,,ii  #aagth ,,congress  #ast ,session  
,s4 #ahbf  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #be1      
#bjba,mr4 ,menendez 7for himself1 ,mr4  
,portman1 and ,mr4 ,brown7 introduced   
the following bill2 which was read twice
 and referred to the ,committee on      
,finance  ,a ,,bill  ,to amend titles   
,,xix and ,,xxi of the ,social ,security
 ,act to require a ,state child health  
plan to include coverage of screening   
blood lead tests1 to codify such        
requirement under the ,medicaid program1
 and for other purposes4  #a4 ,short    
title ,this ,act may be cited as the    
,preventing ,lead ,poisoning ,act of    
#bjba4  #b4 ,requiring a ,state child   
health plan to include coverage of      
screening blood lead tests2 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 in the matter preceding
 paragraph 7#a71 by striking paragraphs 

7#e71 7#f71 7#g7 and 7#h7 and inserting 
paragraphs 7#e7 through 7#ab72 and  7,b7
 in subsection 7c71 by adding at the end
 the following3  7#ab7 ,coverage of     
screening blood lead tests  7,a7 ,in    
general ,the child health assistance    
provided to a targeted low-income child 
shall include coverage of screening     
blood lead tests appropriate for age and
 risk factors and 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 screening blood lead tests  
and a targeted low-income child1 the    
following3 7i7 #a screening blood lead  
test at the age of #ab months2  7ii7 #a 
screening blood lead test at the age of 
#bd months2  7iii7 in the case of a     
targeted low-income child with no record
 of any screening blood lead test having
 been performed and who is between the  
ages of #bd months and #gb months1 #a   
screening blood lead test2 and  7iv7 in 

the case of any targeted low-income     
child1 #a or more screening blood lead  
tests at other such times as are        
recommended by the child's health care  
provider4  4  7#b7 ,reporting           
requirements  7,a7 ,in general ,section 
#bajh of such ,act 7#db ,u4,s4,c4       
#acig;hh7 is amended-- 7i7 by           
redesignating the subsection 7e7 added  
by section #eja7;e77#b7 of the          
,children's ,health ,insurance ,program 
,reauthorization ,act of #bjji 7,public 
,law #aaa-c1 #abc ,stat4 #hg7 as        
subsection 7f72 and  7ii7 by adding at  
the end of the subsection 7e7 added by  
section #djb7;a7 of such ,act 7,public  
,law #aaa-c1 #abc ,stat4 #hb71 the      
following3  7#h7 7,a7 ,the number of    
children provided a screening blood lead
 test appropriate for age and risk      
factors in accordance with paragraph    
7#ab7 of section #bajc7;c71 at the times
 and in the amounts specified in        
subparagraph 7,b7 of such paragraph4    
7,b7 ,the number of screening blood lead

 tests conducted in the ,state in the   
fiscal year for all children eligible   
for child health assistance up to #gb   
months of age1 without regard to the    
payor or source of funding for such     
screening blood lead tests4  4  7,b7    
,technical amendment ,section           
#dcjb7;b77#a77;,b7 of ,public ,law      
#aaa-adh is amended by inserting 1 as   
added by section #djb7;a7 of ,public    
,law #aaa-c1 after 7#db ,u4,s4,c4       
#acig;hh7e774  7#c7 ,effective date     
7,a7 ,in general ,subject to            
subparagraphs 7,b7 and 7,c71 the        
amendments made by this subsection 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 subsection1 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 #ast  
day of the #ast calendar quarter        
beginning after the close of the #ast   
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  7,c7 ,technical amendment 
,the amendment made by paragraph        
7#b77;,b7 shall take effect as if       
included in the enactment of ,public    
,law #aaa-adh4  7b7 ,medicaid  7#a7     
,specified times for screening blood    

lead tests ,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 following3  7#f7 ,the
 times and amounts specified in this    
paragraph are1 with respect to coverage 
of screening blood lead tests and an    
individual1 the following3 7,a7 #a      
screening blood lead test at the age of 
#ab months2  7,b7 #a screening blood    
lead test at the age of #bd months2     
7,c7 in the case of an individual with  
no record of any screening blood lead   
test having been performed and who is   
between the ages of #bd months and #gb  
months1 #a screening blood lead test2   
and  7,d7 in the case of any individual 
who is eligible under the plan and is   
under the age of #ba1 #a or more        
screening blood lead tests at other such
 times as are recommended by the        

individual's health care provider4  4   
7#b7 ,reporting requirements ,section   
#aijb7;a77#dc77;,d7 of such ,act 7#db   
,u4,s4,c4 #acif;a7a77#dc77;,d77 is      
amended-- 7,a7 in clause 7iii71 by      
striking section #bajh7;e7 and and      
inserting section #bajh7;e712  7,b7 in  
clause 7iv71 by striking the semicolon  
and inserting 1 and2 and  7,c7 by       
inserting after clause 7iv7 the         
following3  7v7 7,i7 the number of      
children provided a screening blood lead
 test appropriate for age and risk      
factors in accordance with paragraph    
7#a77;,b77iv7 of section #aije7r71 at   
the times and in the amounts specified  
in paragraph 7#f7 of such section1 and  
7,,ii7 the number of screening blood    
lead tests conducted in the ,state in   
the fiscal year for all children        
eligible for medical assistance up to   
#gb months of age1 without regard to the
 payor or source of funding for such    
screening blood lead tests2  4  7c7     
,clarification ,none of the amendments  

made by this section shall be construed 
as prohibiting a ,state from providing  
coverage of screening blood lead tests  
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  #c4 ,grants for   
lead poisoning related activities       
,section #cag,o of the ,public ,health  
,service ,act 7#db ,u4,s4,c4 #bdg;b-#af7
 is amended-- 7#a7 by redesignating     
subsections 7c7 and 7d7 as subsections  
7e7 and 7f71 respectively2  7#b7 by     
inserting after subsection 7b7 the      
following3  7c7 ,grants for purposes of 
,state coordination ,for purposes of    
supporting ,state coordination of       
operations and activities as described  
in subsection 7b71 the ,secretary1      
acting through the ,director of the     
,centers for ,disease ,control and      
,prevention1 shall award additional     
grants to ,states receiving amounts     

under subsection 7a7 to support the     
following activities in such ,states3   
7#a7 ,development or maintenance of a   
,state-based registry of data related to
 blood lead testing of children up to #f
 years of age1 which includes data on   
the number of children up #gb months of 
age tested for lead1 the prevalence of  
confirmed elevated blood lead levels in 
tested children less than #f years of   
age1 and the insurance status of        
children tested for lead at less than #f
 years of age4  7#b7 ,development or    
maintenance of data-linking capabilities
 between the ,state health department   
and ,state ,medicaid office with respect
 to blood lead testing for children up  
to #gb months of age4  7#c7 ,regular    
reporting1 as defined by the ,secretary1
 of blood lead testing data for children
 up to #gb months of age regardless of  
the payor or source of funding for such 
blood lead testing4  7d7 ,best practices
 ,the ,secretary1 acting through the    
,director of the ,centers for ,disease  

,control and ,prevention1 shall publish 
best practices for data collection      
standards related to childhood blood    
lead testing1 with the aim of improving 
data standardization across relevant    
,state agencies4  2 and  7#c7 in        
subsection 7f71 as so redesignated1 by  
striking such sums as may be necessary  
for each of the fiscal years #bjja      
through #bjje and inserting #e1jjj1jjj  
for each of fiscal years #bjbb and      
#bjbc4