I 
116TH CONGRESS 
1ST SESSION H. R. 3842 
To amend titles XIX and XXI of the Social Security Act to require a 
State child health plan to include certain lead screening coverage and 
to codify such requirement under the Medicaid program. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 18, 2019 
Mr. KATKO (for himself, Mr. WELCH, Mr. CICILLINE, Mr. MORELLE, Mr. 
FITZPATRICK, Ms. MOORE, and Mr. BALDERSON) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce 
A BILL 
To amend titles XIX and XXI of the Social Security Act 
to require a State child health plan to include certain 
lead screening coverage and to codify such requirement 
under the Medicaid program. 
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 ‘‘Preventing Lead Poi-
soning Act of 2019’’. 
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SEC. 2. REQUIRING A STATE CHILD HEALTH PLAN TO IN-
CLUDE 
CERTAIN 
LEAD 
SCREENING 
COV-
ERAGE FOR CHILDREN; CODIFICATION OF 
REQUIREMENT UNDER MEDICAID. 
(a) CHIP.— 
(1) IN GENERAL.—Section 2103 of the Social 
Security Act (42 U.S.C. 1397cc) is amended— 
(A) in subsection (a), by striking ‘‘para-
graphs (5), (6), (7), and (8)’’ and inserting 
‘‘paragraphs (5) through (9)’’; and 
(B) in subsection (c)— 
(i) by redesignating paragraphs (8) 
and (9) as paragraphs (9) and (10), re-
spectively; and 
(ii) by inserting after paragraph (7) 
the following new paragraph: 
‘‘(8) COVERAGE OF LEAD BLOOD LEVEL AS-
SESSMENTS.— 
‘‘(A) IN GENERAL.—The child health as-
sistance provided to a targeted low-income child 
shall include coverage of lead blood level assess-
ments at the times and in the amounts specified 
in subparagraph (B). 
‘‘(B) SPECIFIED TIMES AND AMOUNTS.— 
The times and amounts specified in this sub-
paragraph are, with respect to coverage of lead 
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blood level assessments and a targeted low-in-
come child, the following: 
‘‘(i) 1 such assessment at the age of 
12 months; 
‘‘(ii) 1 such assessment at the age of 
24 months; and 
‘‘(iii) in the case of such a child with 
no record of any such assessment having 
been performed and who is between the 
ages of 24 months and 72 months, 1 such 
assessment.’’. 
(2) EFFECTIVE DATE.— 
(A) IN GENERAL.—Subject to paragraph 
(2), the amendments made by this section shall 
take effect with respect to child health assist-
ance provided on or after the date that is 1 
year after the date of the enactment of this Act. 
(B) EXCEPTION
FOR
STATE
LEGISLA-
TION.—In the case of a State child health plan 
under title XXI of the Social Security Act (or 
a waiver of such plan), which the Secretary of 
Health and Human Services determines re-
quires State legislation in order for the respec-
tive plan (or waiver) to meet any requirement 
imposed by the amendments made by this sec-
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tion, the respective plan (or waiver) shall not be 
regarded as failing to comply with the require-
ments of such title solely on the basis of its fail-
ure to meet such an additional requirement be-
fore 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 enactment of this section. For pur-
poses of the previous sentence, in the case of a 
State that has a 2-year legislative session, each 
year of the session shall be considered to be a 
separate regular session of the State legislature. 
(b) MEDICAID.—Section 1905(r) of the Social Secu-
rity Act (42 U.S.C. 1396d(r)) is amended— 
(1) in paragraph (1)(B)(iv), by inserting ‘‘and 
at the times and in the amounts specified in para-
graph (6)’’ after ‘‘factors’’; and 
(2) by inserting after paragraph (5) the fol-
lowing new paragraph: 
‘‘(6) The times and amounts specified in this 
paragraph are, with respect to coverage of lead blood 
level assessments and an individual, the following: 
‘‘(A) 1 such assessment at the age of 12 
months; 
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‘‘(B) 1 such assessment at the age of 24 
months; and 
‘‘(C) in the case of such a child with no 
record of any such assessment having been per-
formed and who is between the ages of 24 
months and 72 months, 1 such assessment.’’. 
(c) CLARIFICATION.—None of the amendments made 
by this section may be construed as prohibiting a State 
from providing coverage of lead blood level assessments 
under title XIX or XXI of the Social Security Act at a 
frequency that is greater than the frequency described in 
such amendments or to an individual outside of the ages 
described in such amendments. 
Æ 
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