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H.R.1640 / 103rd Congress

Comprehensive Child Immunization Act of 1993

Referred to the Subcommittee on Health and the Environment.

Official summary

Version 00 · Introduced in House · Apr 1, 1993

Comprehensive Child Immunization Act of 1993 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to promulgate: (1) a list of vaccines that provide immunization against naturally occurring infectious diseases which are recommended for universal use in children; and (2) recommendations regarding the appropriate dosage and the ages of children at which each vaccine should be administered. Directs the Secretary to: (1) periodically purchase recommended childhood vaccines in amounts necessary for distribution to meet anticipated needs and for maintenance of a six-month reserve supply; and (2) negotiate a reasonable price for such vaccine. Requires a manufacturer of recommended childhood vaccine to provide costs or pricing data. Sets forth provisions regarding: (1) the confidentiality of such data; (2) the prohibition of additional shipping or handling charges; (3) multiple suppliers; and (4) reporting requirements. Directs the Secretary to provide for the distribution without charge of such vaccines to health care providers who serve children and meet other specified requirements. Permits a health care provider receiving a vaccine under such provisions to: (1) use such vaccine only for administration to children; and (2) impose a fee for the administration of the vaccine, but not for the vaccine itself, subject to specified limitations. Directs the Secretary to establish a national system to track the immunization status of children. Establishes in the Treasury a Comprehensive Child Immunization Account. Makes funds from such account available for vaccine purchases by the Secretary. Authorizes appropriations. Amends title XIX (Medicaid) of the Social Security Act to: (1) provide coverage of immunizations under early and periodic screening, diagnosis, and testing provisions of State Medicaid programs; and (2) require that payments to providers include reimbursement for administration of such vaccines. Sets forth provisions regarding: (1) termination of the vaccine purchase program; (2) use of the Vaccine Injury Compensation Trust Fund; (3) the permanent extension of authority to impose taxes for the Trust Fund; (4) the addition of vaccines to the vaccine injury table; (5) the extension of time for decision in proceedings on petitions for vaccine-related injuries or deaths; and (6) vaccine information materials (requiring a concise description of vaccine risks and benefits and a statement of program availability).

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Who introduced it

Rep. Waxman, Henry A. [D-CA-29] · D–CA

Committees

  • Energy and Commerce Committee
  • Ways and Means Committee
22 cosponsorship records, including any withdrawals

Actions

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  1. Referred to the Subcommittee on Health and the Environment.

  2. Hearings Held by the Subcommittee on Health and the Environment Prior to Referral.

  3. Referred to the Subcommittee on Health.

  4. Referred to the House Committee on Ways and Means.

  5. Referred to the House Committee on Energy and Commerce.

  6. Introduced in House

  7. Introduced in House

Bill text & related measures

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Related bills identified by Congress.gov

No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

Source last updated: Jun 3, 2026. Consult Congress.gov for the current record.

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Neutral evidence review

Objective

Analyze H.R.1640 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Fairness and public impact

Progressive lens

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Institutions and government scope

Conservative lens

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Individual rights and government power

Liberty lens

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