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107 STAT. 640 PUBLIC LAW 103-66—AUG. 10, 1993 in the case of a federally vaccine-eli^ble child does not exceed the costs of such administration (as determined by the Secretary based on actual regional costs for such administration). "(iii) The provider will not deny administration of a qualified pediatric vaccine to a vacdne-eligible child due to the inability of the child's parent to pay an administra- tion fee. "(3) ENCOURAGING INVOLVEMENT OF PROVIDERS.—Each pro- gram under this section shall provide, in accordance with cri- teria established by the Secretary— "(A) for encouraging the following to become program- registered providers: private health care providers, the Indian Health Service, health care providers that receive funds under title V of the Indian Health Care Improvement Act, and health programs or facilities operated by Indian tribes or tribal orgamzations; and ''(B) for identifying, with respect to any population of vaccine-eligible children a substential portion of whose parents have a Umited ability to speak the English lan- guage, those program-registered providers who are able to communicate with the population involved in the lan- guage and cultural context that is most appropriate. "(4) STATE REQUIREMENTS.—Except as the Secretary may permit in order to prevent fraud and abuse and for related purposes, a Stete may not impose additional qualifications or conditions, in addition to the requirements of paragraph (1), in order that a provider qualify as a program-registered pro- vider under this section. This subsection does not limit the exercise of Stete authority under section 1915(b). "(d) NEGOTIATION OF CONTRACTS WITH MANUFACTURERS.— "(1) IN GENERAL.—^For the purpose of meeting obligations under this section, the Secretory shall negotiate and enter into contracts with manufacturers of pediatric vaccines consist- ent Math the requiremente of this subsection and, to the maxi- mimi extent practicable, consolidate such contracting with any other contracting activities conducted by the Secretory to pur- chase vaccines. The Secretory may enter into such contracte under which the Federal (jrovemment is obligatod to make outlays, the budget authority for which is not provided for in advance in appropriations Acte, for the purchase and delivery of pediatric vaccines under subsection (aX2XA). "(2) AuTHORiry TO DECLINE CONTRACTS.—The Secretary may decline to enter into such contracte and may modify or extond such contracte. "(3) CONTRACT PRICE.— "(A) IN GENERAL.—^The Secretary, in negotiating the prices at which pediatric vaccines will be purchased and delivered froTa a manufacturer under this subsection, shall take into account quantities of vaccines to be purchased by Stotes under the option under paragraph (4XB). "(B) NEGOTIATION OF DISCOUNTED PRICE FOR CURRENT VACCINES.—^With respect to contracte entered into under this subsection for a pediatric vaccine for which the Centers for Disease Control and Prevention has a contract in effect under section 317(jXl) of the Public Health Service Act as of May 1, 1993, no price for the purchase of such