of immunology in peer-
                reviewed journals.
                    ``(E) Expertise in the use of vaccines and other
                immunobiologic agents in clinical practice or
                preventive medicine.
                    ``(F) Expertise in infectious diseases,
                particularly human immune responses to vaccines,
                assessment of vaccine efficacy or effectiveness, or
                vaccine safety, as evidenced by publications on the
                topic in peer-reviewed journals.
                    ``(G) Expertise with clinical or laboratory vaccine
                research.
                    ``(H) Expertise in assessment of vaccine efficacy
                and safety.
                    ``(I) Knowledge about consumer perspectives or the
                social and community aspects of immunization programs,
                or both.
            ``(3) Ex-officio members.--In addition to the individuals
        appointed under paragraph (1), the membership of the Advisory
        Committee shall also consist of the following 6 non-voting ex-
        officio members (or their designees):
                    ``(A) The Administrator of the Health Resources and
                Services Administration.
                    ``(B) The Commissioner of Food and Drugs.
                    ``(C) The Administrator of the Centers for Medicare
                & Medicaid Services.
                    ``(D) The Director of the National Institutes of
                Health.
                    ``(E) The Director of the Indian Health Service.
                    ``(F) The Director of the National Vaccine Program
                Office.
            ``(4) Quorum.--Two-thirds of the voting members of the
        Advisory Committee shall constitute a quorum for purposes of
        meetings of the Advisory Committee.
            ``(5) Voting if less than quorum present.--If fewer than a
        quorum of members of the Advisory Committee are eligible to
        vote due to absence or a financial or other conflict of
        interest at any meeting of the Advisory Committee, the
        Designated Federal Officer, or their designee, shall have the
        authority to temporarily designate the ex-officio members under
        paragraph (3) as voting members.
            ``(6) Non-voting liaison representatives.--Meetings of the
        Advisory Committee may also be attended by non-voting liaison
        representatives who shall be deemed representatives from a
        stakeholder organization.
            ``(7) Terms.--
                    ``(A) In general.--Except as specified in
                subparagraph (B), individuals appointed under paragraph
                (1) shall be invited to serve as members of the
                Advisory Committee for overlapping terms of 4 years,
                except that any member appointed to fill a vacancy for
                an unexpired term shall be appointed for the remainder
                of that term. A member of the Advisory Committee may
                continue to serve on the Advisory Committee for a
                period not to exceed 180 days after the expiration of
                that member's term if a successor has not taken office.
                    ``(B) Chairperson.--The term of the Chairperson of
                the Advisory Committee shall be 7 years.
    ``(h) Subcommittees.--
            ``(1) In general.--The Advisory Committee may, subject to
        approval by the Secretary (or the Secretary's designee),
        establish subcommittees composed, in part, of members of the
        Advisory Committee and other subject matter experts.
            ``(2) Reporting.--The subcommittees shall report back to
        the parent committee and may not provide advice or work
        products directly to the Department of Health and Human
        Services.
            ``(3) Department committee management officer.--The
        Secretary shall--
                    ``(A) notify the Department Committee Management
                Officer upon establishment of each subcommittee; and
                    ``(B) provide to such Officer information on the
                name, membership, function, and estimated frequency of
                meetings of such subcommittee.
    ``(i) Recordkeeping.--The records of the Advisory Committee,
established subcommittees, or other subgroups of the committee, shall
be managed in accordance with General Records Schedule 6.2, Federal
Advisory Committee Records, or other approved agency records
disposition schedule. Such records shall be available for public
inspection and copying, subject to section 552 of title 5, United
States Code.
    ``(j) Definitions.--In this section:
            ``(1) Stakeholder organization.--The term `stakeholder
        organization' means--
                    ``(A) the American Academy of Family Physicians;
                    ``(B) the American Academy of Pediatrics;
                    ``(C) the American Academy of Physician Associates;
                    ``(D) the American College Health Association;
                    ``(E) the American College of Nurse Midwives;
                    ``(F) the American College of Obstetricians and
                Gynecologists;
                    ``(G) the American College of Physicians;
                    ``(H) the American Geriatrics Society;
                    ``(I) the America's Health Insurance Plans;
                    ``(J) the American Immunization Registry
                Association;
                    ``(K) the American Medical Association;
                    ``(L) the American Nurses Association;
                    ``(M) the American Osteopathic Association;
                    ``(N) the American Pharmacists Association;
                    ``(O) the Association of Immunization Managers;
                    ``(P) the Association for Prevention Teaching and
                Research;
                    ``(Q) the Association of State and Territorial
                Health Officials;
                    ``(R) the Biotechnology Innovation Organization;
                    ``(S) the Council of State and Territorial
                Epidemiologists;
                    ``(T) the Canadian National Advisory Committee on
                Immunization;
                    ``(U) the Infectious Diseases Society of America;
                    ``(V) the International Society of Travel Medicine;
                    ``(W) the National Association of County and City
                Health Officials;
                    ``(X) the National Association of Pediatric Nurse
                Practitioners;
                    ``(Y) the National Foundation for Infectious
                Diseases;
                    ``(Z) the National Medical Association;
                    ``(AA) the Pediatric Infectious Diseases Society;
                    ``(BB) the Pharmaceutical Research and
                Manufacturers of America;
                    ``(CC) the Society for Adolescent Health and
                Medicine;
                    ``(DD) the American Public Health Association;
                    ``(EE) the Society for Healthcare Epidemiology of
                America; and
                    ``(FF) such other non-voting liaison as the
                Secretary determines necessary to effectively carry out
                the functions of the Advisory Committee.
            ``(2) Vaccine.--The term `vaccine' means any substance (and
        any related agent) that is licensed under section 351 for the
        prevention of 1 or more diseases. Such term includes related
        agents that are administered prophylactically for active or
        passive antigen-specific immunity.
    ``(k) Funding.--There are authorized to be appropriated to carry
out this section, including operating costs, compensation and travel
expenses for members, and staff support of the Advisory Committee,
$2,800,000 for each of fiscal years 2026 through 2029.''.
    (b) Rule of Construction.--Except as expressly provided in the
amendment made by subsection (a), nothing in such amendment shall be
construed as limiting the authority of the Advisory Committee on
Immunization Practices, or the duties of such Advisory Committee, that
were in effect as of the day before the date of the enactment of this
Act, including with respect to subsections (c)(2)(B)(i) and (e) of
section 1928 of the Social Security Act (42 U.S.C. 1396s) and section
2713(a)(2) of the Public Health Service Act (42 U.S.C. 300gg-13(a)(2))
(as such sections were in effect on the day before the date of the
enactment of this Act).

SEC. 3. NATIONAL VACCINE INJURY COMPENSATION PROGRAM.

    Subsection (c) of section 2114 of the Public Health Service Act (42
U.S.C. 300aa-14) is amended by adding at the end the following:
            ``(5) Any removal of a vaccine from the Vaccine Injury
        Table, or any other modification under paragraph (1), including
        any additions to the list of injuries, disabilities, illnesses,
        conditions, and deaths for which compensation may be provided,
        shall be supported by the preponderance of the best available
        scientific evidence regarding the safety or efficacy of the
        vaccine. Nothing in the preceding sentence shall be construed
        to limit the authority of the Secretary to amend the Vaccine
        Injury Table to include new vaccines pursuant to subsection
        (e).''.
                                 <all>

Official legislative text sourced from the public record (cached on CivicsHQ).

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Status

In Committee

  1. 1Introduced
  2. 2Committee
  3. 3Floor
  4. 4Passed
  5. 5Signed

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