Protecting Free Vaccines Act of 2025

If passed, this law would ensure that patients do not face co-pays or deductibles for certain vaccines through 2029, regardless of whether federal advisory recommendations for those vaccines are later revoked or updated.

• •The bill mandates that group health plans and insurance issuers provide coverage for vaccines recommended by the ACIP as of October 25, 2024.
• •Insurance plans are prohibited from imposing cost-sharing requirements (such as co-pays or deductibles) for these specific vaccines.
• •The mandate applies to plan years occurring between the bill's enactment and January 1, 2030.
• •For Medicare and Medicaid, the bill ensures coverage for vaccines based on the recommendations in effect as of October 25, 2024, even if those recommendations are later revoked.
• •The bill includes provisions for vaccines that are updated or changed via supplemental applications to previously licensed biological products.
• •The bill creates a 'special rule' that excludes coverage requirements for immunizations administered during a minimum interval established under existing Public Health Service Act section 2713(b).
• •The bill amends the Public Health Service Act, the Employee Retirement Income Security Act (ERISA), the Internal Revenue Code, and the Social Security Act to implement these changes.

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.