Title I, SEC. 1114. CLINICAL PREVENTIVE SERVICES. 
      (a) Coverage. The clinical preventive services described in this section 
    are 

        (1) an item or service for high risk populations (as defined by the 
      National Health Board) that is specified and defined by the Board under 
      section 1153, but only when the item or service is provided consistent 
      with any periodicity schedule for the item or service promulgated by the 
      Board; 

        (2) except as modified by the National Health Board under section 1153, 
      an age-appropriate immunization, test, or clinician visit specified in 
      one of subsections (b) through (h) that is provided consistent with any 
      periodicity schedule for the item or service specified in the applicable 
      subsection or by the National Health Board under section 1153; and 

        (3) an immunization, test, or clinician visit that is provided to an 
      individual during an age range other than the age range for such 
      immunization, test, or clinician visit that is specified in one of 
      subsections (b) through (h), but only when provided consistent with any 
      requirements for such immunizations, tests, and clinician visits 
      established by the National Health Board under section 1153. 

      (b) Individuals Under 3. For an individual under 3 years of age: 

        (1) Immunizations. The immunizations specified in this subsection are 
      age-appropriate immunizations for the following illnesses: 

          (A) Diphtheria. 

          (B) Tetanus. 

          (C) Pertussis. 

          (D) Polio. 

          (E) Haemophilus influenzae type B. 

          (F) Measles. 

          (G) Mumps. 

          (H) Rubella. 

          (I) Hepatitis B. 

        (2) Tests. The tests specified in this subsection are as follows: 

          (A) 1 hematocrit. 

          (B) 2 blood tests to screen for blood lead levels for individuals who 
        are at risk for lead exposure. 

        (3) Clinician visits. The clinician visits specified in this subsection 
      are 1 clinician visit for an individual who is newborn and 7 other 
      clinician visits. 

      (c) Individuals Age 3 to 5. For an individual at least 3 years of age, 
    but less than 6 years of age: 

        (1) Immunizations. The immunizations specified in this subsection are 
      age-appropriate immunizations for the following illnesses: 

          (A) Diphtheria. 

          (B) Tetanus. 

          (C) Pertussis. 

          (D) Polio. 

          (E) Measles. 

          (F) Mumps. 

          (G) Rubella. 

        (2) Tests. The tests specified in this subsection are 1 urinalysis. 

        (3) Clinician visits. The clinician visits specified in this subsection 
      are 3 clinician visits. 

      (d) Individuals Age 6 to 19. For an individual at least 6 years of age, 
    but less than 20 years of age: 

        (1) Immunizations. The immunizations specified in this subsection are 
      age-appropriate immunizations for the following illnesses: 

          (A) Tetanus. 

          (B) Diphtheria. 

        (2) Tests. The tests specified in this subsection are as follows: 

          (A) Papanicolaou smears and pelvic exams for females who have reached 
        childbearing age and are at risk for cervical cancer every 3 years, but 

            (i) annually until 3 consecutive negative smears have been 
          obtained; and 

            (ii) annually for females who are at risk for fertility related 
          infectious illnesses. 

          (B) Annual screening for chlamydia and gonorrhea for females who have 
        reached childbearing age and are at risk for fertility related 
        infectious illnesses. 

        (3) Clinician visits. The clinician visits specified in this subsection 
      are 5 clinician visits. 

      (e) Individuals Age 20 to 39. For an individual at least 20 years of age, 
    but less than 40 years of age: 

        (1) Immunizations. The immunizations specified in this subsection are 
      booster immunizations against tetanus and diphtheria every 10 years. 

        (2) Tests. The tests specified in this subsection are as follows: 

          (A) Papanicolaou smears and pelvic exams for females every 3 years, 
        but 

            (i) annually if an abnormal smear has been obtained, until 3 
          consecutive negative smears have been obtained; and 

            (ii) annually for females who are at risk for fertility related 
          infectious illnesses. 

          (B) Annual screening for chlamydia and gonorrhea for females who are 
        at risk for fertility related infectious illnesses. 

          (C) Cholesterol every 5 years. 

        (3) Clinician visits. The clinician visits specified in this subsection 
      are 1 clinician visit every 3 years. 

      (f) Individuals Age 40 to 49. For an individual at least 40 years of age, 
    but less than 50 years of age: 

        (1) Immunizations. The immunizations specified in this subsection are 
      booster immunizations against tetanus and diphtheria every 10 years. 

        (2) Tests. The tests specified in this subsection are as follows: 

          (A) Papanicolaou smears and pelvic exams for females every 2 years, 
        but 

            (i) annually if an abnormal smear has been obtained, until 3 
          consecutive negative smears have been obtained; and 

            (ii) annually for females who are at risk for fertility related 
          infectious illnesses. 

          (B) Annual screening for chlamydia and gonorrhea for females who are 
        at risk for fertility related infectious illnesses. 

          (C) Cholesterol every 5 years. 

        (3) Clinician visits. The clinician visits specified in this subsection 
      are 1 clinician visit every 2 years. 

      (g) Individuals Age 50 to 65. For an individual at least 50 years of age, 
    but less than 65 years of age: 

        (1) Immunizations. The immunizations specified in this subsection are 
      booster immunizations against tetanus and diphtheria every 10 years. 

        (2) Tests. The tests specified in this subsection are as follows: 

          (A) Papanicolaou smears and pelvic exams for females every 2 years. 

          (B) Mammograms for females every 2 years. 

          (C) Cholesterol every 5 years. 

        (3) Clinician visits. The clinician visits specified in this subsection 
      are 1 clinician visit every 2 years. 

      (h) Individuals Age 65 or Older. For an individual at least 65 years of 
    age who is enrolled under a health plan: 

        (1) Immunizations. The immunizations specified in this subsection are 
      as follows: 

          (A) Booster immunizations against tetanus and diphtheria every 10 
        years. 

          (B) Age-appropriate immunizations for the following illnesses: 

      (i) Influenza. 

            (ii) Pneumococcal invasive disease. 

        (2) Tests. The tests specified in this subsection are as follows: 

          (A) Papanicolaou smears and pelvic exams for females who are at risk 
        for cervical cancer every 2 years. 

          (B) Mammograms for females every 2 years. 

          (C) Cholesterol every 5 years. 

        (3) Clinician visits. The clinician visits specified in this subsection 
      are 1 clinician visit every year. 

            (i) Clinician Visit. For purposes of this section, the term 
          ``clinician visit'' includes the following health professional 
          services (as defined in section 1112(c)): 

        (1) A complete medical history. 

        (2) An appropriate physical examination. 

        (3) Risk assessment. 

        (4) Targeted health advice and counseling, including nutrition 
      counseling. 

        (5) The administration of age-appropriate immunizations and tests 
      specified in subsections (b) through (h). 

      (j) Immunizations and Tests Not Administered During Clinician Visit. 
    Notwithstanding subsection (i)(5), the clinical preventive services 
    described in this section include an immunization or test described in this 
    section that is administered to an individual consistent with any 
    periodicity schedule for the immunization or test during the age range 
    specified for the immunization or test, and any administration fee for such 
    immunization or test, even if the immunization or test is not administered 
    during a clinician visit.