The bill mandates the inclusion of screening for childhood-onset fluency disorders, including stuttering, in core child health quality measures by January 1, 2028, for children aged 2 to 6. It further requires that Medicaid well-child visits, starting January 1, 2029, include screening for these same conditions within the same age group. These provisions aim to ensure early identification of fluency disorders in young children covered by federal health programs. Beginning January 1, 2029, the legislation requires Medicaid and CHIP to cover "specified speech therapy services" for childhood-onset fluency disorders, including stuttering, for individuals under 21 and certain other eligible beneficiaries. These covered services explicitly include those delivered through real-time audio and video telecommunications technology. A key aspect is the requirement that treatment limitations for these services be no more restrictive than those for other speech therapy services, ensuring parity in coverage across various speech-related conditions and extending this to managed care and benchmark plans.