,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ijfa  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #bi1 #bjbf,mr4   
,kean 7= himself1 ,ms4 ,kelly (         
,ill9ois1 ,mrs4 ,kiggans ( ,virg9ia1 &  
,ms4 ,cl>ke ( ,new ,york7 introduc$ !   
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to require ! ,secret>y (
 ,heal? & ,human ,s]vices to issue      
guidance to ,/ates on :i* te/s = !      
scre5+ & e>ly detection ( preeclampsia  
may be cov]$ "u ! ,m$icaid program & !  
,*ildr5's ,heal? ,insurance ,program4   
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,preeclampsia ,risk ,evaluation &     
,evid5ce-bas$ ,managem5t ?r\gh          
,p]sonaliz$ ,te/+ ,act or ! ,,preempt   
,act4  #b4 ,f9d+s ,congress f9ds !      
foll[+3  7#a7 ,accord+ to ! ,c5t]s =    
,disease ,control & ,prev5tion1         
preeclampsia affects approximately #e to
 #h p]c5t ( pregnancies globally1 )     
#gj1jjj mat]nal dea?s & #ejj1jjj fetal  

dea?s ea* ye> 9 ! ,unit$ ,/ates4  7#b7  
,9 ! ,unit$ ,/ates1 ,black wom5 are at  
lea/ ?ree times m likely to die due to a
 pregnancy-relat$ cause :5 comp>$ to    
,:ite wom54  7#c7 ,preeclampsia & relat$
 c>diovascul> & hyp]t5sive disord]s (   
pregnancy are "o ( ! lead+ causes (     
mat]nal mortality & morbidity 9 ! ,unit$
 ,/ates1 contribut+ to up to #ae p]c5t (
 all mat]nal dea?s1 p>ticul>ly 9 ,/ates 
) ! highe/-risk populations & 9 l[      
res\rce sett+s4  7#d7 ,preeclampsia is a
 major contributor to pret]m bir?s1     
acc\nt+ = ab\t #ae to #bj p]c5t ( all   
pret]m deliv]ies 9 ! ,unit$ ,/ates4     
7#e7 ,! annual economic burd5 (         
preeclampsia 9 ! ,unit$ ,/ates exce$s #b
 billion1 includ+ bo? direct heal? c>e  
co/s to "m & baby1 & indirect losses due
 to long-t]m heal? complications & lo/  
productivity4  7#f7 ,risk factors =     
preeclampsia include mat]nal age1       
pre-exi/+ diabetes1 pregnancies )       
multiples1 *ronic hyp]t5sion1 obesity1  
multiple pregnancies1 & c]ta9 autoimmune

 diseases1 all ( :i* c increase !       
likelihood ( develop+ ?is condition4    
7#g7 ,wom5 :o develop preeclampsia dur+ 
pregnancy h an elevat$ risk ( long-t]m  
c>diovascul> complications1 includ+     
*ronic hyp]t5sion1 he>t disease & /roke4
  #c4 ,guidance on ,m$icaid cov]age (   
preeclampsia scre5+ & detection te/s    
,title ,,xix ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acif et seq47 is am5d$  
by ins]t+ aft] section #aidh ! foll[+   
new section3  #aidi4 ,guidance &        
te*nical assi/ance ) respect to cov]age 
( preeclampsia scre5+ & detection te/s  
7a7 ,guidance ,n lat] ?an ! date t is   
#ahj days aft] ! date ( ! enactm5t ( ?is
 section1 ! ,secret>y %all issue        
guidance to ,/ates &1 z appropriate1    
m$icaid manag$ c>e organizations1 on--  
7#a7 be/ practices = improv+ outcomes = 
pregnant wom5 ) preeclampsia :o are     
eligible = & receiv+ m$ical assi/ance "u
 a ,/ate plan 7or waiv] ( su* plan7 "u  
?is title or a ,/ate *ild heal? plan 7or
 waiv] ( su* plan7 "u title ,,xxi ?r\gh 

e>ly scre5+1 detection1 & managem5t2 &  
7#b7 :i* te/s = ! e>ly detection (      
preeclampsia may be furni%$ to su*      
pregnant wom5 z m$ical assi/ance "u su* 
a ,/ate plan 7or waiv]7 or su* a ,/ate  
*ild heal? plan 7or waiv]71 includ+ :e!r
 ! biom>k] te/s describ$ 9 subsection   
7c7 may be s furni%$4  7b7 ,te*nical    
assi/ance  7#a7 ,9 g5]al ,! ,secret>y   
%all1 n lat] ?an #cj days aft] receipt (
 a reque/ f a ,/ate = te*nical assi/ance
 ) respect to det]m9+ :e!r a ,/ate plan 
or ,/ate *ild heal? plan may provide    
m$ical assi/ance = a specific te/ = !   
e>ly detection ( preeclampsia1 includ+ a
 biom>k] te/ describ$ 9 subsection 7c71 
provide su* te*nical assi/ance to su*   
,/ate4  7#b7 ,rule ( con/ruction ,no?+ 9
 ?is subsection %all be con/ru$ z creat+
 a requirem5t = a ,/ate to reque/ or    
receive ! te*nical assi/ance describ$ 9 
p>agraph 7#a7 z a condition ( provid+   
m$ical assi/ance = a specific te/ = !   
e>ly detection ( preeclampsia1 or (     
receiv+ ,f$]al f9ancial p>ticipation =  

su* m$ical assi/ance4  7c7 ,biom>k] te/s
 ,to be consid]$ ,= purposes ( ?is      
section1 ! ,secret>y %all consid]       
advanc$ biom>k] te/s = ! e>ly detection 
( preeclampsia1 includ+ any su* te/ t is
 regulat$ & cle>$ "u ! ,f$]al ,food1    
,drug1 & ,cosmetic ,act z a device 7z   
def9$ 9 section #bja7;h7 ( su* ,act71 & 
any su* laboratory-develop$ te/+ s]vice 
furni%$ by a cl9ical laboratory t is    
c]tifi$ "u section #cec ( ! ,public     
,heal? ,s]vice ,act to p]=m             
high-complexity te/+4  4