,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #hhci  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #bf1 #bjbd,ms4  
,c>aveo 7= h]self1 ,mr4 ,ciscomani1 ,ms4
 ,norton1 ,ms4 ,cl>ke ( ,new ,york1 ,mr4
 ,c>son1 & ,mr4 ,coh57 introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to require ! ,secret>y ( ,heal?
 & ,human ,s]vices to issue guidance to 
,/ates on be/ practices = scre5+ &      
treatm5t ( cong5ital syphilis "u        
,m$icaid & ! ,*ildr5's ,heal? ,insurance
 ,program4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,mat]nal & ,infant      
,syphilis ,prev5tion ,act4  #b4 ,f9d+s  
,congress f9ds ! foll[+3 7#a7 ,9 #bjbb1 
!re 7 #bjg1bee total syphilis cases 9 ! 
,unit$ ,/ates1 repres5t+ an #hj p]c5t   
increase s9ce #bjah & cont9u+ a         
decades-long upw>d tr5d4  7#b7          
,untreat$1 syphilis c s]i\sly damage !  
he>t & bra9 & c cause bl9dness1         
deafness1 & p>alysis4  7#c7 ,! increas$ 
rise 9 syphilis cases is caus+ ! rise 9 

cong5ital syphilis ) m ?an #c1gjj cases 
docum5t$ among newborns 9 #bjbb1 m ?an  
#aj times ! numb] diagnos$ 9 #bjab4     
7#d7 ,:5 transmitt$ dur+ pregnancy1     
cong5ital syphilis c cause misc>riage1  
lifelong m$ical issues1 & infant dea?4  
,cong5ital syphilis c pres5t heal?      
issues = babies at bir?1 includ+        
neonatal dea?1 m5+itis1 anemia1 &       
problems ) ! sple5 & liv]4 ,if n treat$1
 cong5ital syphilis c cause bone & jo9t 
problems1 vision & he>+ problems1 issues
 ) ! n]v\s sy/em1 & developm5tal delays4
  7#e7 ,high incid5ce rates ( cong5ital 
syphilis are (t5 due to lack ( timely   
te/+ or inadequate treatm5t dur+        
pregnancy4 ,timely syphilis te/+ &      
treatm5t dur+ pregnancy might be able to
 prev5t almo/ #ij p]c5t ( cong5ital     
syphilis cases4  7#f7 ,requirem5ts =    
syphilis scre5+ among pregnant wom5     
v>ies by ,/ate4 ,! majority ( ,/ates    
require syphilis scre5+ 9 ! fir/ visit1 
significantly less ,/ates require       
syphilis scre5+s dur+ ! ?ird trime/] or 

at deliv]y4  7#g7 ,scre5+ dur+ ! ?ird   
trime/] & at deliv]y c lead to e>li]    
detection ( cong5ital syphilis & prev5t 
adv]se heal? outcomes = mo!rs & newborn 
infants4  7#h7 ,increas$ aw>5ess &      
education are critical 9 r$uc+ syphilis 
among pregnant wom5 to prev5t cong5ital 
syphilis4  #c4 ,guidance to ,/ates &    
te*nical assi/ance "u ,m$icaid & ,,*ip  
7a7 ,9 g5]al ,n lat] ?an #ab mon?s aft] 
! date ( enactm5t ( ?is section1 !      
,secret>y %all issue guidance to ,/ate  
,m$icaid ag5cies on be/ practices )     
respect to actions t ,/ates may take1   
includ+ by us+ waiv]s "u section #aaae (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acae7 & au?orities "u title ,,xix (   
su* ,act 7#db ,u4,s4,c4 #acif et seq47 &
 title ,,xxi ( su* ,act 7#db ,u4,s4,c4  
#acig;aa et seq471 = ! foll[+ purposes3 
7#a7 ,improv+ access to exp& syphilis   
scre5+ = pregnant wom5 & babies4  7#b7  
,be/ practices = educat+ m$ical         
pr(essionals & pregnant wom5 ) respect  
to syphilis4  7#c7 ,/rategies =         

integrat+ teleheal? s]vices & tra9+ =   
provid]s & pati5ts on ! use ( teleheal?1
 includ+ work+ ) int]pret]s to furni%   
heal? s]vices & provid+ res\rces )      
respect to cong5ital syphilis 9 multiple
 languages4  7#d7 ,be/ practices =      
increas+ te/+ = syphilis 9 ! ?ird       
trime/] & at deliv]y4  7#e7 ,improv+    
treatm5t = syphilis & cong5ital         
syphilis4  7b7 ,def9itions ,9 ?is       
section3 7#a7 ,m$icaid ,! t]m ,m$icaid  
means ! program e/abli%$ "u title ,,xix 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acif et seq474  7#b7         
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,heal? & ,human ,s]vices4   
7#c7 ,/ate ,! t]m ,/ate has ! mean+ giv5
 su* t]m 9 section #aaja7;a77#a7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acja7;a77#a77 = purposes ( titles ,,xix
 & ,,xxi ( su* ,act4  7c7 ,report to    
,congress ,n lat] ?an #b ye>s aft] !    
date ( ! enactm5t ( ?is ,act1 !         
,secret>y %all submit to ! ,committee on
 ,en]gy & ,comm]ce ( ! ,h\se (          

,repres5tatives & ! ,committee on       
,heal?1 ,education1 ,labor & ,p5sions ( 
! ,s5ate1 & %all make publicly          
available1 a report analyz+ !           
implem5tation by ,/ates ( ! be/         
practices describ$ 9 subsection 7a74