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HR 1381119th CongressIn Committee

COVID–19 Vaccination Non-Discrimination Act

Introduced: Feb 14, 2025
Standard Summary
Comprehensive overview in 1-2 paragraphs

This bill, the COVID-19 Vaccination Non-Discrimination Act, would block federal funding to any health care facility that refuses to provide treatment to an individual based on that person’s COVID-19 vaccination status. It explicitly ties the availability of funds to non-discriminatory treatment practices, applying to funds authorized or appropriated by federal law, including those under Medicare, Medicaid, and CHIP. In other words, hospitals, clinics, and other facilities that rely on federal payments could lose funding if they deny care solely because a patient is unvaccinated (or, conversely, based on vaccination status in any way tied to treatment decisions). The act uses broad language, with a general “notwithstanding” clause indicating it overrides other laws in determining funding eligibility. It does not define key terms like “facility,” “treatment,” or what constitutes discrimination based on vaccination status, and it does not specify an enforcement mechanism beyond the withholding of federal funds.

Key Points

  • 1Prohibits federal funds from being made available to entities that refuse to provide treatment to an individual based on that person’s COVID-19 vaccination status.
  • 2Applies to funds authorized or appropriated by federal law, including funds in trust funds and those provided under titles XVIII (Medicare), XIX (Medicaid), and XXI (CHIP) of the Social Security Act.
  • 3Uses a broad “Notwithstanding any other provision of law” clause, meaning it takes precedence over conflicting laws when determining eligibility for federal funds.
  • 4Does not define key terms (facility, treatment, vaccination status) and does not specify procedural enforcement mechanisms beyond funding denial.
  • 5Short title of the bill is the COVID-19 Vaccination Non-Discrimination Act; introduced in the 119th Congress, with sponsors Mrs. Houchin and Mr. Rulli, referred to committees for consideration.

Impact Areas

Primary group/area affected: Healthcare facilities that receive federal funding (e.g., Medicare/Medicaid providers). They would need to ensure policies do not deny care based on a patient’s COVID-19 vaccination status to maintain funding.Secondary group/area affected: Patients and potential patients, particularly those who are unvaccinated or whose vaccination status could otherwise factor into access to care; the bill aims to protect their right to receive treatment without vaccination-based discrimination.Additional impacts:- Federal budget/funding administration: With funding conditioned on nondiscriminatory treatment practices, federal oversight or monitoring may be triggered to enforce compliance.- Policy and operational changes for providers: Hospitals and clinics may review or adjust admission/treatment policies to avoid jeopardizing federal funds.- Legal and regulatory considerations: The broad language and lack of definitions may raise questions about scope, interpretation, and potential challenges or need for further clarification in implementing regulations.
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