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107 STAT. 638 PUBLIC LAW 103-66—AUG. 10, 1993 "(i) PAYMENTS IN UEU OF VACCiNES.--In the case of a State that manufactures a pediatric vaccine the Secretary, instead of providing Uie vaccine on behalf of a State under subparagraph (A), shall provide to the State an amount equal to the value of the quantity of such vaccine that otherwise would have been deliv- ered on behalf of the State under such subparagraph, but only if the State agrees that such payments will only be used for purposes relating to pediatric immunizations. **(ii) DETERMINATION OF VALUE.—In determining the amount to pay a State under clause (i) with respect to a pediatric vaccine, the value of the quantity of vaccine shall be determined on the basis of the price in effect for the qualified pediatric vaccine under con- tracts under subsection (a). If more than 1 such con- tract is in effect, the Secretary shall determine such value on the basis of the average of the prices under the contracts, after weighting each such price in rela- tion to the quantity of vaccine under the contract involved. "(b) VACCINE-ELIGIBLE CHILDREN.—For purposes of this section: "(1) IN GENERAL.—^The term Vaccine-eligible child' means a child who is a federally vaccine-eligible child (as defined in paragraph (2)) or a State vaccine-eligible child (as defined in paragraph (3)). "(2) FEDERALLY VACCINE-EUGIBLE CHILD.— **(A) IN GENERAL.—^The term 'federally vaccine-eligible child' means any of the following children: "(i) A medicaid-eligible child, "(ii) A child who is not insured, "(iii) A child who (I) is administered a qualified pediatric vaccine by a federally-qualified health center (as defined in section 1905(1X2XB)) or a rural health clinic (as defined in section 1905(1X1)), and (II) is not insured with respect to the vaccine. "(iv) A child who is an Indian (as defined in sub- section (hX3)). "(B) DEFINITIONS.—In subparagraph (A): "(i) The term 'medicaid-ehgible' means, with respect to a child, a child who is entitled to medical assistance under a state plan approved under this title. "(ii) The term 'insured' means, with respect to a child— "(I) for purposes of subparagraph (AXii), that the child is enrolled under, and entitled to benefits under, a health insurance policy or plan, including a group health plan, a prepaid health plan, or an employee welfare benefit plan under the Employee Retirement Income Security Act of 1974; and "(II) for purposes of subparagraph (AXiiiXII) Mdth respect to a pediatric vaccine, that the child is entitled to benefits under such a health insur- ance policy or plan, but such benefits are not