article: SECTION 1. SHORT TITLE. This Act may be cited as the ``Child Immunization Incentive Act of 1993''. SEC. 2. AFDC BENEFITS DENIED FOR CHILDREN WHO HAVE NOT RECEIVED PREVENTIVE HEALTH CARE OR IMMUNIZATIONS. Section 402(a) of the Social Security Act (42 U.S.C. 602(a)) is amended-- (1) by striking ``and'' at the end of paragraph (44); (2) by striking the period at the end of paragraph (45) and inserting ``; and''; and (3) by inserting after paragraph (45) the following: ``(46) provide that-- ``(A) aid under the plan shall not be payable with respect to any child who has not attained the age of 6 years, unless the State agency has received from 1 or more physicians written verification (on a form prescribed by the State)-- ``(i) that the child has been examined by a physician not less frequently than-- ``(I) in the case of a child who has not attained the age of 19 months, every 6 months since the child was born; and ``(II) in the case of any other child, every 6 months until the child attained the age of 19 months, and every year thereafter; ``(ii) that the child has been immunized in accordance with recommendations issued by the Surgeon General of the Public Health Service; and ``(iii) of any contraindication which exempts the child from receiving an immunization; ``(B) the State will conduct appropriate education and outreach activities designed to-- ``(i) increase public awareness of the importance of preventive health care and immunizations for pre-school children; and ``(ii) inform the public about-- ``(I) the availability of preventive health care and immunization services for pre-school children; ``(II) any transportation, child care, or other support services that may be available to assist parents in obtaining such services for their children; and ``(III) the clinics at which any child may receive immunizations free or at a reduced charge.''. SEC. 3. AMENDMENTS TO THE CHILD CARE AND DEVELOPMENT BLOCK GRANT. Section 658E(2) of the Child Care and Development Block Grant Act (42 U.S.C. 9858c(2)) is amended-- (1) in subparagraph (F)-- (A) in clause (ii) by striking ``and'' at the end, (B) in clause (iii) by striking the period at the end and inserting ``; and'', (C) by inserting after subclause (III), as so redesignated, the following: ``(iv) a requirement that such providers require with respect to each child who receives child care services from any of such providers that certificates signed by a physician who verifies that such child has been immunized in accordance with recommendations issued by the Surgeon General of the Public Health Service be submitted, at required intervals and in accordance with rules issued by the Secretary, to the child care provider involved.'', and (D) by striking the last sentence, and (2) in subparagraph (G&lt;plus-minus&gt;)-- (i) by inserting ``(i)'' before ``Provide'', and (ii) by adding at the end the following: ``(ii) For the purpose of enforcing the requirement described in subparagraph (F)(iv), such procedures shall ensure that each of such providers gives to parents of each child who receives child care services from the provider involved written notice of-- ``(I) each immunization requirement applicable to such child; ``(II) an opportunity of not less than 30 days, and not more than 45 days, to correct the failure to satisfy such requirement; and ``(III) the fact that child care services for such child will be terminated for failure to satisfy such requirement before the expiration of the 45-day period beginning on the date such notice is received.''. SEC. 4. ISSUANCE OF IMMUNIZATION RECOMMENDATIONS BY THE SURGEON GENERAL OF THE PUBLIC HEALTH SERVICE. After taking into consideration the then most recent report of the Committee on Infectious Diseases of the American Academy of Pediatrics, the Surgeon General of the Public Health Service shall issue, and revise from time to time, recommendations for the immunization of children under 6 years of age. With respect to each recommended immunization, such recommendation shall include-- (1) contraindications (if any) that should be identified to exempt a child from receiving such immunization, and (2) remedial action that may be taken to minimize the adverse effect of failure to administer such immunization to a child at the recommended age. SEC. 5. EFFECTIVE DATES; APPLICATION OF AMENDMENTS. (a) Effective Date.--Except as provided in subsections (b) and (c), this Act and the amendments made by this Act shall take effect on the date of the enactment of this Act. (b) Application of Section 2 Amendments.--The amendments made by section 2 shall apply, without regard to whether regulations to implement the amendments have been promulgated, to-- (1) payments to individuals under State plan approved under part A of title IV of the Social Security Act, for months ending after the 120-day period that begins with the date of the enactment of this Act; and (2) payments to States under such part for calendar quarters ending after such 120-day period. (c) Application of Section 3 Amendments.--The amendments made by section 3 shall not apply with respect to fiscal years beginning before the date of the enactment of this Act.
summary: Child Immunization Incentive Act of 1993 - Amends part A (Aid to Families with Dependent Children) (AFDC) of title IV of the Social Security Act to: (1) deny AFDC for children under six who have not received periodic examinations by a physician or immunizations; and (2) require State outreach activities with respect to preventive health care and immunizations for pre-school children. Amends the Child Care and Development Block Grant Act to require providers assisted under such Act to require each child receiving their services to receive immunizations in accordance with the recommendations issued by the Surgeon General pursuant to this Act.