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We note that this payment approach was mentioned in the Senate Appropriations Committee's Explanatory Statement For Departments Of Labor, Health And Human Services, And Education, And Related Agencies Appropriations Bill, 2021. [308] That report referenced a December 2019 white paper by the National Association of Community Health Centers, which noted that FQHCs can face significant delays in reimbursement for influenza and pneumococcal vaccines. [309] The Committee thus encouraged CMS to promote the ability of FQHCs to bill Part B directly for vaccinations at the time of service, with reconciliation of payments at the time of cost report settlement