; (B) in subparagraph (E), by striking ; and at the end and inserting , or ; and (C) by adding at the end the following: (F) routine HIV/AIDS and STI screening services (as such term is defined in section 1905(ee)); and . (2) Limitation on State option for alternative cost sharing Section 1916A(b)(3)(B) of the Social Security Act ( 42 U.S.C. 1396o–1(b)(3)(B) ) is amended by adding at the end the following: (xi) Routine HIV/AIDS and STI screening services (as such term is defined in section 1905(ee)). . (d) Effective date (1) In general Except as provided by paragraph (2) , the amendments made by this section shall take effect on the date of the enactment of this section and shall apply to services furnished on or after such date. (2) Rules for changes requiring State legislation In the case of a State plan for medical assistance under title XIX of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation appropriating funds) in order for the plan to meet the additional requirement imposed by the amendments made by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet this 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 the enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature. 102. Coverage of HIV/AIDS and STI screening tests under Medicare Section 1861 of the Social Security Act is amended— (1) in subsection (s)— (A) by striking and at the end of paragraph (14); (B) by striking the period at the end of paragraph (15) and inserting ; and ; (C) by redesignating paragraphs (16) and (17) as paragraphs (17) and (18), respectively