I 
117TH CONGRESS 
2D SESSION 
H. R. 9402 
To require the coverage of testing for certain sexually transmitted infections 
without the imposition of cost sharing, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 1, 2022 
Ms. WILLIAMS of Georgia (for herself and Ms. LEE of California) introduced 
the following bill; which was referred to the Committee on Energy and 
Commerce, and in addition to the Committees on Ways and Means, 
Armed Services, Veterans’ Affairs, and Natural Resources, for a period 
to be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To require the coverage of testing for certain sexually trans-
mitted infections without the imposition of cost sharing, 
and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Equity in STD Testing 
Act’’. 
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SEC. 2. COVERAGE OF TESTING FOR CERTAIN SEXUALLY 
TRANSMITTED INFECTIONS WITHOUT COST 
SHARING. 
(a) COVERAGE OF TESTING UNDER MEDICARE AD-
VANTAGE.— 
(1) COVERAGE.—Section 1852(a)(1)(B) of the 
Social 
Security 
Act 
(42 
U.S.C. 
1395w– 
22(a)(1)(B)(iv)) is amended— 
(A) in clause (iv)— 
(i) by redesignating subclause (VIII) 
as subclause (IX); and 
(ii) by inserting after subclause (VII) 
the following new subclause: 
‘‘(VIII) Screening testing for 
each of HIV, gonorrhea, syphilis, 
trichomoniasis, and chlamydia (and 
the administration of such tests) for 
which benefits are provided under 
part B as an additional preventive 
service.’’; and 
(B) in clause (v), by striking ‘‘and (VI)’’ 
and inserting ‘‘(VI), and (VIII)’’. 
(2) EFFECTIVE DATE.—The amendments made 
by this subsection shall take effect on the date of the 
enactment of this Act and shall apply with respect 
to plan years beginning after such date. 
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(b) COVERAGE OF TESTING UNDER MEDICAID.— 
(1) COVERAGE.—Section 1905(a) of such Act 
(42 U.S.C. 1396d(a)(3)) is amended— 
(A) in paragraph (3)— 
(i) in subparagraph (A), by striking 
‘‘and’’ at the end; 
(ii) in subparagraph (B), by adding 
‘‘and’’ at the end; and 
(iii) by adding at the end the fol-
lowing new subparagraph: 
‘‘(C) screening testing for each of HIV, 
gonorrhea, 
syphilis, 
trichomoniasis, 
and 
chlamydia (and the administration of such 
tests), if such testing (or administration, as ap-
plicable) would be covered under health insur-
ance coverage pursuant to section 2713(a)(1) of 
the Public Health Service Act for an individual 
enrolled under such coverage;’’; and 
(B) in paragraph (13), in the matter pre-
ceding subparagraph (A), by inserting ‘‘(other 
than testing and services described in para-
graph (3)(C))’’ after ‘‘preventive’’. 
(2) ELIMINATION OF COST-SHARING.—Section 
1916 of such Act (42 U.S.C. 1396o) is amended— 
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(A) in subsection (a)(2), as amended by 
section 11405(a)(2)(A)(i)(II)–(IV) of Public 
Law 117–169— 
(i) in subparagraph (I), by striking 
‘‘or’’ at the end; 
(ii) in subparagraph (J), by striking 
‘‘and’’ at the end and inserting ‘‘or’’; and 
(iii) by adding at the end the fol-
lowing new subparagraph: 
‘‘(K) screening testing (and the adminis-
tration of such tests) described in section 
1905(a)(3)(C); and’’; and 
(B) in subsection (b)(2), as amended by 
section 11405(a)(2)(A)(ii)(II)–(IV) of Public 
Law 117–169— 
(i) in subparagraph (I), by striking 
‘‘or’’ at the end; 
(ii) in subparagraph (J), by striking 
‘‘and’’ at the end and inserting ‘‘or’’; and 
(iii) by adding at the end the fol-
lowing new subparagraph: 
‘‘(K) screening testing (and the adminis-
tration of such tests) described in section 
1905(a)(3)(C); and’’. 
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(3) APPLICATION TO ALTERNATIVE COST-SHAR-
ING.—Section 1916A(b)(3)(B) of such Act (42 
U.S.C. 1396o–1(b)(3)(B)), as amended by section 
11405(a)(2)(B) of Public Law 117–169, is amended 
by adding at the end the following new clause: 
‘‘(xv) Screening testing (and the ad-
ministration of such tests) described in 
section 1905(a)(3)(C).’’. 
(4) EFFECTIVE DATE.— 
(A) IN GENERAL.—Except as provided in 
subparagraph (B), the amendments made by 
this subsection shall take effect on the date of 
the enactment of this Act and shall apply with 
respect to calendar year quarters beginning on 
or after the date that is one year after such 
date. 
(B) EXCEPTION
IF
STATE
LEGISLATION 
REQUIRED.—In the case of a State plan for 
medical assistance under title XIX of the Social 
Security Act which the Secretary of Health and 
Human Services determines requires State leg-
islation (other than legislation appropriating 
funds) in order for the plan to meet the addi-
tional requirements imposed by the amend-
ments made by this subsection, the State plan 
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shall not be regarded as failing to comply with 
the requirements of such title solely on the 
basis of its failure to meet these additional re-
quirements before the first day of the first cal-
endar quarter beginning after the close of the 
first regular session of the State legislature that 
begins after the date of the enactment 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. 
(c) COVERAGE OF TESTING FOR UNINSURED INDI-
VIDUALS AS STATE OPTION.— 
(1) COVERAGE.—Section 1902(a) of such Act 
(42 U.S.C. 1396a(a)) is amended— 
(A) in paragraph (10)(A)(ii)— 
(i) in subclause (XXII), by striking 
‘‘or’’ at the end; 
(ii) in subclause (XXIII), by adding 
‘‘or’’ at the end; and 
(iii) by adding at the end the fol-
lowing new subclause: 
‘‘(XXIV) who are uninsured indi-
viduals (as defined in subsection (ss)) 
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who receive the screening testing (and 
the administration of such tests) de-
scribed in section 1905(a)(3)(C);’’; 
(B) in the matter following paragraph 
(10)(G)— 
(i) by striking ‘‘and (XIX)’’ and in-
serting ‘‘(XIX)’’; and 
(ii) by striking the semicolon at the 
end and inserting ‘‘, and (XX) the medical 
assistance made available to an uninsured 
individual (as defined in subsection (ss)) 
who is eligible for medical assistance only 
because of subparagraph (A)(ii)(XXIV) 
shall be limited to medical assistance for 
the screening testing (and the administra-
tion of such tests) described in section 
1905(a)(3)(C);’’; and 
(C) in paragraph (55), in the matter pre-
ceding subparagraph (A), by striking ‘‘or 
(a)(10)(A)(ii)(XXIII)’’ 
and 
inserting 
‘‘(a)(10)(A)(ii)(XXIII), 
or 
(a)(10)(A)(ii)(XXIV)’’. 
(2) FEDERAL MEDICAL ASSISTANCE PERCENT-
AGE.—Section 1905(b) of such Act (42 U.S.C. 
1396d(b)) is amended by adding at the end the fol-
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lowing new sentence: ‘‘Notwithstanding the first sen-
tence of this subsection, the Federal medical assist-
ance percentage shall be 100 per centum with re-
spect to (and, notwithstanding any other provision of 
this title, available for) medical assistance provided 
to uninsured individuals (as defined in section 
1902(ss)) who are eligible for such assistance only 
on the basis of section 1902(a)(10)(A)(ii)(XXIV) 
and with respect to expenditures described in section 
1903(a)(7) that a State demonstrates to the satis-
faction of the Secretary are attributable to adminis-
trative costs related to providing for such medical 
assistance to such individuals under the State 
plan.’’. 
(3) EFFECTIVE DATE.—The amendments made 
by this subsection shall take effect on the date of the 
enactment of this Act and shall apply with respect 
to calendar year quarters beginning on or after such 
date. 
(d) COVERAGE OF TESTING UNDER CHIP.— 
(1) REQUIRED COVERAGE OF SEXUALLY TRANS-
MITTED INFECTIONS TESTING.—Section 2103(c) of 
such Act (42 U.S.C. 1397cc(c)), as amended by sec-
tion 11405(b)(1) of Public Law 117–169, is amend-
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ed by adding at the end the following new para-
graph: 
‘‘(13) REQUIRED
COVERAGE
OF
SEXUALLY 
TRANSMITTED
INFECTIONS
TESTING.—The child 
health assistance provided to a targeted low-income 
child shall include coverage of any screening testing 
for each of HIV, gonorrhea, syphilis, trichomoniasis, 
and chlamydia (and the administration of such 
tests), if such testing (or administration, as applica-
ble) would be covered under health insurance cov-
erage pursuant to section 2713(a)(1) of the Public 
Health Service Act for an individual enrolled under 
such coverage.’’. 
(2) ELIMINATION OF COST-SHARING.—Section 
2103(e)(2) of such Act (42 U.S.C. 1397cc(e)(2)) is 
amended— 
(A) in the heading, by inserting ‘‘SEXU-
ALLY TRANSMITTED INFECTIONS TESTING,’’ be-
fore ‘‘OR
PREGNANCY-RELATED
ASSISTANCE’’; 
and 
(B) by inserting ‘‘screening testing de-
scribed in subsection (c)(12) (and the adminis-
tration of such tests)’’ before ‘‘services de-
scribed in section 1916(a)(2)(G)’’. 
(3) EFFECTIVE DATE.— 
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(A) IN GENERAL.—Except as provided in 
subparagraph (B), the amendments made by 
this subsection shall take effect on the date of 
the enactment of this Act and shall apply with 
respect to calendar year quarters beginning on 
or after the date that is one year after such 
date. 
(B) EXCEPTION
IF
STATE
LEGISLATION 
REQUIRED.—In the case of a State child health 
plan for child health assistance under title XXI 
of the Social Security Act which the Secretary 
of Health and Human Services determines re-
quires State legislation (other than legislation 
appropriating funds) in order for the plan to 
meet the additional requirements imposed by 
the amendments made by this subsection, the 
State child health plan shall not be regarded as 
failing to comply with the requirements of such 
title solely on the basis of its failure to meet 
these additional requirements 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 enactment of this Act. For purposes of the 
previous sentence, in the case of a State that 
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has a 2-year legislative session, each year of 
such session shall be deemed to be a separate 
regular session of the State legislature. 
(e) COVERAGE
OF TESTING WITH RESPECT
TO 
TRICARE.— 
(1) COVERAGE.—Title 10, United States Code, 
is amended— 
(A) in section 1074d— 
(i) by redesignating subsection (b) as 
subsection (c); and 
(ii) by inserting before subsection (c), 
as so redesignated, the following new sub-
section: 
‘‘(b) COVERAGE OF SEXUALLY TRANSMITTED INFEC-
TIONS TESTING.—Members and former members of the 
uniformed services entitled to medical care under section 
1074 or 1074a of this title shall also be entitled to screen-
ing testing for each of HIV, gonorrhea, syphilis, trichomo-
niasis, and chlamydia (and the administration of such 
tests), if such testing (or administration, as applicable) 
would be covered under health insurance coverage pursu-
ant to section 2713(a)(1) of the Public Health Service Act 
for an individual enrolled under such coverage, as part of 
such medical care.’’; and 
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(B) in section 1079(a), by adding at the 
end the following new paragraph: 
‘‘(20) Screening testing for each of HIV, gonor-
rhea, syphilis, trichomoniasis, and chlamydia (and 
the administration of such tests), if such testing (or 
administration, as applicable) would be covered 
under health insurance coverage pursuant to section 
2713(a)(1) of the Public Health Service Act for an 
individual enrolled under such coverage, shall be pro-
vided as appropriate.’’. 
(2) ELIMINATION
OF
COST-SHARING.—Such 
title is further amended— 
(A) in section 1075a, by adding at the end 
the following new subsection: 
‘‘(d) ELIMINATION OF COST-SHARING FOR SEXU-
ALLY TRANSMITTED INFECTIONS TESTING.—Notwith-
standing any other provision under this section, cost-shar-
ing may not be imposed or collected with respect to any 
beneficiary enrolled in TRICARE Prime for screening 
testing for each of HIV, gonorrhea, syphilis, trichomo-
niasis, and chlamydia (and the administration of such 
tests), if such testing (or administration, as applicable) 
would be covered under health insurance coverage pursu-
ant to section 2713(a)(1) of the Public Health Service Act 
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for an individual enrolled under such coverage, that is pro-
vided under TRICARE Prime.’’; 
(B) in section 1075(c), by adding at the 
end the following new paragraph: 
‘‘(4) Notwithstanding any other provision under 
this section, cost-sharing may not be imposed or col-
lected with respect to any beneficiary enrolled in 
TRICARE Select for screening testing for each of 
HIV, 
gonorrhea, 
syphilis, 
trichomoniasis, 
and 
chlamydia (and the administration of such tests), if 
such testing (or administration, as applicable) would 
be covered under health insurance coverage pursuant 
to section 2713(a)(1) of the Public Health Service 
Act for an individual enrolled under such coverage, 
that is provided under TRICARE Select.’’; and 
(C) in section 1086(d)(3)— 
(i) by redesignating subparagraph (C) 
as subparagraph (D); and 
(ii) by inserting before subparagraph 
(D), as so redesignated, the following new 
subparagraph: 
‘‘(C) Notwithstanding any other provision 
under this section, cost-sharing may not be im-
posed or collected under a plan under sub-
section (a) with respect to a person described in 
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paragraph (2) for screening testing for each of 
HIV, gonorrhea, syphilis, trichomoniasis, and 
chlamydia (and the administration of such 
tests), if such testing (or administration, as ap-
plicable) would be covered under health insur-
ance coverage pursuant to section 2713(a)(1) of 
the Public Health Service Act for an individual 
enrolled under such coverage.’’. 
(3) EFFECTIVE DATE.—The amendments made 
by this subsection shall take effect on January 1 of 
the year following the date of the enactment of this 
Act. 
(f) COVERAGE OF TESTING WITH RESPECT TO VET-
ERANS.— 
(1) COVERAGE.—Chapter 17 of title 38, United 
States Code, is amended by inserting after section 
1720J the following new section (and conforming 
the table of sections at the beginning of such chap-
ter accordingly): 
‘‘§ 1720K. Sexually transmitted infections testing 
‘‘(a) COVERAGE OF SEXUALLY TRANSMITTED INFEC-
TIONS TESTING.—The Secretary shall furnish screening 
testing for each of HIV, gonorrhea, syphilis, trichomo-
niasis, and chlamydia (and the administration of such 
tests), if such testing (or administration, as applicable) 
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would be covered under health insurance coverage pursu-
ant to section 2713(a)(1) of the Public Health Service Act 
for an individual enrolled under such coverage, to an eligi-
ble individual at a medical facility of the Department pur-
suant to this section. 
‘‘(b) ELIGIBILITY.—An individual is eligible for the 
testing described in subsection (a) if the individual is a 
veteran who is enrolled in the system of annual patient 
enrollment established under section 1705(a) of this title. 
‘‘(c) PROHIBITION
ON
COST-SHARING.—Notwith-
standing subsections (f) and (g) of section 1710 and sec-
tion 1722A of this title, the Secretary may not require 
an eligible individual to make any copayment for, or 
charge such individual for any other cost of, the receipt 
of the testing described in subsection (a).’’. 
(2) EFFECTIVE DATE.—The amendments made 
by this subsection shall take effect on January 1 of 
the year following the date of the enactment of this 
Act. 
(g) COVERAGE OF TESTING WITH RESPECT TO INDI-
ANS RECEIVING PURCHASED/REFERRED CARE.— 
(1) COVERAGE.—The Secretary of Health and 
Human Services shall cover, without the imposition 
of any cost sharing requirements, the cost of pro-
viding screening testing (and the administration of 
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such tests) for each of HIV, gonorrhea, syphilis, 
trichomoniasis, and chlamydia, if such testing (or 
administration, as applicable) would be covered 
under health insurance coverage pursuant to section 
2713(a)(1) of the Public Health Service Act for an 
individual enrolled under such coverage, to Indians 
(as defined in section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603)) receiving health 
services through the Indian Health Service, includ-
ing through an Urban Indian Organization, regard-
less of whether such tests have been authorized 
under the purchased/referred care system funded by 
the Indian Health Service or are covered as a health 
service of the Indian Health Service. 
(2) EFFECTIVE
DATE.—This subsection shall 
take effect on the date of the enactment of this Act 
and shall apply to items and services furnished on 
or after the first day of the calendar year beginning 
after such date. 
Æ 
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