; and (B) in section 1905(a), in the 4th sentence in the flush matter following the last numbered paragraph of the first sentence of such section, by striking paragraph (30) and inserting the last numbered paragraph . (5) Effective date (A) In general The amendments made by this section shall apply with respect to items and services furnished on or after January 1, 2025. (B) Exemption for State legislation In the case of a State plan under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. ), or waiver of such plan, that the Secretary of Health and Human Services determines requires State legislation in order for the respective plan to meet any requirement imposed by amendments made by this section, the respective plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet such an 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 the session shall be considered to be a separate regular session of the State legislature. (c) CHIP Section 2103(c) of the Social Security Act ( 42 U.S.C. 1397cc(c) ), as amended by section 11405(b)(1) of Public Law 117–169 , is amended by adding at the end the following new paragraph: (13) Coverage of cancer diagnostic and laboratory tests Regardless of the type of coverage elected by a State under subsection (a), beginning January 1, 2025, child health assistance provided under such coverage for targeted low-income children and, in the case that the State elects to provide pregnancy-related assistance under such coverage pursuant to section 2112, such pregnancy-related assistance for targeted low-income pregnant women (as defined in section 2112(d)), shall include coverage of cancer diagnostic and laboratory tests (as defined in section