President Barack Obama announces Kansas Gov. Kathleen Sebelius, left, as his nominee for Health & Human Services Secretary, Monday, March 2, 2009, in the East Room at the White House in Washington. (AP Photo/Ron Edmonds)

( - There is a knock at the front door. Peeking through the window, a mother sees a man and a woman, both in uniform. They are agents of health-care reform.

“Excuse me, ma’am,” says the man. “Our records show that your eleven-year-old daughter has not been immunized for genital warts.”

“And your four-year-old still needs the chicken-pox vaccine,” says the woman.

“He will not be allowed to start kindergarten unless he gets that shot, you know,” says the man—smiling from ear to ear.

“So, can we please come in?” asks the woman. “We have the vaccines right here,” she says, lifting up a black medical bag. “We can give your kids the shots right now.”

“We are from the government,” says the man, “and we’re here to help.”

Is this a scene from the over-heated imagination of an addlepated conspiracy theorist? Or is it something akin to what is actually envisioned by the health-care reform bill approved this week by the Senate Health, Education, Labor and Pension Committee.

The committee’s official summary of the bill says: “Authorizes a demonstration program to improve immunization coverage. Under this program, CDC will provide grants to states to improve immunization coverage of children, adolescents, and adults through the use of evidence-based interventions. States may use funds to implement interventions that are recommended by the Community Preventive Services Task Force, such as reminders or recalls for patients or providers, or home visits.”

Home visits? What exactly is the state going to do when it sends people to “implement interventions” in private homes designed “to improve immunization coverage of children”?

The draft of the bill posted on the committee Web site provides more details.

Title III of the bill is entitled, “Improving the Health of the American People.” It includes four subtitles. They are: “Subtitle A: Modernizing Disease Prevention of Public Health Systems,” “Subtitle B: Increasing Access to Clinical Preventive Services,” “Subtitle C: Creating Healthier Communities,” and “Subtitle D: Support for Prevention and Public Health Information.”

The program authorizing home “interventions” to promote immunizations falls under “Subtitle C: Creating Healthier Communities.” This subtitle directs the secretary of health and human services to “establish a demonstration program to award grants to states to improve the provision of recommended immunizations for children, adolescents, and adults through the use of evidence-based, population-based interventions for high-risk populations.”

The bill lists eight specific ways that states may use federal grant money to carry out immunization-promoting “interventions.” Method “E” calls for “home visits” which can include “provision of immunizations.”

Says the draft bill: “Funds received under a grant under this subsection shall be used to implement interventions that are recommended by the Task Force on Community Preventive Services (as established by the secretary, acting through the Director of the Centers for Disease Control and Prevention) or other evidence-based interventions, including—“(A) providing immunization reminders or recalls for target populations of clients, patients, and consumers; (B) educating targeted populations and health care providers concerning immunizations in combination with one or more other interventions; (C) reducing out-of-pocket costs for families for vaccines and their administration; (D) carrying out immunization-promoting strategies for participants or clients of public programs, including assessments of immunization status, referrals to health care providers, education, provision of on-site immunizations, or incentives for immunization;(E) providing for home visits that promote immunization through education, assessments of need, referrals, provision of immunizations, or other services; (F) providing reminders or recalls for immunization providers;(G) conducting assessments of, and providing feedback to, immunization providers; or (H) any combination of one or more interventions described in this paragraph.”