Four Medicaid and CHIP Payment and Access Commission (MACPAC) commissioners broke from the majority of their colleagues, voting against recommendations to make vaccine coverage mandatory for all Medicaid beneficiaries and to eliminate cost-sharing on vaccines and their administration. The four also opposed the proposal to task CMS with setting up payment regulations for vaccines and their administration. The majority of MACPAC commissioners are concerned that states are not required to cover vaccine administration for Medicaid beneficiaries who are not in...