same manner as the relevant annual rec-
ommended changes required under sub-
paragraph (A).’’. 
(b) REQUIRED SCREENING FOR STUTTERING AND 
SPEECH FLUENCY IN MEDICAID WELL-CHILD VISITS.— 
Section 1905(r)(1)(B) of the Social Security Act (42 
U.S.C. 1396d(r)(1)(B)) is amended— 
(1) in clause (iv), by striking ‘‘and’’ at the end; 
(2) in clause (v), by striking the period at the 
end and inserting ‘‘, and’’; and 
(3) by adding at the end the following new 
clause: 
‘‘(vi) beginning January 1, 2027, for 
children who have attained the age of 2 
(and have not attained the age of 6), 
screening for childhood-onset fluency dis-
orders, including stuttering.’’. 
(c) REQUIRED COVERAGE
OF CERTAIN SPEECH 
THERAPY SERVICES.— 
(1) MEDICAID.—Title XIX of the Social Secu-
rity Act (42 U.S.C. 1396 et seq.) is amended— 
(A) in section 1902(a)— 
(i) in paragraph (10)(A), by striking 
‘‘and (30)’’ and inserting ‘‘(30), and (32)’’; 
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(ii) in paragraph (88)(B)(iii), by 
striking ‘‘and’’ at the end; 
(iii) in paragraph (89), by striking the 
period at the end and inserting ‘‘; and’’; 
and 
(iv) by adding at the end the following 
new paragraph: 
‘‘(90) provide that the treatment limitations ap-
plicable to specified speech therapy services (as de-
fined in section 1905(ll)) are no more restrictive 
than the treatment limitations applicable to any 
speech therapy services for the treatment of expres-
sive language disorder, receptive language disorder, 
mixed expressive and receptive language disorder, or 
articulation, for which medical assistance is provided 
under the State plan (or waiver of such plan).’’; and 
(B) in section 1905— 
(i) in subsection (a)— 
(I) in paragraph (31), by striking 
‘‘and’’ at the end; 
(II) by redesignating paragraph 
(32) as paragraph (33); and 
(III) by inserting after paragraph 
(31) the following new paragraph: 
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‘‘(32) beginning on January 1, 2027, specified 
speech therapy services (as defined in subsection 
(ll)); and’’; and 
(ii) by adding at the end the following 
new subsection: 
‘‘(ll) SPECIFIED SPEECH THERAPY SERVICES.—For 
purposes of subsection (a)(32), the term ‘specified speech 
therapy services’— 
‘‘(1) means speech therapy services for the 
treatment of childhood-onset fluency disorders, in-
cluding stuttering; and 
‘‘(2) includes such services delivered through 
real-time, audio and video telecommunications tech-
nology.’’. 
(2) CHIP.— 
(A) IN GENERAL.—Section 2103(c) of the 
Social Security Act (42 U.S.C. 1397cc(c)) is 
amended by adding at the end the following 
new paragraph: 
‘‘(13) 
REQUIRED
COVERAGE
OF
CERTAIN 
SPEECH THERAPY SERVICES.—Beginning January 1, 
2027, the child health assistance provided to a tar-
geted low-income child shall include coverage of 
specified speech therapy services (as such term is de-
fined in section 1905(ll)).’’. 
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(B) 
TREATMENT
PARITY.—Section 
2107(e)(1) of the Social Security Act (42 
U.S.C. 1397gg(e)(1)) is amended— 
(i) by redesignating subparagraphs (I) 
through (W) as subparagraphs (J) through 
(X), respectively; and 
(ii) by inserting after subparagraph 
(H) the following new subparagraph: 
‘‘(I) Section 1902(a)(90) (relating to par-
ity in coverage of speech therapy services).’’. 
Æ 
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