,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #fcfd  ,,in ,,the ,,house ,,of  
,,representatives  ,december #b1        
#bjbe,mr4 ,mc,dowell 7for himself1 ,mr4 
,figures1 and ,mr4 ,vindman7 introduced 
the following bill2 which was referred  
to the ,committee on ,energy and        
,commerce  ,a ,,bill  ,to amend titles  
,,xi1 ,,xix1 and ,,xxi of the ,social   
,security ,act with respect to screening
 for childhood onset fluency disorders1 
and to require coverage of certain      
speech therapy services under ,medicaid 
and ,,chip4  #a4 ,short title ,this ,act
 may be cited as the ,kidd's ,stuttering
 ,act4  #b4 ,expanding screening and    
requiring coverage of certain speech    
therapy services under ,medicaid and    
,,chip  7a7 ,inclusion of screening for 
stuttering and speech fluency in core   
set of child health quality measures    
,section #aaci;,a7b77#e7 of the ,social 
,security ,act 7#db ,u4,s4,c4           
#acbj;b-#i;a7b77#e77 is amended-- 7#a7  
by striking ,beginning no later than and

 inserting the following3  7,a7 ,in     
general ,beginning no later than  2 and 
7#b7 by adding at the end the following 
new subparagraph3  7,b7 ,screening for  
stuttering and speech fluency  7i7 ,in  
general ,not later than ,january #a1    
#bjbf1 the ,secretary shall publish     
changes to the core measures described  
in subsection 7a7 to include measures of
 screening for childhood-onset fluency  
disorders1 including stuttering1 for    
children who have attained the age of #b
 7and have not attained the age of #f74 
7ii7 ,publication ,the ,secretary shall 
publish the changes required by clause  
7i7 at the same time and in the same    
manner as the relevant annual           
recommended changes required under      
subparagraph 7,a74  4  7b7 ,required    
screening for stuttering and speech     
fluency in ,medicaid well-,child visits 
,section #aije7r77#a77;,b7 of the       
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7r77#a77;,b77 is amended--  7#a7 
in clause 7iv71 by striking and at the  

end2  7#b7 in clause 7v71 by striking   
the period at the end and inserting 1   
and2 and  7#c7 by adding at the end the 
following new clause3  7vi7 beginning   
,january #a1 #bjbg1 for children who    
have attained the age of #b 7and have   
not attained the age of #f71 screening  
for childhood-onset fluency disorders1  
including stuttering4  4  7c7 ,required 
coverage of certain speech therapy      
services  7#a7 ,medicaid ,title ,,xix of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #acif et seq47 is amended--   
7,a7 in section #aijb7;a7-- 7i7 in      
paragraph 7#aj77;,a71 by striking and   
7#cj7 and inserting 7#cj71 and 7#cb72   
7ii7 in paragraph 7#hh77;,b77iii71 by   
striking and at the end2  7iii7 in      
paragraph 7#hi71 by striking the period 
at the end and inserting 2 and2 and     
7iv7 by adding at the end the following 
new paragraph3  7#ij7 provide that the  
treatment limitations applicable to     
specified speech therapy services 7as   
defined in section #aije7ll77 are no    

more restrictive than the treatment     
limitations applicable to any speech    
therapy services for the treatment of   
expressive language disorder1 receptive 
language disorder1 mixed expressive and 
receptive language disorder1 or         
articulation1 for which medical         
assistance is provided under the ,state 
plan 7or waiver of such plan74  2 and   
7,b7 in section #aije-- 7i7 in          
subsection 7a7-- 7,i7 in paragraph      
7#ca71 by striking and at the end2      
7,,ii7 by redesignating paragraph 7#cb7 
as paragraph 7#cc72 and  7,,iii7 by     
inserting after paragraph 7#ca7 the     
following new paragraph3  7#cb7         
beginning on ,january #a1 #bjbg1        
specified speech therapy services 7as   
defined in subsection 7ll772 and  2 and 
7ii7 by adding at the end the following 
new subsection3  7ll7 ,specified speech 
therapy services ,for purposes of       
subsection 7a77#cb71 the term specified 
speech therapy services-- 7#a7 means    
speech therapy services for the         

treatment of childhood-onset fluency    
disorders1 including stuttering2 and    
7#b7 includes such services delivered   
through real-time1 audio and video      
telecommunications technology4  4  7#b7 
,,chip  7,a7 ,in general ,section       
#bajc7;c7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #acig;cc7c77 is amended  
by adding at the end the following new  
paragraph3  7#ac7 ,required coverage of 
certain speech therapy services         
,beginning ,january #a1 #bjbg1 the child
 health assistance provided to a        
targeted low-income child shall include 
coverage of specified speech therapy    
services 7as such term is defined in    
section #aije7ll774  4  7,b7 ,treatment 
parity ,section #bajg7;e77#a7 of the    
,social ,security ,act 7#db ,u4,s4,c4   
#acig;gg7e77#a77 is amended-- 7i7 by    
redesignating subparagraphs 7,i7 through
 7,w7 as subparagraphs 7,j7 through     
7,x71 respectively2 and  7ii7 by        
inserting after subparagraph 7,h7 the   
following new subparagraph3  7,i7       

,section #aijb7;a77#ij7 7relating to    
parity in coverage of speech therapy    
services74  4