S2857-119

In Committee

Protecting Free Vaccines Act of 2025

119th Congress Introduced Sep 18, 2025

Summary

What This Bill Does

The bill requires comprehensive operative provision amending PHSA, ERISA, IRC, Medicare Part D, Medicaid, CHIP, and ACA to require continued coverage without cost-sharing of all ACIP-recommended immunizations as of October 25, adds new Section 2799A-11 to the PHSA requiring group health plans and health insurance issuers to cover ACIP-recommended immunizations as of October 25, 2024, without cost-sharing, through January 1, 2030, and adds new Section 726 to ERISA requiring group health plans and insurers to cover ACIP-recommended immunizations as of October 25, 2024, without cost-sharing, through January 1, 2030. It relies on compliance mandates and product standards. The main policy areas are Healthcare and Finance.

Who Benefits and How

Vaccine manufacturers could gain revenue opportunities, Patients and families could see lower costs, and Patients with private insurance could see lower costs.

Who Bears the Burden and How

Private health insurers (group and individual) could face higher costs, Private health insurers (group and individual market) could face higher costs, and Employer-sponsored group health plans (ERISA plans) could face higher costs.

Key Provisions

  • Requires comprehensive operative provision amending PHSA, ERISA, IRC, Medicare Part D, Medicaid, CHIP, and ACA to require continued coverage without cost-sharing of all ACIP-recommended immunizations as of October 25...
  • Adds new Section 2799A-11 to the PHSA requiring group health plans and health insurance issuers to cover ACIP-recommended immunizations as of October 25, 2024, without cost-sharing, through January 1, 2030.
  • Adds new Section 726 to ERISA requiring group health plans and insurers to cover ACIP-recommended immunizations as of October 25, 2024, without cost-sharing, through January 1, 2030.
  • Adds new Section 9826 to the IRC requiring group health plans to cover ACIP-recommended immunizations as of October 25, 2024, without cost-sharing, through January 1, 2030.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill requires comprehensive operative provision amending PHSA, ERISA, IRC, Medicare Part D, Medicaid, CHIP, and ACA to require continued coverage without cost-sharing of all ACIP-recommended immunizations as of October 25, adds new Section 2799A-11 to the PHSA requiring group health plans and health insurance issuers to cover ACIP-recommended immunizations as of October 25, 2024, without cost-sharing, through January 1, 2030, and adds new Section 726 to ERISA requiring group health plans and insurers to cover ACIP-recommended immunizations as of October 25, 2024, without cost-sharing, through January 1, 2030.

Key Policy Areas

Healthcare, Finance

Primary Purpose

The bill requires comprehensive operative provision amending PHSA, ERISA, IRC, Medicare Part D, Medicaid, CHIP, and ACA to require continued coverage without cost-sharing of all ACIP-recommended immunizations as of October 25, adds new Section 2799A-11 to the PHSA requiring group health plans and health insurance issuers to cover ACIP-recommended immunizations as of October 25, 2024, without cost-sharing, through January 1, 2030, and adds new Section 726 to ERISA requiring group health plans and insurers to cover ACIP-recommended immunizations as of October 25, 2024, without cost-sharing, through January 1, 2030.

Policy Domains

Healthcare Finance

Immunization coverage lock-in across all insurance types

Identified Gains
  • Vaccine manufacturers
  • Patients and families
  • Patients with private insurance
  • Participants in IRC-governed group health plans
  • Employees and dependents under ERISA plans
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: is
Patients and families:
Vaccine manufacturers: ,
Patients with private insurance:
Employees and dependents under ERISA plans:
Participants in IRC-governed group health plans:
Identified Costs
  • Private health insurers (group and individual)
  • Private health insurers (group and individual market)
  • Employer-sponsored group health plans (ERISA plans)
  • State Medicaid programs
  • Group health plans (IRC-governed)
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: is
State Medicaid programs:
Group health plans (IRC-governed):
Private health insurers (group and individual):
Employer-sponsored group health plans (ERISA plans):
Private health insurers (group and individual market):

Legislative Progress

In Committee
Introduced Committee Passed
Sep 18, 2025

Mr. Wyden (for himself and Mr. Sanders) introduced the following …

Sep 18, 2025

Read twice and referred to the Committee on Health, Education, …

Sep 18, 2025

Introduced in Senate

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Financial Services
6 mentions across 4 clauses
-6 negative

Employer-sponsored group health plans, Employer-sponsored group health plans (ERISA plans), Group health plans (IRC-governed)

General Public
4 mentions across 4 clauses
+4 positive

Employees and dependents under ERISA plans, Participants in IRC-governed group health plans, Patients and families

Pharmaceuticals
2 mentions across 2 clauses
+2 positive

Vaccine manufacturers

Government
1 mention across 1 clause
-1 negative

State Medicaid programs

Healthcare
1 mention across 1 clause
+1 positive

Healthcare providers (pediatricians, pharmacies)

Business
1 mention across 1 clause
-1 negative

Employers sponsoring health plans

4/5
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Finance
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services

Key Definitions

Terms defined in this bill

2 terms
"coverage period" §sec_2_period

From date of enactment through January 1, 2030

"ACIP recommendation baseline date" §sec_2_acip_date

October 25, 2024 -- the date as of which immunization recommendations are locked in for coverage purposes

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology