119-hr1509

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1509 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 1509

 To amend titles XIX and XXI of the Social Security Act to streamline 
 the enrollment process for eligible out-of-state providers under 
 Medicaid and CHIP.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 February 21, 2025

 Mrs. Trahan (for herself and Mrs. Miller-Meeks) introduced the 
 following bill; which was referred to the Committee on Energy and 
 Commerce

_______________________________________________________________________

 A BILL

 To amend titles XIX and XXI of the Social Security Act to streamline 
 the enrollment process for eligible out-of-state providers under 
 Medicaid and CHIP.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Accelerating Kids' Access to Care 
Act of 2025''.

SEC. 2. STREAMLINED ENROLLMENT PROCESS FOR ELIGIBLE OUT-OF-STATE 
 PROVIDERS UNDER MEDICAID AND CHIP.

    (a) In General.--

Section 1902

    (kk) of the Social Security Act (42 
U.S.C. 1396a

    (kk) ) is amended by adding at the end the following new 
paragraph:
 ``

    (10) Streamlined enrollment process for eligible out-of-
 state providers.--
 ``
        (A) In general.--The State--
 ``
            (i) adopts and implements a process to 
 allow an eligible out-of-State provider to 
 enroll under the State plan (or a waiver of 
 such plan) to furnish items and services to, or 
 order, prescribe, refer, or certify eligibility 
 for items and services for, qualifying 
 individuals without the imposition of screening 
 or enrollment requirements by such State that 
 exceed the minimum necessary for such State to 
 provide payment to an eligible out-of-State 
 provider under such State plan (or a waiver of 
 such plan), such as the provider's name and 
 National Provider Identifier (and such other 
 information specified by the Secretary); and
 ``
            (ii) provides that an eligible out-of-
 State provider that enrolls as a participating 
 provider in the State plan (or a waiver of such 
 plan) through such process shall be so enrolled 
 for a 5-year period, unless the provider is 
 terminated or excluded from participation 
 during such period.
 ``
        (B) === Definitions. ===
-In this paragraph:
 ``
            (i) Eligible out-of-state provider.--The 
 term `eligible out-of-State provider' means, 
 with respect to a State, a provider--
 ``
            (I) that is located in any other 
 State;
 ``
            (II) that--
 ``

    (aa) was determined by 
 the Secretary to have a limited 
 risk of fraud, waste, and abuse 
 for purposes of determining the 
 level of screening to be 
 conducted under 

section 1866

    (j)

    (2) , has been so 
 screened under such 

section 1866

    (j)

    (2) , and is enrolled in 
 the Medicare program under 
 title XVIII; or
 ``

    (bb) was determined by 
 the State agency administering 
 or supervising the 
 administration of the State 
 plan (or a waiver of such plan) 
 of such other State to have a 
 limited risk of fraud, waste, 
 and abuse for purposes of 
 determining the level of 
 screening to be conducted under 
 paragraph

    (1) of this 
 subsection, has been so 
 screened under such paragraph

    (1) , and is enrolled under such 
 State plan (or a waiver of such 
 plan); and
 ``
            (III) that has not been--
 ``

    (aa) excluded from 
 participation in any Federal 
 health care program pursuant to 
 

section 1128 or 1128A;
 ``

    (bb) excluded from 
 participation in the State plan 
 (or a waiver of such plan) 
 pursuant to part 1002 of title 
 42, Code of Federal Regulations 
 (or any successor regulation), 
 or State law; or
 ``
            (cc) terminated from 
 participating in a Federal 
 health care program or the 
 State plan (or a waiver of such 
 plan) for a reason described in 
 paragraph

    (8)
        (A) .
 ``
            (ii) Qualifying individual.--The term 
 `qualifying individual' means an individual 
 under 21 years of age who is enrolled under the 
 State plan (or waiver of such plan).
 ``
            (iii) State.--The term `State' means 1 of 
 the 50 States or the District of Columbia.''.

    (b) Conforming Amendments.--

    (1) Section 1902

    (a)

    (77) of the Social Security Act (42 
 U.S.C. 1396a

    (a)

    (77) ) is amended by inserting ``enrollment,'' 
 after ``screening,''.

    (2) The subsection heading for 

section 1902

    (kk) of such Act 
 (42 U.S.C. 1396a

    (kk) ) is amended by inserting ``enrollment,'' 
 after ``screening,''.

    (3) Section 2107

    (e)

    (1)
        (G) of such Act (42 U.S.C. 
 1397gg

    (e)

    (1)
        (G) ) is amended by inserting ``enrollment,'' after 
 ``screening,''.
            (c) Effective Date.--The amendments made by this section shall take 
effect on the date that is 3 years after the date of enactment of this 
Act.
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