I 
116TH CONGRESS 
1ST SESSION H. R. 2254 
To amend titles 10 and 37, United States Code, to ensure that children 
covered by the TRICARE program are screened and tested for lead 
levels, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 10, 2019 
Mr. KILDEE (for himself and Ms. SPEIER) introduced the following bill; which 
was referred to the Committee on Armed Services 
A BILL 
To amend titles 10 and 37, United States Code, to ensure 
that children covered by the TRICARE program are 
screened and tested for lead levels, and for other pur-
poses. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. LEAD LEVEL SCREENINGS AND TESTINGS FOR 
CHILDREN. 
(a) TRICARE.— 
(1) WELL-BABY CARE.—Section 1077 of title 
10, United States Code, is amended by adding at 
the end the following new subsection: 
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‘‘(i)(1) Beginning January 1, 2019, in furnishing 
well-baby care under subsection (a)(8), the Secretary shall 
ensure that such care includes the following: 
‘‘(A) With respect to a child who lives in hous-
ing built before 1978 at any time during the first 24 
months of the life of the child— 
‘‘(i) the first testing of the child for the 
level of lead in the blood of the child at approxi-
mately the age of 12 months; and 
‘‘(ii) the second such test at approximately 
the age of 24 months. 
‘‘(B) With respect to a child not covered by 
subparagraph (A) whose parent or guardian, at any 
time during the first 24 months of the life of the 
child, has a military occupational specialty that the 
Secretary determines poses an elevated risk of lead 
exposure— 
‘‘(i) the first testing of the child for the 
level of lead in the blood of the child at approxi-
mately the age of 12 months; and 
‘‘(ii) the second such test at approximately 
the age of 24 months. 
‘‘(C) With respect to a child not covered by 
subparagraph (A) or (B)— 
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‘‘(i) the first screening of the child for an 
elevated risk of lead exposure at approximately 
the age of 12 months; and 
‘‘(ii) the second such screening at approxi-
mately the age of 24 months. 
‘‘(D) With respect to a child covered by sub-
paragraph (C) whose screening indicates an elevated 
risk of lead exposure, testing of the child for the 
level of lead in the blood of the child. 
‘‘(2) The Secretary shall ensure that any care pro-
vided to a child pursuant to this chapter for lead poisoning 
shall be carried out in accordance with applicable advice 
from the Centers for Disease Control and Prevention. 
‘‘(3)(A) With respect to a child who receives a test 
under paragraph (1), the Secretary shall provide the re-
sults of the test to the parent or guardian of the child. 
‘‘(B) With respect to a child who receives a test under 
paragraph (1), the Secretary shall provide the results of 
the test and the address at which the child resides to— 
‘‘(i) the relevant health department of the State 
in which the child resides if the child resides in the 
United States; or 
‘‘(ii) the Centers for Disease Control and Pre-
vention if the child resides outside the United 
States. 
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‘‘(C) In providing information regarding a child to 
a State or the Centers for Disease Control and Prevention 
under subparagraph (B), the Secretary may not provide 
any identifying information or health information of the 
child that is not specifically authorized in such subpara-
graph. 
‘‘(D) In this paragraph, the term ‘State’ means each 
of the several States, the District of Columbia, the Com-
monwealth of Puerto Rico, and any territory or possession 
of the United States.’’. 
(2) 
CONFORMING
AMENDMENT.—Subsection 
(a)(8) of such section is amended by striking ‘‘in-
cluding well-baby care that includes one screening of 
an infant for the level of lead in the blood of the in-
fant’’ and inserting ‘‘including, in accordance with 
subsection (i), well-baby care that includes screen-
ings and testings for lead exposure and lead poi-
soning’’. 
(3) STUDY.—Not later than January 1, 2020, 
the Secretary of Defense shall submit to the con-
gressional defense committees (as defined by section 
101(a)(16) of title 10, United States Code) a report 
detailing the following: 
(A) The number of children who were test-
ed for the level of lead in the blood of the child 
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a report on the effectiveness of screening, testing, 
and treating children for lead exposure and lead poi-
soning pursuant to chapter 55 of title 10, United 
States Code. 
(b) NOTIFICATION
OF HOUSING.—Section 403 of 
title 37, United States Code, is amended by adding at the 
end the following new subsection: 
‘‘(p) RECORDS REGARDING HOUSING
AND LEAD- 
BASED PAINT.—(1) The Secretary concerned shall keep 
a record of whether the following housing was built before, 
during, or after 1978: 
‘‘(A) Quarters of the United States under the 
jurisdiction of that Secretary concerned. 
‘‘(B) A housing facility under the jurisdiction of 
that Secretary concerned. 
‘‘(C) Other housing in which a member of the 
uniformed service of that Secretary concerned re-
sides. 
‘‘(2) As a condition of receipt of a basic allowance 
for housing under this section, a member of the uniformed 
services shall notify the Secretary concerned whether the 
housing in which that member resides was built before, 
during, or after 1978.’’. 
Æ 
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