,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #chdb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #ah1 #bjai,mr4  
,katko 7= himself1 ,mr4 ,wel*1 ,mr4     
,cicill9e1 ,mr4 ,morelle1 ,mr4          
,fitzpatrick1 ,ms4 ,moore1 & ,mr4       
,bald]son7 introduc$ ! foll[+ bill2 :i* 
0 ref]r$ to ! ,committee on ,en]gy &    
,comm]ce  ,a ,,bill  ,to am5d titles    
,,xix & ,,xxi ( ! ,social ,security ,act
 to require a ,/ate *ild heal? plan to  
include c]ta9 lead scre5+ cov]age & to  
codify su* requirem5t "u ! ,m$icaid     
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,prev5t+ ,lead ,poison+ ,act
 ( #bjai4  #b4 ,requir+ a ,/ate *ild    
heal? plan to include c]ta9 lead scre5+ 
cov]age = *ildr52 codification (        
requirem5t "u ,m$icaid  7a7 ,,*ip  7#a7 
,9 g5]al ,section #bajc ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #acig;cc7 
is am5d$--  7,a7 9 subsection 7a71 by   
/rik+ p>agraphs 7#e71 7#f71 7#g71 & 7#h7
 & ins]t+ p>agraphs 7#e7 ?r\gh 7#i72 &  
7,b7 9 subsection 7c7--  7i7 by         

r$esignat+ p>agraphs 7#h7 & 7#i7 z      
p>agraphs 7#i7 & 7#aj71 respectively2 & 
7ii7 by ins]t+ aft] p>agraph 7#g7 !     
foll[+ new p>agraph3  7#h7 ,cov]age (   
lead blood level assessm5ts  7,a7 ,9    
g5]al ,! *ild heal? assi/ance provid$ to
 a t>get$ l[-income *ild %all include   
cov]age ( lead blood level assessm5ts at
 ! times & 9 ! am\nts specifi$ 9        
subp>agraph 7,b74  7,b7 ,specifi$ times 
& am\nts ,! times & am\nts specifi$ 9   
?is subp>agraph are1 ) respect to       
cov]age ( lead blood level assessm5ts & 
a t>get$ l[-income *ild1 ! foll[+3  7i7 
#a su* assessm5t at ! age ( #ab mon?s2  
7ii7 #a su* assessm5t at ! age ( #bd    
mon?s2 &  7iii7 9 ! case ( su* a *ild ) 
no record ( any su* assessm5t hav+ be5  
p]=m$ & :o is betwe5 ! ages ( #bd mon?s 
& #gb mon?s1 #a su* assessm5t4  4  7#b7 
,effective date  7,a7 ,9 g5]al ,subject 
to p>agraph 7#b71 ! am5dm5ts made by ?is
 section %all take effect ) respect to  
*ild heal? assi/ance provid$ on or aft] 
! date t is #a ye> aft] ! date ( !      

enactm5t ( ?is ,act4  7,b7 ,exception = 
,/ate legislation ,9 ! case ( a ,/ate   
*ild heal? plan "u title ,,xxi ( !      
,social ,security ,act 7or a waiv] ( su*
 plan71 :i* ! ,secret>y ( ,heal? &      
,human ,s]vices det]m9es requires ,/ate 
legislation 9 ord] = ! respective plan  
7or waiv]7 to meet any requirem5t impos$
 by ! am5dm5ts made by ?is section1 !   
respective plan 7or waiv]7 %all n be    
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( its    
failure to meet su* an additional       
requirem5t be=e ! fir/ day ( ! fir/     
cal5d> qu>t] beg9n+ aft] ! close ( !    
fir/ regul> session ( ! ,/ate           
legislature t beg9s aft] ! date (       
enactm5t ( ?is section4 ,= purposes ( ! 
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 ! session %all be consid]$ to be a     
sep>ate regul> session ( ! ,/ate        
legislature4  7b7 ,m$icaid ,section     
#aije7r7 ( ! ,social ,security ,act 7#db
 ,u4,s4,c4 #acif;d7r77 is am5d$-- 7#a7 9

 p>agraph 7#a77;,b77iv71 by ins]t+ & at 
! times & 9 ! am\nts specifi$ 9 p>agraph
 7#f7 aft] factors2 &  7#b7 by ins]t+   
aft] p>agraph 7#e7 ! foll[+ new         
p>agraph3  7#f7 ,! times & am\nts       
specifi$ 9 ?is p>agraph are1 ) respect  
to cov]age ( lead blood level assessm5ts
 & an individual1 ! foll[+3  7,a7 #a su*
 assessm5t at ! age ( #ab mon?s2  7,b7  
#a su* assessm5t at ! age ( #bd mon?s2 &
  7,c7 9 ! case ( su* a *ild ) no record
 ( any su* assessm5t hav+ be5 p]=m$ & :o
 is betwe5 ! ages ( #bd mon?s & #gb     
mon?s1 #a su* assessm5t4  4  7c7        
,cl>ification ,none ( ! am5dm5ts made by
 ?is section may be con/ru$ z prohibit+ 
a ,/ate f provid+ cov]age ( lead blood  
level assessm5ts "u title ,,xix or ,,xxi
 ( ! ,social ,security ,act at a        
frequ5cy t is great] ?an ! frequ5cy     
describ$ 9 su* am5dm5ts or to an        
individual outside ( ! ages describ$ 9  
su* am5dm5ts4