,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #iidf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #bc1 #bjbf,ms4  
,williams ( ,georgia 7= h]self1 ,mr4    
,torres ( ,new ,york1 ,ms4 ,velzquez1   
,mr4 ,quigley1 ,mrs4 ,mc,iver1 ,ms4     
,wilson ( ,florida1 ,ms4 ,bal9t1 ,ms4   
,cl>ke ( ,new ,york1 ,mr4 ,g>ca (       
,ill9ois1 ,mr4 ,pocan1 & ,ms4 ,norton7  
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committees on ,ways &    
,means1 ,vet]ans' ,affairs1 ,arm$       
,s]vices1 & ,natural ,res\rces1 = a     
p]iod to be subsequ5tly det]m9$ by !    
,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !
 committee conc]n$  ,a ,,bill  ,to      
require ! cov]age ( te/+ = c]ta9        
sexually transmitt$ infections )\t !    
imposition ( co/-%>+1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,equity 9 ,,/i ,te/+ ,act4  #b4       
,cov]age ( te/+ = c]ta9 sexually        
transmitt$ infections )\t co/-%>+  7a7  

,cov]age ( te/+ "u ,m$ic>e ,advantage   
7#a7 ,cov]age ,section                  
#aheb7;a77#a77;,b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#aciew-#bb7;a77#a77;,b77 is am5d$-- 7,a7
 9 clause 7iv7-- 7i7 by r$esignat+      
subclause 7,,viii7 z subclause 7,,ix72 &
  7ii7 by ins]t+ aft] subclause 7,,vii7 
! foll[+ new subclause3  7,,viii7       
,scre5+ te/+ = ea* ( ,,hiv1 gonorrhea1  
syphilis1 tri*omoniasis1 & *lamydia 7& !
 adm9i/ration ( su* te/s7 = :i* b5efits 
are provid$ "u "p ,b z an additional    
prev5tive s]vice4  2 &  7,b7 9 clause   
7v71 by /rik+ & 7,,vi7 & ins]t+ 7,,vi71 
& 7,,viii74  7#b7 ,effective date ,!    
am5dm5ts made by ?is subsection %all    
take effect on ! date ( ! enactm5t ( ?is
 ,act & %all apply ) respect to plan    
ye>s beg9n+ aft] su* date4  7b7 ,cov]age
 ( te/+ "u ,m$icaid  7#a7 ,cov]age      
,section #aije7;a7 ( su* ,act 7#db      
,u4,s4,c4 #acif;d7a77 is am5d$-- 7,a7 9 
p>agraph 7#c7-- 7i7 9 subp>agraph 7,a71 
by /rik+ & at ! end2  7ii7 9 subp>agraph

 7,b71 by add+ & at ! end2 &  7iii7 by  
add+ at ! end ! foll[+ new subp>agraph3 
7,c7 scre5+ te/+ = ea* ( ,,hiv1         
gonorrhea1 syphilis1 tri*omoniasis1 &   
*lamydia 7& ! adm9i/ration ( su* te/s71 
if su* te/+ 7or adm9i/ration1 z         
applicable7 w\ld be cov]$ "u heal?      
insurance cov]age pursuant to section   
#bgac7;a77#a7 ( ! ,public ,heal? ,s]vice
 ,act = an individual enroll$ "u su*    
cov]age2  2 &  7,b7 9 p>agraph 7#ac71 9 
! matt] prec$+ subp>agraph 7,a71 by     
ins]t+ 7o!r ?an te/+ & s]vices describ$ 
9 p>agraph 7#c77;,c77 aft] prev5tive4   
7#b7 ,elim9ation ( co/-%>+ ,section     
#aiaf ( su* ,act 7#db ,u4,s4,c4 #acifo7 
is am5d$-- 7,a7 9 subsection 7a77#b7--  
7i7 9 subp>agraph 7,i71 by /rik+ or at !
 end2  7ii7 9 subp>agraph 7,j71 by /rik+
 & at ! end & ins]t+ or2 &  7iii7 by    
add+ at ! end ! foll[+ new subp>agraph3 
7,k7 scre5+ te/+ 7& ! adm9i/ration ( su*
 te/s7 describ$ 9 section               
#aije7;a77#c77;,c72 &  2 &  7,b7 9      
subsection 7b77#b7-- 7i7 9 subp>agraph  

7,i71 by /rik+ or at ! end2  7ii7 9     
subp>agraph 7,j71 by /rik+ & at ! end & 
ins]t+ or2 &  7iii7 by add+ at ! end !  
foll[+ new subp>agraph3  7,k7 scre5+    
te/+ 7& ! adm9i/ration ( su* te/s7      
describ$ 9 section #aije7;a77#c77;,c72 &
  4  7#c7 ,application to alt]native    
co/-%>+ ,section #aiaf;,a7b77#c77;,b7 ( 
su* ,act 7#db ,u4,s4,c4                 
#acifo-#a7;b77#c77;,b77 is am5d$ by add+
 at ! end ! foll[+ new clause3  7xv7    
,scre5+ te/+ 7& ! adm9i/ration ( su*    
te/s7 describ$ 9 section                
#aije7;a77#c77;,c74  4  7#d7 ,effective 
date  7,a7 ,9 g5]al ,except z provid$ 9 
subp>agraph 7,b71 ! am5dm5ts made by ?is
 subsection %all take effect on ! date (
 ! enactm5t ( ?is ,act & %all apply )   
respect to cal5d> ye> qu>t]s beg9n+ on  
or aft] ! date t is #a ye> aft] su*     
date4  7,b7 ,exception if ,/ate         
legislation requir$ ,9 ! case ( a ,/ate 
plan = m$ical assi/ance "u title ,,xix (
 ! ,social ,security ,act :i* !         
,secret>y ( ,heal? & ,human ,s]vices    

det]m9es requires ,/ate legislation 7o!r
 ?an legislation appropriat+ funds7 9   
ord] = ! plan to meet ! additional      
requirem5ts impos$ by ! am5dm5ts made by
 ?is subsection1 ! ,/ate plan %all n be 
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( its    
failure to meet ^! additional           
requirem5ts be=e ! fir/ day ( ! fir/    
cal5d> qu>t] beg9n+ aft] ! close ( !    
fir/ regul> session ( ! ,/ate           
legislature t beg9s aft] ! date ( !     
enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 su* session %all be deem$ to be a      
sep>ate regul> session ( ! ,/ate        
legislature4  7c7 ,cov]age ( te/+ "u    
,,*ip  7#a7 ,requir$ cov]age ( sexually 
transmitt$ infections te/+ ,section     
#bajc7;c7 ( su* ,act 7#db ,u4,s4,c4     
#acig;cc7c77 is am5d$ by add+ at ! end !
 foll[+ new p>agraph3  7#ac7 ,requir$   
cov]age ( sexually transmitt$ infections
 te/+ ,! *ild heal? assi/ance provid$ to

 a t>get$ l[-income *ild %all include   
cov]age ( any scre5+ te/+ = ea* ( ,,hiv1
 gonorrhea1 syphilis1 tri*omoniasis1 &  
*lamydia 7& ! adm9i/ration ( su* te/s71 
if su* te/+ 7or adm9i/ration1 z         
applicable7 w\ld be cov]$ "u heal?      
insurance cov]age pursuant to section   
#bgac7;a77#a7 ( ! ,public ,heal? ,s]vice
 ,act = an individual enroll$ "u su*    
cov]age4  4  7#b7 ,elim9ation ( co/-%>+ 
,section #bajc7;e77#b7 ( su* ,act 7#db  
,u4,s4,c4 #acig;cc7e77#b77 is am5d$--   
7,a7 9 ! head+1 by ins]t+ sexually      
transmitt$ infections te/+1 be=e or     
pregnancy-relat$ assi/ance2 &  7,b7 by  
ins]t+ scre5+ te/+ describ$ 9 subsection
 7c77#ab7 7& ! adm9i/ration ( su* te/s7 
be=e s]vices describ$ 9 section         
#aiaf7;a77#b77;,g74  7#c7 ,effective    
date  7,a7 ,9 g5]al ,except z provid$ 9 
subp>agraph 7,b71 ! am5dm5ts made by ?is
 subsection %all take effect on ! date (
 ! enactm5t ( ?is ,act & %all apply )   
respect to cal5d> ye> qu>t]s beg9n+ on  
or aft] ! date t is #a ye> aft] su*     

date4  7,b7 ,exception if ,/ate         
legislation requir$ ,9 ! case ( a ,/ate 
*ild heal? plan = *ild heal? assi/ance  
"u title ,,xxi ( ! ,social ,security    
,act :i* ! ,secret>y ( ,heal? & ,human  
,s]vices det]m9es requires ,/ate        
legislation 7o!r ?an legislation        
appropriat+ funds7 9 ord] = ! plan to   
meet ! additional requirem5ts impos$ by 
! am5dm5ts made by ?is subsection1 !    
,/ate *ild heal? plan %all n be reg>d$ z
 fail+ to comply ) ! requirem5ts ( su*  
title solely on ! basis ( its failure to
 meet ^! additional requirem5ts be=e !  
fir/ day ( ! fir/ cal5d> qu>t] beg9n+   
aft] ! close ( ! fir/ regul> session ( !
 ,/ate legislature t beg9s aft] ! date (
 ! enactm5t ( ?is ,act4 ,= purposes ( ! 
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 su* session %all be deem$ to be a      
sep>ate regul> session ( ! ,/ate        
legislature4  7d7 ,cov]age ( te/+ )     
respect to ,,tric>e  7#a7 ,cov]age      
,title #aj1 ,unit$ ,/ates ,code1 is     

am5d$-- 7,a7 9 section #ajgd;d-- 7i7 by 
r$esignat+ subsection 7b7 z subsection  
7c72 &  7ii7 by ins]t+ be=e subsection  
7c71 z s r$esignat$1 ! foll[+ new       
subsection3  7b7 ,cov]age ( sexually    
transmitt$ infections te/+ ,memb]s & =m]
 memb]s ( ! uni=m$ s]vices entitl$ to   
m$ical c>e "u section #ajgd or #ajgd;a (
 ?is title %all also be entitl$ to      
scre5+ te/+ = ea* ( ,,hiv1 gonorrhea1   
syphilis1 tri*omoniasis1 & *lamydia 7& !
 adm9i/ration ( su* te/s71 if su* te/+  
7or adm9i/ration1 z applicable7 w\ld be 
cov]$ "u heal? insurance cov]age        
pursuant to section #bgac7;a77#a7 ( !   
,public ,heal? ,s]vice ,act = an        
individual enroll$ "u su* cov]age1 z "p 
( su* m$ical c>e4  2 &  7,b7 9 section  
#ajgi7;a71 by add+ at ! end ! foll[+ new
 p>agraph3  7#bj7 ,scre5+ te/+ = ea* (  
,,hiv1 gonorrhea1 syphilis1             
tri*omoniasis1 & *lamydia 7& !          
adm9i/ration ( su* te/s71 if su* te/+   
7or adm9i/ration1 z applicable7 w\ld be 
cov]$ "u heal? insurance cov]age        

pursuant to section #bgac7;a77#a7 ( !   
,public ,heal? ,s]vice ,act = an        
individual enroll$ "u su* cov]age1 %all 
be provid$ z appropriate4  4  7#b7      
,elim9ation ( co/-%>+ ,su* title is     
fur!r am5d$-- 7,a7 9 section #ajge;a1 by
 add+ at ! end ! foll[+ new subsection3 
7d7 ,elim9ation ( co/-,%>+ = sexually   
transmitt$ infections te/+ ,not)/&+ any 
o!r provision "u ?is section1 co/-%>+   
may n be impos$ or collect$ ) respect to
 any b5efici>y enroll$ 9 ,,tric>e ,prime
 = scre5+ te/+ = ea* ( ,,hiv1 gonorrhea1
 syphilis1 tri*omoniasis1 & *lamydia 7& 
! adm9i/ration ( su* te/s71 if su* te/+ 
7or adm9i/ration1 z applicable7 w\ld be 
cov]$ "u heal? insurance cov]age        
pursuant to section #bgac7;a77#a7 ( !   
,public ,heal? ,s]vice ,act = an        
individual enroll$ "u su* cov]age1 t is 
provid$ "u ,,tric>e ,prime4  2  7,b7 9  
section #ajge7;c71 by add+ at ! end !   
foll[+ new p>agraph3  7#d7 ,not)/&+ any 
o!r provision "u ?is section1 co/-%>+   
may n be impos$ or collect$ ) respect to

 any b5efici>y enroll$ 9 ,,tric>e       
,select = scre5+ te/+ = ea* ( ,,hiv1    
gonorrhea1 syphilis1 tri*omoniasis1 &   
*lamydia 7& ! adm9i/ration ( su* te/s71 
if su* te/+ 7or adm9i/ration1 z         
applicable7 w\ld be cov]$ "u heal?      
insurance cov]age pursuant to section   
#bgac7;a77#a7 ( ! ,public ,heal? ,s]vice
 ,act = an individual enroll$ "u su*    
cov]age1 t is provid$ "u ,,tric>e       
,select4  2 &  7,c7 9 section           
#ajhf7;d77#c7-- 7i7 by r$esignat+       
subp>agraph 7,c7 z subp>agraph 7,d72 &  
7ii7 by ins]t+ be=e subp>agraph 7,d71 z 
s r$esignat$1 ! foll[+ new subp>agraph3 
7,c7 ,not)/&+ any o!r provision "u ?is  
section1 co/-%>+ may n be impos$ or     
collect$ "u a plan "u subsection 7a7 )  
respect to a p]son describ$ 9 p>agraph  
7#b7 = scre5+ te/+ = ea* ( ,,hiv1       
gonorrhea1 syphilis1 tri*omoniasis1 &   
*lamydia 7& ! adm9i/ration ( su* te/s71 
if su* te/+ 7or adm9i/ration1 z         
applicable7 w\ld be cov]$ "u heal?      
insurance cov]age pursuant to section   

#bgac7;a77#a7 ( ! ,public ,heal? ,s]vice
 ,act = an individual enroll$ "u su*    
cov]age4  4  7#c7 ,effective date ,!    
am5dm5ts made by ?is subsection %all    
take effect on ,janu>y #a ( ! ye> foll[+
 ! date ( ! enactm5t ( ?is ,act4  7e7   
,cov]age ( te/+ ) respect to vet]ans    
7#a7 ,cov]age ,*apt] #ag ( title #ch1   
,unit$ ,/ates ,code1 is am5d$ by ins]t+ 
aft] section #agbj;,j ! foll[+ new      
section 7& con=m+ ! table ( sections at 
! beg9n+ ( su* *apt] accord+ly73        
#agbj,k4 ,sexually transmitt$ infections
 te/+  7a7 ,cov]age ( sexually          
transmitt$ infections te/+ ,! ,secret>y 
%all furni% scre5+ te/+ = ea* ( ,,hiv1  
gonorrhea1 syphilis1 tri*omoniasis1 &   
*lamydia 7& ! adm9i/ration ( su* te/s71 
if su* te/+ 7or adm9i/ration1 z         
applicable7 w\ld be cov]$ "u heal?      
insurance cov]age pursuant to section   
#bgac7;a77#a7 ( ! ,public ,heal? ,s]vice
 ,act = an individual enroll$ "u su*    
cov]age1 to an eligible individual at a 
m$ical facility ( ! ,dep>tm5t pursuant  

to ?is section4  7b7 ,eligibility ,an   
individual is eligible = ! te/+ describ$
 9 subsection 7a7 if ! individual is a  
vet]an :o is enroll$ 9 ! sy/em ( annual 
pati5t enrollm5t e/abli%$ "u section    
#agje7;a7 ( ?is title4  7c7 ,prohibition
 on co/-,%>+ ,not)/&+ subsections 7f7 & 
7g7 ( section #agaj & section #agbb;,a (
 ?is title1 ! ,secret>y may n require an
 eligible individual to make any        
copaym5t =1 or *>ge su* individual = any
 o!r co/ (1 ! receipt ( ! te/+ describ$ 
9 subsection 7a74  4  7#b7 ,effective   
date ,! am5dm5ts made by ?is subsection 
%all take effect on ,janu>y #a ( ! ye>  
foll[+ ! date ( ! enactm5t ( ?is ,act4  
7f7 ,cov]age ( te/+ ) respect to        
,indians receiv+ pur*as$_/,ref]r$ c>e   
7#a7 ,cov]age ,! ,secret>y ( ,heal? &   
,human ,s]vices %all cov]1 )\t !        
imposition ( any co/-%>+ requirem5ts1 ! 
co/ ( provid+ scre5+ te/+ 7& !          
adm9i/ration ( su* te/s7 = ea* ( ,,hiv1 
gonorrhea1 syphilis1 tri*omoniasis1 &   
*lamydia1 if su* te/+ 7or adm9i/ration1 

z applicable7 w\ld be cov]$ "u heal?    
insurance cov]age pursuant to section   
#bgac7;a77#a7 ( ! ,public ,heal? ,s]vice
 ,act = an individual enroll$ "u su*    
cov]age1 to ,indians 7z def9$ 9 section 
#d ( ! ,indian ,heal? ,c>e ,improvem5t  
,act 7#be ,u4,s4,c4 #afjc77 receiv+     
heal? s]vices ?r\gh ! ,indian ,heal?    
,s]vice1 includ+ ?r\gh an ,urban ,indian
 ,organization1 reg>dless ( :e!r su*    
te/s h be5 au?oriz$ "u ! pur*as$_/ref]r$
 c>e sy/em fund$ by ! ,indian ,heal?    
,s]vice or are cov]$ z a heal? s]vice ( 
! ,indian ,heal? ,s]vice4  7#b7         
,effective date ,?is subsection %all    
take effect on ! date ( ! enactm5t ( ?is
 ,act & %all apply to items & s]vices   
furni%$ on or aft] ! fir/ day ( ! cal5d>
 ye> beg9n+ aft] su* date4