(D) LIMITATION OF MATCHING PAYMENTS 
TO 100 PERCENT.—In no case shall an increase 
in Federal matching payments under this sub-
section result in Federal matching payments 
that exceed 100 percent. 
(c) EFFECTIVE DATE.— 
(1) IN GENERAL.—Except as provided in para-
graph (2), the amendments made by subsection (a) 
shall take effect 180 days after the date of the en-
actment of this Act and shall apply to services fur-
nished on or after such date. 
(2) RULE
FOR
CHANGES
REQUIRING
STATE 
LEGISLATION.—In the case of a State plan for med-
ical assistance under title XIX of the Social Security 
Act which the Secretary of Health and Human Serv-
ices determines requires State legislation (other than 
legislation appropriating funds) in order for the plan 
to meet the additional requirement imposed by the 
amendments made by this subsection, the State plan 
shall not be regarded as failing to comply with the 
requirements of such title solely on the basis of its 
failure to meet this additional requirement before 
the first day of the first calendar quarter beginning 
after the close of the first regular session of the 
State legislature that begins after the date of the en-
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actment of this Act. For purposes of the previous 
sentence, in the case of a State that has a 2-year 
legislative session, each year of such session shall be 
deemed to be a separate regular session of the State 
legislature. 
SEC. 6. SURVEY OF AND REPORT ON CORRECTIONAL FA-
CILITY PROGRAMS AIMED AT REDUCING THE 
SPREAD OF STIS. 
(a) SURVEY.—The Attorney General, after consulting 
with the Secretary of Health and Human Services, State 
officials, and community organizations, shall, to the max-
imum extent practicable, conduct a survey of all Federal 
and State correctional facilities, no later than 180 days 
after the date of enactment of this Act and annually there-
after for 5 years, to determine the following: 
(1) PREVENTION EDUCATION OFFERED.—The 
type of prevention education, information, or train-
ing offered to incarcerated persons and correctional 
facility staff regarding sexual violence and the 
spread of STIs, including whether such education, 
information, or training— 
(A) constitutes comprehensive sexuality 
education; 
(B) is compulsory for new incarcerated 
persons and for new staff; and 
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(C) is offered on an ongoing basis. 
(2) ACCESS TO SEXUAL BARRIER PROTECTION 
DEVICES.—Whether incarcerated persons can— 
(A) possess sexual barrier protection de-
vices; 
(B) purchase sexual barrier protection de-
vices; 
(C) purchase sexual barrier protection de-
vices at a reduced cost; and 
(D) obtain sexual barrier protection devices 
without cost. 
(3) INCIDENCE OF SEXUAL VIOLENCE.—The in-
cidence of sexual violence and assault committed by 
incarcerated persons and by correctional facility 
staff. 
(4) COUNSELING, 
TREATMENT, 
AND
SUP-
PORTIVE SERVICES.—Whether the correctional facil-
ity requires incarcerated persons to participate in 
counseling, treatment, and supportive services re-
lated to STIs, or whether it offers such programs to 
incarcerated persons. 
(5) STI TESTING.—Whether the correctional 
facility tests incarcerated persons for STIs or gives 
them the option to undergo such testing— 
(A) at intake; 
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smartinez on DSK6TPTVN1PROD with BILLS
(B) on a regular basis; and 
(C) prior to release. 
(6) STI TEST RESULTS.—The number of incar-
cerated persons who are tested for STIs and the out-
come of such tests at each correctional facility, 
disaggregated to include results for— 
(A) the type of sexually transmitted infec-
tion tested for; 
(B) the race and/or ethnicity of individuals 
tested; 
(C) the age of individuals tested; and 
(D) the gender of individuals tested. 
(7) PRE-RELEASE REFERRAL POLICY.—Wheth-
er incarcerated persons are informed prior to release 
about STI-related services or other health services in 
their communities, including free and low-cost coun-
seling and treatment options. 
(8) PRE-RELEASE
REFERRALS
MADE.—The 
number of referrals to community-based organiza-
tions or public health facilities offering STI-related 
or other health services provided to incarcerated per-
sons prior to release, and the type of counseling or 
treatment for which the referral was made. 
(9) REINSTATEMENT
OF
MEDICAID
BENE-
FITS.—Whether the correctional facility assists in-
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carcerated persons that were enrolled in the State 
Medicaid program prior to their incarceration, in re-
instating their enrollment upon release and whether 
such individuals receive referrals as provided by 
paragraph (8) to entities that accept the State Med-
icaid program, including if applicable— 
(A) the number of such individuals, includ-
ing those diagnosed with the human immuno-
deficiency virus, that have been reinstated; 
(B) a list of obstacles to reinstating enroll-
ment or to making determinations of eligibility 
for reinstatement, if any; and 
(C) the number of individuals denied en-
rollment. 
(10) OTHER
ACTIONS
TAKEN.—Whether the 
correctional facility has taken any other action, in 
conjunction with community organizations or other-
wise, to reduce the prevalence and spread of STIs in 
that facility. 
(b) PRIVACY.—In conducting the survey, the Attor-
ney General shall not request or retain the identity of any 
person who has sought or been offered counseling, treat-
ment, testing, or prevention education information regard-
ing an STI (including information about sexual barrier 
protection devices), or who has tested positive for an STI. 
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