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PUBLIC LAW 103-66—AUG. 10, 1993 107 STAT. 637 42 use 13968, 1396v. (3) by adding at the end the following new paragraph: "(62) provide Tor a program for the distribution of pediatric vaccines to program-registered providers for the immunization of vaccine-eligible children in accordance with section 1928.". (b) DESCRIPTION OF REQUIRED PROGRAM.—Title XIX is amended— (1) by redesignating section 1928 as section 1931 and by moving such section to the end of such title, and (2) by inserting after section 1927 the following new section: **PROGRAM FOR DISTRIBUTION OF PEDIATRIC VACCINES "SEC. 1928. (a) ESTABLISHMENT OF PROGRAM.— "(1) IN GENERAL.—In order to meet the requirement of 42USCi396s. section 1902(aX62), each State shall establish a pediatric vac- cine distribution program (which may be administered by tiie Stete department of health), consistent with the requirements of this section, under which— "(A) each vaccine-eligible child (as defined in subsection (b)), in receiving an immunization with a qualified pediatric vaccine (as defined in subsection (hX8)) from a program- registered provider (as defined in subsection (c)) on or after October 1, 1994, is entitled to receive the immuniza- tion without charge for the cost of such vaccine; and "(BXi) each program-registered provider who admin- isters such a peoiatric vaccine to a vaccine-eligible child on or after such date is entitled to receive such vaccine under the program without charge either for the vaccine or its delivery to the provider, an(r(ii) no vaccine is distrib- uted under tne program to a provider imless the provider is a program-registered provider. "(2) DELIVERY OF SUFFICIENT QUANTITIES OF PEDIATRIC VAC- CINES TO IMMUNIZE FEDERALLY VACCINE-EUGIBLE CHILDREN.— "(A) IN GENERAL.—^The Secretary shall provide under subsection (d) for the purchase and delivery on behalf of each Stete meeting the requirement of section 1902(aX62) (or, with respect to vaccines administered by an Indian tribe or tribal organization to Indian children, directly to the tribe or organization), without charge to the State, of such quantities of qu£dified pediatric vaccines as may be necessary for the administration of such vaccines to all federally vaccine-eligible children in the Stete on or after October 1, 1994. This paragraph constitutes budget authority in advance of appropriations Acte, and represente the obligation of the Federal Government to provide for the purchase and delivery to Stetes of the vaccines (or payment under subparagraph (C)) in accordance with this paragraph. ^B) SPECIAL RULES WHERE VACCINE IS UNAVAILABLE.— To the extent that a sufficient quantity of a vaccine is not available for purchase or delivery under subsection (d), Uie Secretory shall provide for the purchase and deliv- ery of the available vaccine in accordance with priorities esteblished by the Secretory, with priority given to feder- ally vaccine-eligible children unless the Secretory finds there are other public health considerations. "(C) SPECIAL RULES WHERE STATE IS A MANUFAC- TURER.—