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PUBLIC LAW 103-66—AUG. 10, 1993 107 STAT. 643 "(6) The term 'pediatric vaccine' means a vaccine included on the list under subsection (e). **(7) The term 'program-registered provider* has the mean- ing given such term in subsection (c). "(8) The term 'qualified pediatric vaccine' means a pediatric vaccine with respect to which a contract is in effect imder subsection (d). "(9) The terms 'vaccine-eligible child', 'federally vaccine- eUgible child', and 'State vaccine-eligible child' have the mean- ing given such terms in subsection (b).". (c) LIMITATION ON MEDICAID PAYMENTS.—Section 1903(i) (42 U.S.C. 1396b(i)), as amended by section 2(b)(2) of the Medicaid Volimtary Contribution and Provider-Specific Tax Amendments of 1991, is amended— (1) in the paragraph (10) inserted by section 4401(aXlXB) of OBRA-1990, by striking all that follows ''1927(g)'' and insert- ing a semicolon; (2) by redesignating the paragraph (12) inserted by section 4752(aX2) of OBRA-1990 as paragraph (11), by transferring and inserting it after the paragraph (10) inserted by section 4401(aXlXB) of OBRA-1990, and by striking the period at the end and inserting a semicolon; (3) by redesignating the paragraph (14) inserted by section 4752(e) of OBRA-1990 as paragraph (12), by transferring and inserting it after paragraph (11), as redesignated by paragraph (2), and by striking the period at the end and inserting a semicolon; (4) by redesignating the paragraph (11) inserted by section 4801(eX16XA) of OBRA-1990 as paragraph (13), by transferring and inserting it after paragraph (12), as redesignated by para- graph (3), and by striking the period at the end and inserting "; or"; and (5) by inserting after paragraph (13), as so redesignated, the following new paragrapn: "(14) with respect to any amount expended on administra- tive costs to carry out the program under section 1928.". (d) CONTINUED COVERAGE OF COSTS OF A PEDIATRIC VACCINE 42 use 300bb-7 UNDER CERTAIN GROUP HEALTH PLANS.— "°*®- (1) REQUIREMENT.—^The requirement of this paragraph, with respect to a group health plan for plan years beginnmg after the date of the enactment of this Act, is that the group health plan not reduce its coverage of the costs of pediatric vaccines (as defined imder section 1928(hX6) of the Social Secu- rity Act) below the coverage it provided £is of May 1, 1993. (2) ENFORCEMENT.—For purposes of section 2207 of the Public Health Service Act, the requirement of paragraph (1) is deemed a requirement of title XXII of such Act. (e) AVAILABILITY OF MEDICAID PAYMENTS FOR CHILDHOOD VAC- CINE REPLACEMENT PROGRAMS.— (1) IN GENERAL.—Section 1902(aX32) (42 U.S.C. 1396a(aX32)) is amended— (A) by striking "and" at the end of subparagraph (B), (B) by striking the period at the end of subparagraph (C) and inserting "; and", and (C) by adding at the end the following new subpara- graph: