Protecting Free Vaccines Act of 2025

Mandated Coverage without Cost Sharing: Group health plans and health insurance issuers must provide coverage for specific immunizations without imposing any cost-sharing requirements for plan years occurring through January 1, 2030 (Section 2(a)(1)(A)).

Protection Against Revoked Recommendations for Medicare: Medicare coverage will include vaccines even if a recommendation is revoked, provided the recommendation was in effect prior to the revocation (Section 2(b)).

Expanded Coverage for Pregnant Individuals under Medicaid: Medicaid coverage will include medical assistance for specific vaccines and their administration for pregnant individuals (Section 2(c)(2)).

Pediatric Vaccine Stability in Medicaid: The bill prevents providers and the Secretary from taking into account changes that remove a pediatric vaccine recommendation from the schedule if it was recommended as of October 25, 2024 (Section 2(c)(3)(A) and (B)).

Guaranteed Coverage for CHIP: Child health assistance for targeted low-income children must include coverage for vaccines and their administration that were recommended as of October 25, 2024, through the end of 2029 (Section 2(d)(1)).

Time-Limited Coverage: The requirements for coverage without cost-sharing and the specific protections for various programs are scheduled to end on December 31, 2029, or January 1, 2030 (Sections 2(a)(1)(A), 2(c)(1)(A), 2(c)(3)(A), and 2(d)(1)).

Exception for Minimum Intervals: The requirement for coverage without cost-sharing does not apply if the immunization is administered during the minimum interval established under section 2713(b) (Sections 2(a)(1)(B), 2(a)(2)(A), and 2(a)(3)).