{
  "legislationId": "119_HR_8425",
  "lastUpdate": "2026-04-25T11:17:31.179Z",
  "history": [
    {
      "timestamp": "2026-04-25T11:17:31.179Z",
      "source_url": "https://www.congress.gov/119/bills/hr8425/BILLS-119hr8425ih.htm",
      "model": "gemini-flash-lite-latest",
      "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8425 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8425 To amend title XIX of the Social Security Act to ensure access to immunizations under the Medicaid program and the Vaccines for Children program, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES April 21, 2026 Ms. Schrier (for herself and Mr. Joyce of Pennsylvania) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To amend title XIX of the Social Security Act to ensure access to immunizations under the Medicaid program and the Vaccines for Children program, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Strengthening the Vaccines for Children Program Act of 2026''. SEC. 2. ENSURING ACCESS TO IMMUNIZATIONS UNDER THE MEDICAID PROGRAM AND THE VACCINES FOR CHILDREN PROGRAM. (a) Expansion of Definition of Federally Vaccine-Eligible Child.-- Paragraph (2) of section 1928(b) of the Social Security Act (42 U.S.C. 1396s(b)) is amended-- (1) in subparagraph (A)-- (A) in clause (iii), by striking ``A child who'' and all that follows through the period at the end and inserting ``A child who is administered a qualified pediatric vaccine and is not insured with respect to such vaccine.''; and (B) by adding at the end the following new clause: ``(v) A child who is enrolled for child health assistance under a State child health plan approved under title XXI.''; and (2) in subparagraph (B)(ii)(II), by striking ``for purposes of subparagraph (A)(iii)(II)'' and inserting ``for purposes of subparagraph (A)(iii)''. (b) Minimum Payment Requirement for Vaccine Administration and Counseling Services.-- (1) In general.--Section 1902(a)(13) of the Social Security Act (42 U.S.C. 1396a(a)(13)) is amended-- (A) in subparagraph (B), by striking ``and'' at the end; (B) in subparagraph (C), by striking the semicolon and inserting ``; and''; and (C) by adding at the end the following new subparagraph: ``(D) for payment for vaccine administration and counseling services furnished by a provider during the period beginning on the date of the enactment of this subparagraph, and ending on December 31, 2028 (including, notwithstanding subsection (c)(2)(C)(ii) of section 1928, any such services furnished with respect to a vaccine furnished under the program established by the State pursuant to such section to a medicaid- eligible child (as defined in subsection (b)(2)(B)(i) of such section)), at a rate not less than 100 percent of the payment rate that applies to such services and provider under part B of title XVIII;''. (2) Managed care plans.--Section 1932(f) of the Social Security Act (42 U.S.C. 1396u-2(f)) is amended-- (A) in the header, by striking ``Payment for Primary Care Services'' and inserting ``Payments''; (B) by striking ``section 1902(a)(13)(C)'' and inserting ``subparagraph (C) of section 1902(a)(13) and vaccine administration and counseling services described in subparagraph (D) of such section''; (C) by striking ``such section'' and inserting ``such subparagraph (C) or (D), respectively''; and (D) by adding at the end the following new sentence: ``The provisions of the preceding sentence shall apply to contracts entered into with, and payments made by, other specified entities (as defined in section 1903(m)(9)(D)(iii)) in the same manner as such provisions apply with respect to contracts entered into with, and payments made by, medicaid managed care organizations.''. (3) CHIP.--Section 2103(c) of the Social Security Act (42 U.S.C. 1397cc(c)) is amended by adding at the end the following new paragraph: ``(11) Vaccine administration services.--The child health assistance provided to a targeted low-income child shall include payment for vaccine administration and counseling services furnished by a provider during the period beginning on the date of the enactment of this paragraph, and ending on December 31, 2028 (including, notwithstanding subsection (c)(2)(C)(ii) of section 1928, any such services furnished to such child with respect to a vaccine furnished under the program established by the State pursuant to such section), at a rate not less than 100 percent of the payment rate that applies to such services and provider under part B of title XVIII.''. (c) Clarification of Coverage of Pediatric Vaccine Administration and Vaccine Counseling and Educational Services Under the Vaccines for Children Program.--Section 1928(c)(2)(C) of the Social Security Act (42 U.S.C. 1396s(c)(2)(C)) is amended-- (1) in clause (ii), by amending such clause to read as follows: ``(ii) The provider may impose-- ``(I) in the case of a qualified pediatric vaccine not described in subclause (II), a fee for the administration of and counseling for such vaccine (which, in the case of a counseling fee, may be so imposed regardless of whether such vaccine is actually administered) so long as the fee in the case of a federally vaccine-eligible child does not exceed the costs of such administration and counseling (as determined by the Secretary based on actual regional costs for such administration and counseling and updated as determined appropriate by the Secretary to take into account changes in such costs, including changes attributable to the inclusion of new qualified pediatric vaccines in the program established under this section); and ``(II) in the case of a qualified pediatric vaccine that is a multiple component vaccine, a separate charge for the administration of and counseling for each component of such vaccine (which, in the case of a counseling fee, may be so imposed regardless of whether such component is actually administered) so long as the charge in the case of a federally vaccine-eligible child does not exceed-- ``(aa) with respect to the first component of such vaccine, the costs of such administration and counseling for such component (as determined by the Secretary based on actual regional costs for such administration and counseling for such first component and updated as determined appropriate by the Secretary to take into account changes in such costs, including changes attributable to the inclusion of new qualified pediatric vaccines in the program established under this section); and ``(bb) with respect to a subsequent component of such vaccine, the payment rate that applies to such administration and counseling for such component and provider under part B of title XVIII.''; and (2) in clause (iii), by inserting ``or counseling'' after ``an administration''. (d) Increase in Federal Medical Assistance Percentage.-- (1) In general.--Subject to paragraph (2), for each calendar quarter occurring during the period beginning on or after January 1, 2027, the Federal medical assistance percentage determined for each State, including the District of Columbia, American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, Puerto Rico, and the United States Virgin Islands, under section 1905(b) of the Social Security Act (42 U.S.C. 1396d(b)) shall be increased by 1 percentage point. (2) Requirements.-- (A) In general.--A State described in paragraph (1) may not receive the increase described in such paragraph in the Federal medical assistance percentage for such State, with respect to a quarter, if such State does not ensure culturally competent and effective messages for vaccination outreach to child populations, which may include the dissemination of information highlighting-- (i) advancements in research and vaccine development that have saved millions of individuals from death and disability from now- preventable diseases; (ii) information on how individuals across the lifespan benefit from immunizations, including those who cannot be vaccinated and rely on community immunity; (iii) information on the dangers of not being vaccinated, including the potential for infectious disease outbreaks within communities; and (iv) information on vaccine safety and the systems in place to monitor vaccine safety. (B) Requirement for certain states.--Section 1905(cc) of the Social Security Act (42 U.S.C. 1396d(cc)) is amended-- (i) by inserting ``and section 2(d) of the Strengthening the Vaccines for Children Program Act of 2026'' before ``, except that in applying''; and (ii) by inserting ``, and in applying such treatments to the increases in the Federal medical assistance percentage under section 2(e) of the Strengthening the Vaccines for Children Program Act of 2026, the reference to `December 31, 2009' shall be deemed to be a reference to `December 31, 2025''' before the period at the end. (e) Tribal Epidemiology Center Data Access.--With respect to data access for tribal epidemiology centers established under section 214 of the Indian Health Care Improvement Act (25 U.S.C. 1621m), the Director of the Centers for Disease control and Prevention may create a data sharing strategy that ensures such centers have access to data, data sets, monitoring systems, delivery systems, and other protected health information with respect to health care and public health surveillance systems of child and adolescent health necessary to accomplish such centers' public health authority responsibilities described in such section or section 164.501 of title 45, Code of Federal Regulations. (f) Reports.-- (1) In general.--For each of fiscal years 2027 and 2028, the Director of the Centers for Disease Control and Prevention, in coordination with each State that has established a pediatric vaccine distribution program under section 1928 of the Social Security Act (42 U.S.C. 1396s), shall publish on the public internet website of the Centers for Disease Control and Prevention, in such manner as determined appropriate by the Director, information on vaccination rates under each such program during such year, including such rates disaggregated by region, age, sex, race, ethnicity, and other demographic factors determined appropriate by the Director. (2) Effects on vaccination rates and program participation.--Not later than 2 years after the date of the enactment of this Act, the Comptroller General of the United States shall submit to Congress a report containing an analysis of the effects of the provisions of, and the amendments made by, this Act on-- (A) vaccination rates under the pediatric vaccine distribution program under section 1928 of the Social Security Act (42 U.S.C. 1396s); and (B) provider participation in such program. <all>\n\nSUMMARY TO EVALUATE:\nTitle: Strengthening the Vaccines for Children Program Act of 2026\nSummary: This act expands access to free vaccines for more children and ensures doctors are fairly paid for providing immunizations and health counseling. It aims to boost public health by supporting state outreach programs and improving data sharing for tribal communities.\nKey Points: Expands eligibility for free vaccines to include children in the CHIP program and those without specific vaccine insurance., Guarantees higher payment rates for doctors who administer vaccines and provide counseling through 2028., Allows doctors to be paid for vaccine counseling even if the shot is not given during that visit., Provides extra federal funding to states that run effective and culturally sensitive vaccine awareness campaigns., Improves health data access for Tribal Epidemiology Centers to better monitor child and adolescent health.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n  \"is_valid\": true/false,\n  \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n",
      "ai_response_raw": "{\n  \"is_valid\": true,\n  \"issue\": \"none\"\n}"
    },
    {
      "timestamp": "2026-04-25T11:13:18.716Z",
      "source_url": "https://www.congress.gov/119/bills/hr8425/BILLS-119hr8425ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8425 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8425 To amend title XIX of the Social Security Act to ensure access to immunizations under the Medicaid program and the Vaccines for Children program, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES April 21, 2026 Ms. Schrier (for herself and Mr. Joyce of Pennsylvania) introduced the following bill; which was referred to the Committee on Energy and Commerce _______________________________________________________________________ A BILL To amend title XIX of the Social Security Act to ensure access to immunizations under the Medicaid program and the Vaccines for Children program, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Strengthening the Vaccines for Children Program Act of 2026''. SEC. 2. ENSURING ACCESS TO IMMUNIZATIONS UNDER THE MEDICAID PROGRAM AND THE VACCINES FOR CHILDREN PROGRAM. (a) Expansion of Definition of Federally Vaccine-Eligible Child.-- Paragraph (2) of section 1928(b) of the Social Security Act (42 U.S.C. 1396s(b)) is amended-- (1) in subparagraph (A)-- (A) in clause (iii), by striking ``A child who'' and all that follows through the period at the end and inserting ``A child who is administered a qualified pediatric vaccine and is not insured with respect to such vaccine.''; and (B) by adding at the end the following new clause: ``(v) A child who is enrolled for child health assistance under a State child health plan approved under title XXI.''; and (2) in subparagraph (B)(ii)(II), by striking ``for purposes of subparagraph (A)(iii)(II)'' and inserting ``for purposes of subparagraph (A)(iii)''. (b) Minimum Payment Requirement for Vaccine Administration and Counseling Services.-- (1) In general.--Section 1902(a)(13) of the Social Security Act (42 U.S.C. 1396a(a)(13)) is amended-- (A) in subparagraph (B), by striking ``and'' at the end; (B) in subparagraph (C), by striking the semicolon and inserting ``; and''; and (C) by adding at the end the following new subparagraph: ``(D) for payment for vaccine administration and counseling services furnished by a provider during the period beginning on the date of the enactment of this subparagraph, and ending on December 31, 2028 (including, notwithstanding subsection (c)(2)(C)(ii) of section 1928, any such services furnished with respect to a vaccine furnished under the program established by the State pursuant to such section to a medicaid- eligible child (as defined in subsection (b)(2)(B)(i) of such section)), at a rate not less than 100 percent of the payment rate that applies to such services and provider under part B of title XVIII;''. (2) Managed care plans.--Section 1932(f) of the Social Security Act (42 U.S.C. 1396u-2(f)) is amended-- (A) in the header, by striking ``Payment for Primary Care Services'' and inserting ``Payments''; (B) by striking ``section 1902(a)(13)(C)'' and inserting ``subparagraph (C) of section 1902(a)(13) and vaccine administration and counseling services described in subparagraph (D) of such section''; (C) by striking ``such section'' and inserting ``such subparagraph (C) or (D), respectively''; and (D) by adding at the end the following new sentence: ``The provisions of the preceding sentence shall apply to contracts entered into with, and payments made by, other specified entities (as defined in section 1903(m)(9)(D)(iii)) in the same manner as such provisions apply with respect to contracts entered into with, and payments made by, medicaid managed care organizations.''. (3) CHIP.--Section 2103(c) of the Social Security Act (42 U.S.C. 1397cc(c)) is amended by adding at the end the following new paragraph: ``(11) Vaccine administration services.--The child health assistance provided to a targeted low-income child shall include payment for vaccine administration and counseling services furnished by a provider during the period beginning on the date of the enactment of this paragraph, and ending on December 31, 2028 (including, notwithstanding subsection (c)(2)(C)(ii) of section 1928, any such services furnished to such child with respect to a vaccine furnished under the program established by the State pursuant to such section), at a rate not less than 100 percent of the payment rate that applies to such services and provider under part B of title XVIII.''. (c) Clarification of Coverage of Pediatric Vaccine Administration and Vaccine Counseling and Educational Services Under the Vaccines for Children Program.--Section 1928(c)(2)(C) of the Social Security Act (42 U.S.C. 1396s(c)(2)(C)) is amended-- (1) in clause (ii), by amending such clause to read as follows: ``(ii) The provider may impose-- ``(I) in the case of a qualified pediatric vaccine not described in subclause (II), a fee for the administration of and counseling for such vaccine (which, in the case of a counseling fee, may be so imposed regardless of whether such vaccine is actually administered) so long as the fee in the case of a federally vaccine-eligible child does not exceed the costs of such administration and counseling (as determined by the Secretary based on actual regional costs for such administration and counseling and updated as determined appropriate by the Secretary to take into account changes in such costs, including changes attributable to the inclusion of new qualified pediatric vaccines in the program established under this section); and ``(II) in the case of a qualified pediatric vaccine that is a multiple component vaccine, a separate charge for the administration of and counseling for each component of such vaccine (which, in the case of a counseling fee, may be so imposed regardless of whether such component is actually administered) so long as the charge in the case of a federally vaccine-eligible child does not exceed-- ``(aa) with respect to the first component of such vaccine, the costs of such administration and counseling for such component (as determined by the Secretary based on actual regional costs for such administration and counseling for such first component and updated as determined appropriate by the Secretary to take into account changes in such costs, including changes attributable to the inclusion of new qualified pediatric vaccines in the program established under this section); and ``(bb) with respect to a subsequent component of such vaccine, the payment rate that applies to such administration and counseling for such component and provider under part B of title XVIII.''; and (2) in clause (iii), by inserting ``or counseling'' after ``an administration''. (d) Increase in Federal Medical Assistance Percentage.-- (1) In general.--Subject to paragraph (2), for each calendar quarter occurring during the period beginning on or after January 1, 2027, the Federal medical assistance percentage determined for each State, including the District of Columbia, American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, Puerto Rico, and the United States Virgin Islands, under section 1905(b) of the Social Security Act (42 U.S.C. 1396d(b)) shall be increased by 1 percentage point. (2) Requirements.-- (A) In general.--A State described in paragraph (1) may not receive the increase described in such paragraph in the Federal medical assistance percentage for such State, with respect to a quarter, if such State does not ensure culturally competent and effective messages for vaccination outreach to child populations, which may include the dissemination of information highlighting-- (i) advancements in research and vaccine development that have saved millions of individuals from death and disability from now- preventable diseases; (ii) information on how individuals across the lifespan benefit from immunizations, including those who cannot be vaccinated and rely on community immunity; (iii) information on the dangers of not being vaccinated, including the potential for infectious disease outbreaks within communities; and (iv) information on vaccine safety and the systems in place to monitor vaccine safety. (B) Requirement for certain states.--Section 1905(cc) of the Social Security Act (42 U.S.C. 1396d(cc)) is amended-- (i) by inserting ``and section 2(d) of the Strengthening the Vaccines for Children Program Act of 2026'' before ``, except that in applying''; and (ii) by inserting ``, and in applying such treatments to the increases in the Federal medical assistance percentage under section 2(e) of the Strengthening the Vaccines for Children Program Act of 2026, the reference to `December 31, 2009' shall be deemed to be a reference to `December 31, 2025''' before the period at the end. (e) Tribal Epidemiology Center Data Access.--With respect to data access for tribal epidemiology centers established under section 214 of the Indian Health Care Improvement Act (25 U.S.C. 1621m), the Director of the Centers for Disease control and Prevention may create a data sharing strategy that ensures such centers have access to data, data sets, monitoring systems, delivery systems, and other protected health information with respect to health care and public health surveillance systems of child and adolescent health necessary to accomplish such centers' public health authority responsibilities described in such section or section 164.501 of title 45, Code of Federal Regulations. (f) Reports.-- (1) In general.--For each of fiscal years 2027 and 2028, the Director of the Centers for Disease Control and Prevention, in coordination with each State that has established a pediatric vaccine distribution program under section 1928 of the Social Security Act (42 U.S.C. 1396s), shall publish on the public internet website of the Centers for Disease Control and Prevention, in such manner as determined appropriate by the Director, information on vaccination rates under each such program during such year, including such rates disaggregated by region, age, sex, race, ethnicity, and other demographic factors determined appropriate by the Director. (2) Effects on vaccination rates and program participation.--Not later than 2 years after the date of the enactment of this Act, the Comptroller General of the United States shall submit to Congress a report containing an analysis of the effects of the provisions of, and the amendments made by, this Act on-- (A) vaccination rates under the pediatric vaccine distribution program under section 1928 of the Social Security Act (42 U.S.C. 1396s); and (B) provider participation in such program. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Ustawa o wzmocnieniu programu szczepień dla dzieci z 2026 roku\",\n  \"pl_summary\": \"Ustawa ułatwia dzieciom dostęp do bezpłatnych szczepień ochronnych, zwiększając liczbę uprawnionych osób oraz zapewniając lepsze finansowanie dla lekarzy. Zmiany mają na celu poprawę zdrowia publicznego poprzez szerszą edukację o bezpieczeństwie szczepionek i lepszą dostępność usług medycznych.\",\n  \"pl_key_points\": [\n    \"Więcej dzieci, w tym te objęte programem CHIP, zyska prawo do bezpłatnych szczepionek.\",\n    \"Lekarze otrzymają wyższe wynagrodzenie za podawanie szczepionek i udzielanie porad pacjentom do końca 2028 roku.\",\n    \"Wprowadzono możliwość pobierania opłat za same porady lekarskie dotyczące szczepień, nawet jeśli szczepionka nie zostanie podana.\",\n    \"Stany otrzymają dodatkowe fundusze federalne, jeśli będą skutecznie informować o korzyściach i bezpieczeństwie szczepień.\",\n    \"Centra epidemiologiczne rdzennych Amerykanów zyskają lepszy dostęp do danych o zdrowiu dzieci w celu lepszego monitorowania chorób.\"\n  ],\n  \"eng_ai_title\": \"Strengthening the Vaccines for Children Program Act of 2026\",\n  \"eng_summary\": \"This act expands access to free vaccines for more children and ensures doctors are fairly paid for providing immunizations and health counseling. It aims to boost public health by supporting state outreach programs and improving data sharing for tribal communities.\",\n  \"eng_key_points\": [\n    \"Expands eligibility for free vaccines to include children in the CHIP program and those without specific vaccine insurance.\",\n    \"Guarantees higher payment rates for doctors who administer vaccines and provide counseling through 2028.\",\n    \"Allows doctors to be paid for vaccine counseling even if the shot is not given during that visit.\",\n    \"Provides extra federal funding to states that run effective and culturally sensitive vaccine awareness campaigns.\",\n    \"Improves health data access for Tribal Epidemiology Centers to better monitor child and adolescent health.\"\n  ],\n  \"de_ai_title\": \"Gesetz zur Stärkung des Impfprogramms für Kinder von 2026\",\n  \"de_summary\": \"Dieses Gesetz erweitert den Zugang zu kostenlosen Impfungen für Kinder und stellt sicher, dass Ärzte für Impfungen und Beratungsgespräche angemessen bezahlt werden. Es fördert die öffentliche Gesundheit durch bessere Aufklärung und Unterstützung staatlicher Informationskampagnen.\",\n  \"de_key_points\": [\n    \"Mehr Kinder, einschließlich derer im CHIP-Programm, haben nun Anspruch auf kostenlose Impfstoffe.\",\n    \"Ärzte erhalten bis 2028 höhere Vergütungssätze für das Verabreichen von Impfungen und Beratungsleistungen.\",\n    \"Beratungsgespräche über Impfungen können auch dann abgerechnet werden, wenn keine Impfung erfolgt.\",\n    \"Staaten erhalten zusätzliche Bundesmittel für kulturell angepasste Aufklärung über die Sicherheit von Impfstoffen.\",\n    \"Epidemiologische Zentren der Ureinwohner erhalten besseren Zugang zu Gesundheitsdaten von Kindern.\"\n  ],\n  \"fr_ai_title\": \"Loi de 2026 visant à renforcer le programme de vaccination des enfants\",\n  \"fr_summary\": \"Cette loi élargit l'accès aux vaccins gratuits pour un plus grand nombre d'enfants et garantit que les médecins sont équitablement rémunérés pour les vaccinations et les conseils de santé. Elle vise à améliorer la santé publique en soutenant les programmes de sensibilisation des États.\",\n  \"fr_key_points\": [\n    \"Élargit l'éligibilité aux vaccins gratuits aux enfants du programme CHIP et à ceux sans assurance spécifique.\",\n    \"Garantit des tarifs de paiement plus élevés pour les médecins pratiquant la vaccination et le conseil jusqu'en 2028.\",\n    \"Permet aux médecins d'être rémunérés pour les conseils vaccinaux, même si le vaccin n'est pas administré.\",\n    \"Accorde un financement fédéral supplémentaire aux États qui mènent des campagnes de sensibilisation efficaces.\",\n    \"Améliore l'accès aux données de santé pour les centres épidémiologiques tribaux afin de mieux surveiller la santé des enfants.\"\n  ],\n  \"es_ai_title\": \"Ley de Fortalecimiento del Programa de Vacunas para Niños de 2026\",\n  \"es_summary\": \"Esta ley amplía el acceso a vacunas gratuitas para más niños y asegura que los médicos reciban un pago justo por administrar vacunas y brindar asesoramiento. El objetivo es mejorar la salud pública mediante el apoyo a campañas informativas estatales.\",\n  \"es_key_points\": [\n    \"Más niños, incluidos los del programa CHIP, ahora califican para recibir vacunas gratuitas.\",\n    \"Se garantizan pagos más altos a los médicos por servicios de vacunación y asesoramiento hasta 2028.\",\n    \"Los médicos pueden cobrar por el asesoramiento sobre vacunas incluso si la vacuna no se administra en ese momento.\",\n    \"Los estados recibirán fondos federales adicionales si realizan campañas de concienciación culturalmente adecuadas.\",\n    \"Se facilita el acceso a datos de salud para los centros epidemiológicos tribales para vigilar la salud infantil.\"\n  ],\n  \"it_ai_title\": \"Legge del 2026 per il rafforzamento del programma vaccinale per i bambini\",\n  \"it_summary\": \"Questa legge amplia l'accesso ai vaccini gratuiti per un numero maggiore di bambini e garantisce che i medici siano pagati equamente per le vaccinazioni e la consulenza. Mira a migliorare la salute pubblica sostenendo programmi di sensibilizzazione efficaci.\",\n  \"it_key_points\": [\n    \"Estende l'idoneità ai vaccini gratuiti ai bambini nel programma CHIP e a quelli senza copertura assicurativa specifica.\",\n    \"Assicura tariffe di pagamento più elevate per i medici che somministrano vaccini e forniscono consulenza fino al 2028.\",\n    \"Consente il pagamento della consulenza vaccinale anche se il vaccino non viene effettivamente somministrato.\",\n    \"Prevede fondi federali extra per gli Stati che promuovono campagne informative sulla sicurezza dei vaccini.\",\n    \"Migliora l'accesso ai dati sanitari per i centri epidemiologici tribali per monitorare la salute dei minori.\"\n  ],\n  \"nl_ai_title\": \"Wet ter versterking van het vaccinatieprogramma voor kinderen van 2026\",\n  \"nl_summary\": \"Deze wet breidt de toegang tot gratis vaccins voor meer kinderen uit en zorgt ervoor dat artsen eerlijk worden betaald voor vaccinaties en advies. Het doel is de volksgezondheid te verbeteren door voorlichtingscampagnes van staten te ondersteunen.\",\n  \"nl_key_points\": [\n    \"Meer kinderen, waaronder die in het CHIP-programma, komen nu in aanmerking voor gratis vaccins.\",\n    \"Artsen krijgen tot 2028 hogere vergoedingen voor het toedienen van vaccins en het geven van advies.\",\n    \"Adviesgesprekken over vaccins kunnen worden vergoed, zelfs als het vaccin uiteindelijk niet wordt gezet.\",\n    \"Staten krijgen extra federale financiering als ze effectieve en cultureel passende voorlichting geven over vaccins.\",\n    \"Tribale epidemiologische centra krijgen betere toegang tot gezondheidsgegevens voor toezicht op de gezondheid van kinderen.\"\n  ],\n  \"pt_ai_title\": \"Lei de Fortalecimento do Programa de Vacinação Infantil de 2026\",\n  \"pt_summary\": \"Esta lei expande o acesso a vacinas gratuitas para mais crianças e garante que os médicos sejam remunerados de forma justa por vacinações e aconselhamento. O objetivo é melhorar a saúde pública através do apoio a campanhas de sensibilização estatais.\",\n  \"pt_key_points\": [\n    \"Alarga a elegibilidade para vacinas gratuitas a crianças no programa CHIP e àquelas sem seguro específico.\",\n    \"Garante taxas de pagamento mais elevadas para médicos que administram vacinas e prestam aconselhamento até 2028.\",\n    \"Permite que os médicos sejam pagos pelo aconselhamento vacinal, mesmo que a vacina não seja administrada.\",\n    \"Oferece financiamento federal extra aos estados que realizem campanhas de sensibilização culturalmente adequadas.\",\n    \"Melhora o acesso a dados de saúde para centros epidemiológicos tribais para monitorizar a saúde infantil.\"\n  ],\n  \"category\": [\"Health\"]\n}"
    }
  ]
}