,,ii #aag? ,,congress #a/ ,session ,s4 #ahbf ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #be1 #bjba,mr4 ,m55dez 7= himself1 ,mr4 ,portman1 & ,mr4 ,br[n7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d titles ,,xix & ,,xxi ( ! ,social ,security ,act to require a ,/ate *ild heal? plan to include cov]age ( scre5+ blood lead te/s1 to codify su* requirem5t "u ! ,m$icaid program1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,prev5t+ ,lead ,poison+ ,act ( #bjba4 #b4 ,requir+ a ,/ate *ild heal? plan to include cov]age ( scre5+ blood lead te/s2 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 9 ! matt] prec$+ p>agraph 7#a71 by /rik+ p>agraphs 7#e71 7#f71 7#g7 & 7#h7 & ins]t+ p>agraphs 7#e7 ?r\gh 7#ab72 & 7,b7 9 subsection 7c71 by add+ at ! end ! foll[+3 7#ab7 ,cov]age ( scre5+ blood lead te/s 7,a7 ,9 g5]al ,! *ild heal? assi/ance provid$ to a t>get$ l[-income *ild %all include cov]age ( scre5+ blood lead te/s appropriate = age & risk factors & 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 ( scre5+ blood lead te/s & a t>get$ l[-income *ild1 ! foll[+3 7i7 #a scre5+ blood lead te/ at ! age ( #ab mon?s2 7ii7 #a scre5+ blood lead te/ at ! age ( #bd mon?s2 7iii7 9 ! case ( a t>get$ l[-income *ild ) no record ( any scre5+ blood lead te/ hav+ be5 p]=m$ & :o is betwe5 ! ages ( #bd mon?s & #gb mon?s1 #a scre5+ blood lead te/2 & 7iv7 9 ! case ( any t>get$ l[-income *ild1 #a or m scre5+ blood lead te/s at o!r su* times z are recomm5d$ by ! *ild's heal? c>e provid]4 4 7#b7 ,report+ requirem5ts 7,a7 ,9 g5]al ,section #bajh ( su* ,act 7#db ,u4,s4,c4 #acig;hh7 is am5d$-- 7i7 by r$esignat+ ! subsection 7e7 add$ by section #eja7;e77#b7 ( ! ,*ildr5's ,heal? ,insurance ,program ,reau?orization ,act ( #bjji 7,public ,law #aaa-c1 #abc ,/at4 #hg7 z subsection 7f72 & 7ii7 by add+ at ! end ( ! subsection 7e7 add$ by section #djb7;a7 ( su* ,act 7,public ,law #aaa-c1 #abc ,/at4 #hb71 ! foll[+3 7#h7 7,a7 ,! numb] ( *ildr5 provid$ a scre5+ blood lead te/ appropriate = age & risk factors 9 accordance ) p>agraph 7#ab7 ( section #bajc7;c71 at ! times & 9 ! am\nts specifi$ 9 subp>agraph 7,b7 ( su* p>agraph4 7,b7 ,! numb] ( scre5+ blood lead te/s conduct$ 9 ! ,/ate 9 ! fiscal ye> = all *ildr5 eligible = *ild heal? assi/ance up to #gb mon?s ( age1 )\t reg>d to ! payor or s\rce ( fund+ = su* scre5+ blood lead te/s4 4 7,b7 ,te*nical am5dm5t ,section #dcjb7;b77#a77;,b7 ( ,public ,law #aaa-adh is am5d$ by ins]t+ 1 z add$ by section #djb7;a7 ( ,public ,law #aaa-c1 aft] 7#db ,u4,s4,c4 #acig;hh7e774 7#c7 ,effective date 7,a7 ,9 g5]al ,subject to subp>agraphs 7,b7 & 7,c71 ! am5dm5ts made by ?is subsection %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 subsection1 ! 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 ! #a/ day ( ! #a/ cal5d> qu>t] beg9n+ aft] ! close ( ! #a/ 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 7,c7 ,te*nical am5dm5t ,! am5dm5t made by p>agraph 7#b77;,b7 %all take effect z if includ$ 9 ! enactm5t ( ,public ,law #aaa-adh4 7b7 ,m$icaid 7#a7 ,specifi$ times = scre5+ blood lead te/s ,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[+3 7#f7 ,! times & am\nts specifi$ 9 ?is p>agraph are1 ) respect to cov]age ( scre5+ blood lead te/s & an individual1 ! foll[+3 7,a7 #a scre5+ blood lead te/ at ! age ( #ab mon?s2 7,b7 #a scre5+ blood lead te/ at ! age ( #bd mon?s2 7,c7 9 ! case ( an individual ) no record ( any scre5+ blood lead te/ hav+ be5 p]=m$ & :o is betwe5 ! ages ( #bd mon?s & #gb mon?s1 #a scre5+ blood lead te/2 & 7,d7 9 ! case ( any individual :o is eligible "u ! plan & is "u ! age ( #ba1 #a or m scre5+ blood lead te/s at o!r su* times z are recomm5d$ by ! individual's heal? c>e provid]4 4 7#b7 ,report+ requirem5ts ,section #aijb7;a77#dc77;,d7 ( su* ,act 7#db ,u4,s4,c4 #acif;a7a77#dc77;,d77 is am5d$-- 7,a7 9 clause 7iii71 by /rik+ section #bajh7;e7 & & ins]t+ section #bajh7;e712 7,b7 9 clause 7iv71 by /rik+ ! semicolon & ins]t+ 1 &2 & 7,c7 by ins]t+ aft] clause 7iv7 ! foll[+3 7v7 7,i7 ! numb] ( *ildr5 provid$ a scre5+ blood lead te/ appropriate = age & risk factors 9 accordance ) p>agraph 7#a77;,b77iv7 ( section #aije7r71 at ! times & 9 ! am\nts specifi$ 9 p>agraph 7#f7 ( su* section1 & 7,,ii7 ! numb] ( scre5+ blood lead te/s conduct$ 9 ! ,/ate 9 ! fiscal ye> = all *ildr5 eligible = m$ical assi/ance up to #gb mon?s ( age1 )\t reg>d to ! payor or s\rce ( fund+ = su* scre5+ blood lead te/s2 4 7c7 ,cl>ification ,none ( ! am5dm5ts made by ?is section %all be con/ru$ z prohibit+ a ,/ate f provid+ cov]age ( scre5+ blood lead te/s "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 #c4 ,grants = lead poison+ relat$ activities ,section #cag,o ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bdg;b-#af7 is am5d$-- 7#a7 by r$esignat+ subsections 7c7 & 7d7 z subsections 7e7 & 7f71 respectively2 7#b7 by ins]t+ aft] subsection 7b7 ! foll[+3 7c7 ,grants = purposes ( ,/ate coord9ation ,= purposes ( support+ ,/ate coord9ation ( op]ations & activities z describ$ 9 subsection 7b71 ! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all aw>d additional grants to ,/ates receiv+ am\nts "u subsection 7a7 to support ! foll[+ activities 9 su* ,/ates3 7#a7 ,developm5t or ma9t5ance ( a ,/ate-bas$ regi/ry ( data relat$ to blood lead te/+ ( *ildr5 up to #f ye>s ( age1 :i* includes data on ! numb] ( *ildr5 up #gb mon?s ( age te/$ = lead1 ! preval5ce ( confirm$ elevat$ blood lead levels 9 te/$ *ildr5 less ?an #f ye>s ( age1 & ! insurance /atus ( *ildr5 te/$ = lead at less ?an #f ye>s ( age4 7#b7 ,developm5t or ma9t5ance ( data-l9k+ capabilities betwe5 ! ,/ate heal? dep>tm5t & ,/ate ,m$icaid (fice ) respect to blood lead te/+ = *ildr5 up to #gb mon?s ( age4 7#c7 ,regul> report+1 z def9$ by ! ,secret>y1 ( blood lead te/+ data = *ildr5 up to #gb mon?s ( age reg>dless ( ! payor or s\rce ( fund+ = su* blood lead te/+4 7d7 ,be/ practices ,! ,secret>y1 act+ ?r\gh ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion1 %all publi% be/ practices = data collection /&>ds relat$ to *ildhood blood lead te/+1 ) ! aim ( improv+ data /&>dization across relevant ,/ate ag5cies4 2 & 7#c7 9 subsection 7f71 z s r$esignat$1 by /rik+ su* sums z may be necess>y = ea* ( ! fiscal ye>s #bjja ?r\gh #bjje & ins]t+ #e1jjj1jjj = ea* ( fiscal ye>s #bjbb & #bjbc4