Sec. 401. Preventive health services
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/bill/113/s/2461/is/section-401A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1905 (42 U.S.C. 1396d) is amended— in subsection (a)(4)— by striking and before
(D); and by inserting before the semicolon at the end the following new subparagraph: ; and
(E)preventive services described in subsection
(ee); and by adding at the end the following new subsection: For purposes of subsection (a)(4)(E), the preventive services described in this subsection are diagnostic, screening, and preventive services not otherwise described in subsection
(a)or required by subsection
(r)that the Secretary determines are appropriate for children or pregnant women entitled to medical assistance under this title, including— evidence-based items or services that have in effect a rating of A or B in the current recommendations of the United States Preventive Services Task Force; with respect to pregnant women, immunizations that have in effect a recommendation from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention with respect to the individual involved; with respect to infants, children, and adolescents, evidence-informed preventive care and screenings provided for in the comprehensive guidelines supported by the Health Resources and Services Administration; and with respect to women, such additional preventive care and screenings not described in this paragraph as provided for in comprehensive guidelines supported by the Health Resources and Services Administration for purposes of this paragraph. Nothing in this subsection shall be construed to limit the application of any requirement of subsection
(r)or to prohibit a State plan under this title from providing coverage for services in addition to those recommended by United States Preventive Services Task Force or to prohibit coverage of services. . Subsections (a)(2)(D) and (b)(2)(D) of section 1916 (42 U.S.C. 1396o) are each amended by inserting preventive services described in section 1905(ee), after emergency services (as defined by the Secretary), . Section 1916A(a)(1) ( 42 U.S.C. 1396o–1(a)(1) ) is amended by inserting , preventive services described in section 1905(ee), after subsection
(c). With respect to a recommendation issued on or after the date of enactment of this Act that adds new preventive services to the requirements described in subsection
(ee)of section 1905 of the Social Security Act, the Secretary shall establish a maximum interval period, which shall not be longer than 6 months, between the date on which the recommendation is issued and the plan year for which a State plan for medical assistance under title XIX of the Social Security Act shall be required to include such preventive service. Section 2103 ( 42 U.S.C. 1397cc ) is amended— in subsection (a), in the matter preceding paragraph (1), by striking and
(7)and inserting (7), and
(8); and in subsection (c)— by redesignating paragraph
(8)as paragraph (9); and by inserting after paragraph (7), the following new paragraph: The child health assistance provided to a targeted low-income child and pregnancy-related assistance provided to a targeted low-income pregnant woman shall include coverage of preventive services for children or pregnant women required under a State plan under title XIX under subsections (a)(4)(E) and
(ee)of section 1905 and no deductible, cost sharing or similar charge shall be imposed under the State child health plan with respect to such services. .
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- 42 USC 1396o–1(a)(1)
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