; (B) an institution of higher education (as defined in section 101 of the Higher Education Act of 1965 ( 20 U.S.C. 1001 )), including a medical school or continuing medical education program at such institution; (C) an entity operating a graduate medical residency training program under section 340E or under section 340H; or (D) a teaching hospital (as defined in section 415.152 of title 42, Code of Federal Regulations) that has physicians and other medical providers with specialized knowledge in diagnosing and treating Valley fever. (2) The term Valley fever means the condition caused by Coccidioidomycosis. . 3. Study comparing different case definitions used to identify valley fever (a) In general The Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention shall conduct a study comparing different case definitions used to identify valley fever. Such study shall include the efficacy of the methods being used to establish such case definitions and the cost effectiveness of such methods, including using the case definition for valley fever established by the Council of State and Territorial Epidemiologist. (b) Valley fever defined In this Act, the term Valley fever has the meaning given the term in section 399V–7 of the Public Health Service Act. 4. Allowing States to provide coverage under the Medicaid program for items and services furnished in connection with qualifying Valley fever clinical trials (a) In general Section 1905(a) of the Social Security Act ( 42 U.S.C. 1396d(a) ) is amended— (1) in paragraph (29), by striking and at the end; (2) by redesignating paragraph (30) as paragraph (31)