,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #chdb  ,,in ,,the ,,house ,,of  
,,representatives  ,july #ah1 #bjai,mr4 
,katko 7for himself1 ,mr4 ,welch1 ,mr4  
,cicilline1 ,mr4 ,morelle1 ,mr4         
,fitzpatrick1 ,ms4 ,moore1 and ,mr4     
,balderson7 introduced the following    
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend titles ,,xix and ,,xxi
 of the ,social ,security ,act to       
require a ,state child health plan to   
include certain lead screening coverage 
and to codify such requirement under the
 ,medicaid program4  #a4 ,short title   
,this ,act may be cited as the          
,preventing ,lead ,poisoning ,act of    
#bjai4  #b4 ,requiring a ,state child   
health plan to include certain lead     
screening coverage for children2        
codification of requirement under       
,medicaid  7a7 ,,chip  7#a7 ,in general 
,section #bajc of the ,social ,security 
,act 7#db ,u4,s4,c4 #acig;cc7 is        
amended--  7,a7 in subsection 7a71 by   

striking paragraphs 7#e71 7#f71 7#g71   
and 7#h7 and inserting paragraphs 7#e7  
through 7#i72 and  7,b7 in subsection   
7c7--  7i7 by redesignating paragraphs  
7#h7 and 7#i7 as paragraphs 7#i7 and    
7#aj71 respectively2 and  7ii7 by       
inserting after paragraph 7#g7 the      
following new paragraph3  7#h7 ,coverage
 of lead blood level assessments  7,a7  
,in general ,the child health assistance
 provided to a targeted low-income child
 shall include coverage of lead blood   
level assessments at the times and in   
the amounts specified in subparagraph   
7,b74  7,b7 ,specified times and amounts
 ,the times and amounts specified in    
this subparagraph are1 with respect to  
coverage of lead blood level assessments
 and a targeted low-income child1 the   
following3  7i7 #a such assessment at   
the age of #ab months2  7ii7 #a such    
assessment at the age of #bd months2 and
  7iii7 in the case of such a child with
 no record of any such assessment having
 been performed and who is between the  

ages of #bd months and #gb months1 #a   
such assessment4  4  7#b7 ,effective    
date  7,a7 ,in general ,subject to      
paragraph 7#b71 the amendments made by  
this section shall take effect with     
respect to child health assistance      
provided on or after the date that is #a
 year after the date of the enactment of
 this ,act4  7,b7 ,exception for ,state 
legislation ,in the case of a ,state    
child health plan under title ,,xxi of  
the ,social ,security ,act 7or a waiver 
of such plan71 which the ,secretary of  
,health and ,human ,services determines 
requires ,state legislation in order for
 the respective plan 7or waiver7 to meet
 any requirement imposed by the         
amendments made by this section1 the    
respective plan 7or waiver7 shall not be
 regarded as failing to comply with the 
requirements of such title solely on the
 basis of its failure to meet such an   
additional requirement before the first 
day of the first calendar quarter       
beginning after the close of the first  

regular session of the ,state           
legislature that begins after the date  
of enactment of this section4 ,for      
purposes of the previous sentence1 in   
the case of a ,state that has a #b-year 
legislative session1 each year of the   
session shall be considered to be a     
separate regular session of the ,state  
legislature4  7b7 ,medicaid ,section    
#aije7r7 of the ,social ,security ,act  
7#db ,u4,s4,c4 #acif;d7r77 is amended-- 
7#a7 in paragraph 7#a77;,b77iv71 by     
inserting and at the times and in the   
amounts specified in paragraph 7#f7     
after factors2 and  7#b7 by inserting   
after paragraph 7#e7 the following new  
paragraph3  7#f7 ,the times and amounts 
specified in this paragraph are1 with   
respect to coverage of lead blood level 
assessments and an individual1 the      
following3  7,a7 #a such assessment at  
the age of #ab months2  7,b7 #a such    
assessment at the age of #bd months2 and
  7,c7 in the case of such a child with 
no record of any such assessment having 

been performed and who is between the   
ages of #bd months and #gb months1 #a   
such assessment4  4  7c7 ,clarification 
,none of the amendments made by this    
section may be construed as prohibiting 
a ,state from providing coverage of lead
 blood level assessments under title    
,,xix or ,,xxi of the ,social ,security 
,act at a frequency that is greater than
 the frequency described in such        
amendments or to an individual outside  
of the ages described in such           
amendments4