; (2) by redesignating paragraph (30) as paragraph (31); and (3) by inserting after paragraph (29) the following new paragraph: (30) items and services furnished in connection with participation in a qualifying Valley fever clinical trial (as defined in section 2709A(b)(4) of the Public Health Service Act), including travel and incidental expenses, regardless of whether such items and services are furnished by a participating provider under the Medicaid program (other than a provider excluded from participation in such program under section 1128) or whether such items and services are furnished in another State; and . (b) Reduction in FMAP for States that do not provide coverage Section 1905 of the Social Security Act ( 42 U.S.C. 1396d ) is amended— (1) in subsection (b), by striking and (ff) and inserting (ff), and (gg) ; and (2) by adding at the end the following new subsection: (gg) Reduction in FMAP for States that do not provide coverage for certain items and services With respect to a calendar quarter beginning on or after January 1, 2021, the Federal medical assistance percentage otherwise determined under subsection (b) for a State that does not provide coverage for items and services described in subsection (a)(30) that are furnished during such quarter shall be reduced by 5 percentage points. . (c) Ensuring access for Medicaid expansion population Section 1937(b)(5) of such Act is amended by inserting before the period at the end the following: , and beginning January 1, 2021, coverage of items and services described in section 1905(a)(30) . (d) Prohibition on imposition of costsharing requirements Title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.) is amended— (1) in section 1916(a)(2)— (A) in subparagraph (D), by striking or at the end; (B) in subparagraph (E), by striking ; and at the end and inserting , or ; and (C) by adding at the end the following new subparagraph: (F) items and services described in section 1905(a)(30); and