Soto Introduces Bill to Help Ensure Zero-Out of Pocket Costs for Vaccines

November 20, 2020
Press Release
Legislation Seeks to Eliminate Vaccination Out-Of-Pocket Costs for Everyone on Medicaid

WASHINGTON, D.C. - Congressman Darren Soto (FL-09) introduced the Helping Adults Protect Immunity Act (HAPI) Act to ensure more Americans can receive necessary vaccines, including any future COVID-19 vaccine, at no out-of-pocket cost. The legislation would create parity in vaccine coverage between traditional Medicaid and Medicaid expansion programs. The bill would also provide enhanced federal matching funds for states to better reach at-risk and vulnerable patient populations. Senator Sherrod Brown (D-OH) has introduced the Senate companion bill. 

“If we want to come out of this crisis, we’ve got to ensure our low income and communities of color have access to a COVID-19 vaccine with no out-of-pocket costs,” said Congressman Soto. “Our legislation will be the difference between the virus continuing to spread and the economic recovery of our nation. Overall, the HAPI Act will improve public health across America and ensure our most vulnerable communities are not left behind.” 

Currently, those enrolled in traditional Medicaid face varying out-of-pocket costs and can be forced to pay for vaccines, while those enrolled in Medicaid through the expansion made possible by the Affordable Care Act (ACA) pay $0 in out-of-pocket costs for vaccines recommended by the Advisory Committee on Immunization Practices (ACIP). This lack of consistency and the resulting barriers to access impede efforts to improve vaccination rates among at-risk populations.  

A future vaccine’s effectiveness will be determined in part by how many Floridians get vaccinated. The HAPI Act would also give states funding to enhance reimbursement rates to the health care providers who will be responsible for vaccinating many of the most at-risk and hardest-to-reach populations.