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136 STAT. 1897 PUBLIC LAW 117–169—AUG. 16, 2022 ‘‘(ii) there shall be no coinsurance or other cost- sharing under this part with respect to such vaccine. ‘‘(B) ADULT VACCINES RECOMMENDED BY THE ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES.—For purposes of this paragraph, the term ‘adult vaccine recommended by the Advisory Committee on Immunization Practices’ means a covered part D drug that is a vaccine licensed under section 351 of the Public Health Service Act for use by adult populations and administered in accordance with rec- ommendations of the Advisory Committee on Immunization Practices of the Centers for Disease Control and Preven- tion.’’; and (2) in subsection (c), by adding at the end the following new paragraph: ‘‘(5) TREATMENT OF COST-SHARING FOR ADULT VACCINES REC- OMMENDED BY THE ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES.—The coverage is in accordance with subsection (b)(8).’’. (b) CONFORMING AMENDMENTS TO COST-SHARING FOR LOW- INCOME INDIVIDUALS.—Section 1860D–14(a) of the Social Security Act (42 U.S.C. 1395w–114(a)), as amended by section 11201, is amended— (1) in paragraph (1)(D), in each of clauses (ii) and (iii), by striking ‘‘In the case’’ and inserting ‘‘Subject to paragraph (6), in the case’’; (2) in paragraph (2)— (A) in subparagraph (B), by striking ‘‘A reduction’’ and inserting ‘‘Subject to section 1860D–2(b)(8), a reduction’’; (B) in subparagraph (D), by striking ‘‘The substitution’’ and inserting ‘‘Subject to paragraph (6), the substitution’’; and (C) in subparagraph (E), by striking ‘‘subsection (c)’’ and inserting ‘‘paragraph (6) of this subsection and sub- section (c)’’; and (3) by adding at the end the following new paragraph: ‘‘(6) NO APPLICATION OF COST-SHARING OR DEDUCTIBLE FOR ADULT VACCINES RECOMMENDED BY THE ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES.—For plan years beginning on or after January 1, 2023, with respect to an adult vaccine recommended by the Advisory Committee on Immunization Practices (as defined in section 1860D–2(b)(8)(B))— ‘‘(A) the deductible under section 1860D–2(b)(1) shall not apply; and ‘‘(B) there shall be no cost-sharing under this section with respect to such vaccine.’’. (c) TEMPORARY RETROSPECTIVE SUBSIDY.— (1) IN GENERAL.—Section 1860D–15 of the Social Security Act (42 U.S.C. 1395w–115) is amended by adding at the end the following new subsection: ‘‘(h) TEMPORARY RETROSPECTIVE SUBSIDY FOR REDUCTION IN COST-SHARING AND DEDUCTIBLE FOR ADULT VACCINES REC- OMMENDED BY THE ADVISORY COMMITTEE ON IMMUNIZATION PRAC- TICES DURING 2023.— ‘‘(1) IN GENERAL.—In addition to amounts otherwise pay- able under this section to a PDP sponsor of a prescription drug plan or an MA organization offering an MA–PD plan, for plan year 2023, the Secretary shall provide the PDP sponsor Effective date. Definition. VerDate Sep 11 2014 13:57 Oct 25, 2022 Jkt 029139 PO 00169 Frm 00081 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL169.117 PUBL169 jmbennett on LAP3P8D0R2PROD with Publaw