,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bjjd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #aj1 #bjbe,mr4   
,he9ri* 7= himself & ,mr4 ,wick]7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to require ! ,secret>y (    
,heal? & ,human ,s]vices to issue       
guidance on be/ practices = scre5+ &    
treatm5t ( cong5ital syphilis "u        
,m$icaid & ! ,*ildr5's ,heal? ,insurance
 ,program1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z ! ,mat]nal
 & ,infant ,syphilis ,prev5tion ,act4   
#b4 ,f9d+s ,congress f9ds ! foll[+3 7#a7
 ,9 #bjbc1 !re 7 #bji1bec cases (       
syphilis 9 ! ,unit$ ,/ates1 ! highe/    
numb] s9ce #aiej4 ,?is repres5ts 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 #c1hhb1 a #c 
p]c5t increase f #bjbb1 result+ 9 #beb  
/illbir?s & #bg infant dea?s4 ,! cases  
are 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$uc+ syphilis 
among pregnant wom5 to prev5t cong5ital 
syphilis4  #c4 ,guidance & te*nical     
assi/ance "u ,/ate ,m$icaid programs &  
,/ate ,c,h,i,ps  7a7 ,9 g5]al ,n lat]   
?an #ab mon?s aft] ! date ( enactm5t (  
?is section1 ! ,secret>y %all issue     
guidance to ,/ate ag5cies responsible = 
adm9i/]+ ,/ate ,m$icaid programs1 ,/ate 
,c,h,i,ps1 or bo? su* programs1 !       
,indian ,heal? ,s]vice1 ,indian ,tribes1
 tribal organizations1 & ,urban ,indian 
organizations1 on be/ practices )       
respect to actions t ,/ate ,m$icaid     
programs1 ,/ate ,c,h,i,ps1 ,indian heal?
 programs1 & urban ,indian heal?        
programs op]at$ by an urban ,indian     
organization pursuant to a grant or     
contract ) ! ,indian ,heal? ,s]vice     

pursuant to title ,v ( ! ,indian ,heal? 
,c>e ,improvem5t ,act 7#be ,u4,s4,c4    
#afja et seq47 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 ,indian ,tribe1 tribal
 organization1 ,urban ,indian1 ,urban   

,indian organization1 ,indian heal?     
program ,! t]ms ,indian tribe1 tribal   
organization1 ,urban ,indian1 ,urban    
,indian organization1 & ,indian heal?   
program h ! mean+s giv5 ^? t]ms 9       
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act 7#be ,u4,s4,c4 #afjc74 
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  7#d7 ,/ate *ip ,! 
t]m ,/ate ,,*ip means a ,/ate *ild heal?
 plan = *ild heal? assi/ance "u title   
,,xxi ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acig;aa et seq471 & includes 
any waiv] ( su* a plan4  7#e7 ,/ate     
m$icaid program ,! t]m ,/ate ,m$icaid   
program means a ,/ate plan = m$ical     
assi/ance "u title ,,xix ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acif et  
seq471 & includes any waiv] ( su* a     
plan4  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 ( ,repres5tatives1 ! ,committee on
 ,heal?1 ,education1 ,labor & ,p5sions (
 ! ,s5ate1 & ! ,committee on ,f9ance ( !
 ,s5ate1 & %all make publicly available1
 a report analyz+ ! implem5tation ( !   
be/ practices describ$ 9 subsection 7a74