(A) by redesignating paragraph (7) as 
paragraph (8); and 
(B) by inserting after paragraph (6) the 
following new paragraph: 
‘‘(7) an amount equal to 90 percent of the 
sums expended during such quarter which are at-
tributable to the costs of providing routine HIV 
screening services (as defined in subsection (aa)(1)) 
if the conditions described in subsection (aa)(2) are 
met; plus’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(aa) ROUTINE HIV SCREENING SERVICES.— 
‘‘(1) IN GENERAL.—For purposes of this sec-
tion, the term ‘routine HIV screening services’ 
means the following: 
‘‘(A) An HIV screening test (and, if such 
test is positive, a confirmatory HIV test), in-
cluding the interpretation of such tests, that is 
provided as part of medical care in any health 
care setting (other than an inpatient hospital 
setting) for an individual who— 
‘‘(i) is at least 13, but not more than 
64, years of age; 
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‘‘(ii) is not known to the health care 
provider (directly, through information 
provided by the individual, or through ac-
cess to an electronic medical record) pre-
viously ever to have had a positive test for 
HIV or, subject to paragraph (3), within 
the previous 6 months to have had any test 
for HIV; and 
‘‘(iii) has been informed that such a 
test will be administered and has not ob-
jected to such a test. 
‘‘(B) Informing an individual so tested of 
the results of the tests at the time of such ex-
amination. 
‘‘(C) In the case of such an individual who 
tests positive for HIV on the screening and con-
firmatory tests, post-test counseling concerning 
HIV at the time, and as part of, such examina-
tion. 
‘‘(2) CONDITIONS.—For purposes of subsection 
(a)(7), the conditions of this paragraph, with respect 
to routine HIV screening services, are that— 
‘‘(A) the payment amount for such services 
under this title is reasonable and closely ap-
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proximates the payment amount for such serv-
ices under part B of title XVIII; 
‘‘(B) no cost-sharing is imposed under this 
title for the provision of such services; and 
‘‘(C) in the case of a State for which a po-
litical subdivision is required to contribute to-
wards the non-Federal share of expenditures for 
routine HIV screening services, the increase in 
the Federal share applicable under subsection 
(a)(5) to such services is first applied to reduce 
the contribution (but not below zero) required 
by such political subdivision. 
‘‘(3) EXCEPTION.—The limitation under para-
graph (1)(A)(ii) with respect to having a test for 
HIV within the previous 6 months shall not apply to 
an individual if the individual indicates that, because 
of the individual’s possible exposure to HIV during 
the intervening period, the individual is at increased 
risk of acquiring HIV since such previous test.’’. 
(b) CONFORMING AMENDMENTS.— 
(1) Subparagraphs (E) and (F) of section 
1919(h)(2) of such Act (42 U.S.C. 1396r(h)(2)) are 
each amended by striking ‘‘1903(a)(7)’’ and insert-
ing ‘‘1903(a)(8)’’. 
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(2) Paragraphs (1) and (2) of section 1931(h) 
of such Act (42 U.S.C. 1396u–1(h)) are each 
amended by striking ‘‘1903(a)(7)’’ and inserting 
‘‘1903(a)(8)’’. 
(3) Section 1938(d)(4) of such Act (42 U.S.C. 
1396u–8(d)(4)) 
is 
amended 
by 
striking 
‘‘1903(a)(7)’’ and inserting ‘‘1903(a)(8)’’. 
(4) Section 1940(j) of such Act (42 U.S.C. 
1396w(j)) is amended by striking ‘‘paragraph (7)’’ 
and inserting ‘‘paragraph (8)’’. 
(c) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply to services furnished on or after 
the date of the enactment of this Act. 
(d) REPORT.—Not later 2 years after the date of the 
enactment of this Act, the Secretary of Health and 
Human Services shall submit a report to Congress on bar-
riers that exist for Medicaid beneficiaries to access routine 
HIV screening services (as defined in section 1903(aa) of 
the Social Security Act, as added by subsection (a)(2)). 
Such report shall include recommendations on how to re-
duce such barriers to access such services. 
Æ 
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