; and (B) by striking the item relating to section 1099 and inserting the following new item: 1099. Health care enrollment system and payment options. . (c) Effective date The amendments made by this section shall apply to health care coverage beginning on or after January 1, 2021. 703. Lead level screening and testing for children (a) Comprehensive screening, testing, and reporting guidelines (1) In general The Secretary of Defense shall establish clinical practice guidelines for health care providers employed by the Department of Defense on screening, testing and reporting of blood lead levels in children. (2) Use of CDC recommendations Guidelines established under paragraph (1) shall reflect recommendations made by the Centers for Disease Control and Prevention with respect to the screening, testing, and reporting of blood lead levels in children. (3) Dissemination of guidelines Not later than one year after the date of the enactment of this Act, the Secretary shall disseminate the clinical practice guidelines established under paragraph (1) to health care providers of the Department of Defense. (b) Care provided in accordance with CDC guidance The Secretary shall ensure that any care provided by the Department of Defense to a child for lead poisoning shall be carried out in accordance with applicable guidance issued by the Centers for Disease Control and Prevention. (c) Sharing of results of testing (1) In general With respect to a child who receives from the Department of Defense a test for lead poisoning— (A) the Secretary shall provide the results of the test to the parent or guardian of the child; and (B) notwithstanding any requirements for the confidentiality of health information under the Health Insurance Portability and Accountability Act of 1996 ( Public Law 104–191 ), the Secretary shall provide the results of the test and the address at which the child resides to— (i) the relevant health department of the State in which the child resides if the child resides in the United States