; (2) in subparagraph (B), by striking 2017 and inserting the fourth consecutive 12-month period in which the State provides medical assistance to newly eligible individuals ; (3) in subparagraph (C), by striking 2018 and inserting the fifth consecutive 12-month period in which the State provides medical assistance to newly eligible individuals ; (4) in subparagraph (D), by striking 2019 and inserting the sixth consecutive 12-month period in which the State provides medical assistance to newly eligible individuals ; and (5) in subparagraph (E), by striking 2020 and each year thereafter and inserting the seventh consecutive 12-month period in which the State provides medical assistance to newly eligible individuals and each such period thereafter . (b) Effective date The amendments made by subsection (a) shall take effect as if included in the enactment of Public Law 111–148 . 6. Medicaid coverage of comprehensive sexual and reproductive health care services (a) Inclusion of comprehensive sexual and reproductive health care services as medical assistance Section 1905(a) of the Social Security Act ( 42 U.S.C. 1396d(a) ), as amended by section 2(h), is further amended— (1) in paragraph (30), by striking and at the end; (2) by redesignating paragraph (31) as paragraph (32); and (3) by inserting after paragraph (30) the following new paragraph: (31) comprehensive sexual and reproductive health care services, including abortion services and abortion-related services