,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fcfd  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #b1 #bjbe,mr4
 ,mc,dowell 7= himself1 ,mr4 ,figures1 &
 ,mr4 ,v9dman7 introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d titles   
,,xi1 ,,xix1 & ,,xxi ( ! ,social        
,security ,act ) respect to scre5+ =    
*ildhood onset flu5cy disord]s1 & to    
require cov]age ( c]ta9 spee* !rapy     
s]vices "u ,m$icaid & ,,*ip4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,kidd's 
,/utt]+ ,act4  #b4 ,exp&+ scre5+ &      
requir+ cov]age ( c]ta9 spee* !rapy     
s]vices "u ,m$icaid & ,,*ip  7a7        
,inclusion ( scre5+ = /utt]+ & spee*    
flu5cy 9 core set ( *ild heal? quality  
measures ,section #aaci;,a7b77#e7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acbj;b-#i;a7b77#e77 is am5d$-- 7#a7 by 
/rik+ ,beg9n+ no lat] ?an & ins]t+ !    
foll[+3  7,a7 ,9 g5]al ,beg9n+ no lat]  
?an  2 &  7#b7 by add+ at ! end ! foll[+
 new subp>agraph3  7,b7 ,scre5+ = /utt]+

 & spee* flu5cy  7i7 ,9 g5]al ,n lat]   
?an ,janu>y #a1 #bjbf1 ! ,secret>y %all 
publi% *anges to ! core measures        
describ$ 9 subsection 7a7 to include    
measures ( scre5+ = *ildhood-onset      
flu5cy disord]s1 includ+ /utt]+1 =      
*ildr5 :o h atta9$ ! age ( #b 7& h n    
atta9$ ! age ( #f74  7ii7 ,publication  
,! ,secret>y %all publi% ! *anges       
requir$ by clause 7i7 at ! same "t & 9 !
 same mann] z ! relevant annual         
recomm5d$ *anges requir$ "u subp>agraph 
7,a74  4  7b7 ,requir$ scre5+ = /utt]+ &
 spee* flu5cy 9 ,m$icaid well-,*ild     
visits ,section #aije7r77#a77;,b7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7r77#a77;,b77 is am5d$--  7#a7 9 
clause 7iv71 by /rik+ & at ! end2  7#b7 
9 clause 7v71 by /rik+ ! p]iod at ! end 
& ins]t+ 1 &2 &  7#c7 by add+ at ! end !
 foll[+ new clause3  7vi7 beg9n+ ,janu>y
 #a1 #bjbg1 = *ildr5 :o h atta9$ ! age (
 #b 7& h n atta9$ ! age ( #f71 scre5+ = 
*ildhood-onset flu5cy disord]s1 includ+ 
/utt]+4  4  7c7 ,requir$ cov]age ( c]ta9

 spee* !rapy s]vices  7#a7 ,m$icaid     
,title ,,xix ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acif et seq47 is am5d$--
 7,a7 9 section #aijb7;a7-- 7i7 9       
p>agraph 7#aj77;,a71 by /rik+ & 7#cj7 & 
ins]t+ 7#cj71 & 7#cb72  7ii7 9 p>agraph 
7#hh77;,b77iii71 by /rik+ & at ! end2   
7iii7 9 p>agraph 7#hi71 by /rik+ ! p]iod
 at ! end & ins]t+ 2 &2 &  7iv7 by add+ 
at ! end ! foll[+ new p>agraph3  7#ij7  
provide t ! treatm5t limitations        
applicable to specifi$ spee* !rapy      
s]vices 7z def9$ 9 section #aije7ll77   
are no m re/rictive ?an ! treatm5t      
limitations applicable to any spee*     
!rapy s]vices = ! treatm5t ( expressive 
language disord]1 receptive language    
disord]1 mix$ expressive & receptive    
language disord]1 or articulation1 = :i*
 m$ical assi/ance is provid$ "u ! ,/ate 
plan 7or waiv] ( su* plan74  2 &  7,b7 9
 section #aije-- 7i7 9 subsection 7a7-- 
7,i7 9 p>agraph 7#ca71 by /rik+ & at !  
end2  7,,ii7 by r$esignat+ p>agraph     
7#cb7 z p>agraph 7#cc72 &  7,,iii7 by   

ins]t+ aft] p>agraph 7#ca7 ! foll[+ new 
p>agraph3  7#cb7 beg9n+ on ,janu>y #a1  
#bjbg1 specifi$ spee* !rapy s]vices 7z  
def9$ 9 subsection 7ll772 &  2 &  7ii7  
by add+ at ! end ! foll[+ new           
subsection3  7ll7 ,specifi$ spee* !rapy 
s]vices ,= purposes ( subsection        
7a77#cb71 ! t]m specifi$ spee* !rapy    
s]vices-- 7#a7 means spee* !rapy s]vices
 = ! treatm5t ( *ildhood-onset flu5cy   
disord]s1 includ+ /utt]+2 &  7#b7       
includes su* s]vices deliv]$ ?r\gh      
real-"t1 audio & video                  
telecommunications te*nology4  4  7#b7  
,,*ip  7,a7 ,9 g5]al ,section #bajc7;c7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acig;cc7c77 is am5d$ by add+ 
at ! end ! foll[+ new p>agraph3  7#ac7  
,requir$ cov]age ( c]ta9 spee* !rapy    
s]vices ,beg9n+ ,janu>y #a1 #bjbg1 !    
*ild heal? assi/ance provid$ to a t>get$
 l[-income *ild %all include cov]age (  
specifi$ spee* !rapy s]vices 7z su* t]m 
is def9$ 9 section #aije7ll774  4  7,b7 
,treatm5t p>ity ,section #bajg7;e77#a7 (

 ! ,social ,security ,act 7#db ,u4,s4,c4
 #acig;gg7e77#a77 is am5d$-- 7i7 by     
r$esignat+ subp>agraphs 7,i7 ?r\gh 7,w7 
z subp>agraphs 7,j7 ?r\gh 7,x71         
respectively2 &  7ii7 by ins]t+ aft]    
subp>agraph 7,h7 ! foll[+ new           
subp>agraph3  7,i7 ,section             
#aijb7;a77#ij7 7relat+ to p>ity 9       
cov]age ( spee* !rapy s]vices74  4