,,ii #aaith ,,congress #b;d ,session ,s4 #eagb ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,july #bi1 #bjbf,mr4 ,banks 7for himself1 ,mr4 ,kim1 and ,mr4 ,fetterman7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,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 #bjbh1 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 #bjbi1 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#hi71 by striking and at the end2 7iii7 in paragraph 7#ij77;,c71 by striking the period at the end and inserting 2 and2 and 7iv7 by inserting after paragraph 7#ij7 the following new paragraph3 7#ia7 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 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 #bjbi1 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 stuttering1 provided to-- 7,a7 individuals who have not attained #ba years of age2 and 7,b7 individuals described in section #aijb7;a77#aj77;,a77i77,,ix72 and 7#b7 includes such services delivered through real-time1 audio and video telecommunications technology4 2 7,c7 in section #aicb7;b71 by adding at the end the following new paragraph3 7#i7 ,parity in coverage of speech therapy services ,a medicaid managed care organization1 prepaid inpatient health plan 7as defined by the ,secretary71 prepaid ambulatory health plan 7as defined by the ,secretary71 and1 when appropriate1 primary care case management entity 7as defined by the ,secretary7 with a contract with a ,state that provides for coverage of specified speech therapy services 7as such term is defined in section #aije7ll77 shall establish procedures to ensure compliance with the requirements of section #aijb7;a77#ia74 2 and 7,d7 in section #aicg7;b7-- 7i7 in paragraph 7#a71 in the matter preceding subparagraph 7,a71 by striking paragraphs 7#e7 and 7#f7 and inserting the succeeding provisions of this subsection2 and 7ii7 by adding at the end the following new paragraph3 7#i7 ,coverage of specified speech therapy services ,notwithstanding the previous provisions of this section1 a ,state may not provide for medical assistance through enrollment of an individual with benchmark coverage or benchmark-equivalent coverage under this section unless the individual has access1 through such coverage or otherwise1 to specified speech therapy services 7as defined in section #aije7ll77 that are provided in accordance with the requirements of section #aijb7;a77#ia74 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 #bjbi1 the child health assistance provided to a targeted low-income child and1 in the case of a ,state that elects to provide pregnancy-related assistance pursuant to section #baab1 the pregnancy-related assistance provided for a targeted low-income pregnant woman 7as such terms are defined for purposes of such section7 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#ia7 7relating to parity in coverage of speech therapy services74 4