EARLY AND PERIODIC SCREENING, DIAGNOSTIC, AND TREATMENT SERVICES DEFINED.

SEC. 6403. EARLY AND PERIODIC SCREENING, DIAGNOSTIC, AND TREATMENT SERVICES DEFINED. (a) In General.—Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended by adding at the end the following new subsection: “(r) The term ‘early and periodic screening, diagnostic, and treatment services’ means the following items and services: “(1) Screening services— “(A) which are provided— “(i) at intervals which meet reasonable standards of medical and dental practice, as determined by the State after consultation with recognized medical and dental organizations involved in child health care, and “(ii) at such other intervals, indicated as medically necessary, to determine the existence of certain physical or mental illnesses or conditions; and “(B) which shall at a minimum include— “(i) a comprehensive health and developmental history (including assessment of both physical and mental health development), “(ii) a comprehensive unclothed physical exam, “(iii) appropriate immunizations according to age and health history, “(iv) laboratory tests (including lead blood level assessment appropriate for age and risk factors), and “(v) health education (including anticipatory guidance). “(2) Vision services— “(A) which are provided— “(i) at intervals which meet reasonable standards of medical practice, as determined by the State after consultation with recognized medical organizations involved in child health care, and “(ii) at such other intervals, indicated as medically necessary, to determine the existence of a suspected illness or condition; and “(B) which shall at a minimum include diagnosis and treatment for defects in vision, including eyeglasses. “(3) Dental services— “(A) which are provided— “(i) at intervals which meet reasonable standards of dental practice, as determined by the State after consultation with recognized dental organizations involved in child health care, and “(ii) at such other intervals, indicated as medically necessary, to determine the existence of a suspected illness or condition; and “(B) which shall at a minimum include relief of pain and infections, restoration of teeth, and maintenance of dental health. “(4) Hearing services— 103 STAT. 2263 “(A) which are provided— “(i) at intervals which meet reasonable standards of medical practice, as determined by the State after consultation with recognized medical organizations involved in child health care, and “(ii) at such other intervals, indicated as medically necessary, to determine the existence of a suspected illness or condition; and “(B) which shall at a minimum include diagnosis and treatment for defects in hearing, including hearing aids. “(5) Such other necessary health care, diagnostic services, treatment, and other measures described in section 1905(a) to correct or ameliorate defects and physical and mental illnesses and conditions discovered by the screening services, whether or not such services are covered under the State plan. Nothing in this title shall be construed as limiting providers of early and periodic screening, diagnostic, and treatment services to providers who are qualified to provide all of the items and services described in the previous sentence or as preventing a provider that is qualified under the plan to furnish one or more (but not all) of such items or services from being qualified to provide such items and services as part of early and periodic screening, diagnostic, and treatment services. (b) Report on Provision of EPSDT.—Section 1902(a)(43) of such Act (42 U.S.C. 1396a(a)(43)) is amended— (1) by striking “and” at the end of subparagraph (B), (2) by striking the semicolon at the end of subparagraph (C) and inserting “, and”, and (3) by adding at the end the following new subparagraph: “(D) reporting to the Secretary (in a uniform form and manner established by the Secretary, by age group and by basis of eligibility for medical assistance, and by not later than April 1 after the end of each fiscal year, beginning with fiscal year 1990) the following information relating to early and periodic screening, diagnostic, and treatment services provided under the plan during each fiscal year: “(i) the number of children provided child health screening services, “(ii) the number of children referred for corrective treatment (the need for which is disclosed by such child health screening services), “(iii) the number of children receiving dental services, and “(iv) the State’s results in attaining the participation goals set for the State under section 1905(r);”. (c) Annual Participation Goals.—Section 1905(r) of such Act, as added by subsection (a), is amended by adding at the end the following: “The Secretary shall, not later than July 1, 1990, and every 12 months thereafter, develop and set annual participation goals for each State for participation of individuals who are covered under the State plan under this title in early and periodic screening, diagnostic, and treatment services.”. (d) Conforming Amendments.—(1) Section 1902(a)(43)(A) of such Act (42 U.S.C. 1396a(a)(43)(A)) is amended by striking “and treatment services as described in section 1905(a)(4)(B)” and inserting “and treatment services as described in section 1905(r)”. 103 STAT. 2264 (2) Section 1905(a)(4) of such Act (42 U.S.C. 1396d(a)(4)) is amended by amending clause (B) to read as follows: “(B) early and periodic screening, diagnostic, and treatment services (as defined in subsection (r)) for individuals who are eligible under the plan and are under the age of 21; and”. (e) Effective Date.—The amendments made by this section shall take effect on April 1, 1990, without regard to whether or not final regulations to carry out such amendments have been promulgated by such date.