Title: Preventing Lead Poisoning Act of 2019
Policy area: Health

Summary:
Preventing Lead Poisoning Act of 2019
This bill requires coverage under the Children's Health Insurance Program (CHIP) of lead blood level assessments. Specifically, CHIP must cover a child's assessment once at the age of 12 months and once at the age of 24 months, or once between the ages of 24 months and 72 months if the child has never been assessed. The bill also provides statutory authority for these requirements (regarding testing intervals) for state Medicaid programs.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3842 Introduced in House (IH)]

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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 following 
    bill; which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 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 Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Preventing Lead Poisoning Act of 
2019''.

SEC. 2. REQUIRING A STATE CHILD HEALTH PLAN TO INCLUDE CERTAIN LEAD 
              SCREENING COVERAGE 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 ``paragraphs 
                (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), respectively; and
                            (ii) by inserting after paragraph (7) the 
                        following new paragraph:
            ``(8) Coverage of lead blood level assessments.--
                    ``(A) In general.--The child health assistance 
                provided to a targeted low-income child shall include 
                coverage of lead blood level assessments at the times 
                and in the amounts specified in subparagraph (B).
                    ``(B) Specified times and amounts.--The times and 
                amounts specified in this subparagraph are, with 
                respect to coverage of lead blood level assessments and 
                a targeted low-income 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 assistance provided on or after 
                the date that is 1 year after the date of the enactment 
                of this Act.
                    (B) Exception for state legislation.--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 
                requires State legislation in order for the respective 
                plan (or waiver) to meet any requirement imposed by the 
                amendments made by this section, the respective plan 
                (or waiver) shall not be regarded as failing to comply 
                with the requirements of such title solely on the basis 
                of its failure to meet such an 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 
                enactment of this section. For purposes 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 Security 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 paragraph (6)'' after 
        ``factors''; and
            (2) by inserting after paragraph (5) the following 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;
                    ``(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 performed 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.
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