H.R. 2170House117th Congress (2021-2023)In Committee

HAPI Act

Introduced March 23, 2021

AI-Generated Summary

Updated February 8, 2026 at 12:56 AM UTC

The Helping Adults Protect Immunity (HAPI) Act would change Medicaid rules so that adult vaccines are covered as a required benefit. It eliminates any copays, deductibles, or other cost‑sharing for those vaccines and their administration. The bill also raises the federal share of Medicaid funding for adult vaccines by one percentage point, affecting adults who receive Medicaid and the state Medicaid programs that fund them.

Key Provisions

  • Requires Medicaid plans to cover adult vaccines listed in the new category of covered services.
  • Prohibits any cost sharing for those adult vaccines and their administration, including under alternative cost‑sharing provisions.
  • Increases the Federal medical assistance percentage for adult vaccines by one percentage point.

Legislative Activity

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2 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee on Health.

March 24, 2021

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HouseIntro Referral

Introduced in House

March 23, 2021

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

March 23, 2021

HouseCommittee

Referred to the Subcommittee on Health.

March 24, 2021

Bill Text

Latest available legislative text

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Introduced in HouseIssued March 23, 2021

I

117th CONGRESS

1st Session

H. R. 2170

IN THE HOUSE OF REPRESENTATIVES

March 23, 2021

Mr. Soto introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend title XIX of the Social Security Act to improve access to adult vaccines under Medicaid.

1.

Short title

This Act may be cited as the Helping Adults Protect Immunity Act or the HAPI Act.

2.

Improving access to adult vaccines under Medicaid

(a)

Requiring medicaid plans to cover adult vaccinations

Section 1902(a)(10)(A) of the Social Security Act (42 U.S.C. 1396a(a)(10)(A)) is amended in the matter preceding clause (i) by inserting (13)(B), after (5),.

(b)

No cost sharing for vaccinations

(1)

General cost-sharing limitations

Section 1916 of the Social Security Act (42 U.S.C. 1396o) is amended—

(A)

in subsection (a)(2)—

(i)

in subparagraph (F), by striking , or and inserting a comma;

(ii)

in subparagraph (G), by striking ; and and inserting , or; and

(iii)

by adding at the end the following new subparagraph:

(H)

vaccines described in section 1905(a)(13)(B) (and the administration of such vaccines); and

; and

(B)

in subsection (b)(2)—

(i)

in subparagraph (F), by striking , or and inserting a comma;

(ii)

in subparagraph (G), by striking ; and and inserting , or; and

(iii)

by adding at the end the following new subparagraph:

(H)

vaccines described in section 1905(a)(13)(B) (and the administration of such vaccines); and

.

(2)

Application to alternative cost-sharing

Section 1916A(b)(3)(B) of the Social Security Act (42 U.S.C. 1396o–1(b)(3)(B)) is amended by adding at the end the following new clause:

(xii)

Vaccines described in section 1905(a)(13)(B) (and the administration of such vaccines).

.

(c)

Enhanced fmap for adult vaccines

Section 1905(b) of the Social Security Act (42 U.S.C. 1396d(b)) is amended—

(1)

by striking and (5) and inserting (5);

(2)

by striking services and vaccines described in subparagraphs (A) and (B) of subsection (a)(13), and prohibits cost-sharing for such services and vaccines and inserting services described in subsection (a)(13)(A), and prohibits cost-sharing for such services;

(3)

by striking medical assistance for such services and vaccines and inserting medical assistance for such services; and

(4)

by inserting , and (6) with respect to medical assistance for vaccines described in subsection (a)(13)(B), the Federal medical assistance percentage, as determined under this subsection and subsection (y) (without regard to paragraph (1)(C) of such subsection), shall be increased by 1 percentage point before the first period.