,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #eijj  ,,in ,,the ,,house ,,of  
,,representatives  ,february #ac1       
#bjbj,mr4 ,kennedy 7for himself1 ,ms4   
,herrera ,beutler1 and ,mr4 ,lujn7      
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,a ,,bill  ,to amend     
title ,,xix of the ,social ,security    
,act to streamline enrollment under the 
,medicaid program of certain providers  
across ,state lines1 and for other      
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,accelerating ,kids'
 ,access to ,care ,act4  #b4            
,streamlined enrollment process for     
eligible out-of-,state providers under  
the ,medicaid program  7a7 ,in general  
,section #aijb7kk7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acif;a7kk77 is amended by adding at the
 end the following new paragraph3  7#aj7
 ,streamlined enrollment process for    
eligible out-of-,state providers  7,a7  
,in general ,the ,state adopts and      

implements a process that enables an    
eligible out-of-,state provider to      
enroll as a provider in the ,state plan 
without the imposition of additional    
screening requirements by the ,state4   
,an eligible out-of-,state provider that
 enrolls in the ,state plan through such
 process shall be so enrolled for a     
#e-year period and may revalidate such  
enrollment through such process for     
subsequent #e-year periods4  7,b7       
,definitions ,in this paragraph3 7i7    
,eligible out-of-,state provider ,the   
term eligible out-of-,state provider    
means1 with respect to a ,state1 a      
provider-- 7,i7 that furnishes to       
qualifying individuals any item or      
service for which payment is available  
under the ,state plan of the ,state2    
7,,ii7 that is located in any other     
,state2  7,,iii7 with respect to which  
the ,secretary has determined there is a
 limited risk of fraud1 waste1 or abuse 
for purposes of determining the level of
 screening to be conducted under section

 #ahff7;j77#b77;,b72  7,,iv7 that has   
been screened under such section        
#ahff7;j77#b77;,b7 for purposes of      
enrolling in the ,medicare program under
 title ,,xviii or the ,state plan of the
 ,state in which such provider is       
located2 and  7,v7 that has not been    
excluded from participation in the      
,medicare program under such title or   
the ,medicaid program under this title4 
7ii7 ,qualifying individual ,the term   
qualifying individual means1 with       
respect to an eligible out-of-,state    
provider-- 7,i7 an individual under #ah 
years of age to whom the provider       
furnishes items and services for the    
treatment of a condition2 and  7,,ii7 an
 individual #ah years of age or older to
 whom the provider furnishes items and  
services for the treatment of a         
condition that onset before such        
individual attained #ah years of age4  4
  7b7 ,conforming amendments  7#a7      
,section #aijb7;a77#gg7 of the ,social  
,security ,act 7#db ,u4,s4,c4           

#acif;a7a77#gg77 is amended by inserting
 enrollment1 after screening14  7#b7    
,section #aijb7kk7 of such ,act 7#db    
,u4,s4,c4 #acif;a7kk771 as amended by   
subsection 7a71 is further amended--    
7,a7 in the subsection heading1 by      
inserting ,enrollment1 after            
,screening12 and  7,b7 in paragraph     
7#i71 by striking ,nothing and inserting
 ,except as provided in paragraph 7#aj71
 nothing4  7#c7 ,section                
#bajg7;e77#a77;,g7 of such ,act 7#db    
,u4,s4,c4 #acig;gg7e77#a77;,g77 is      
amended by inserting enrollment1 after  
screening14  7c7 ,effective date  7#a7  
,in general ,except as provided in      
paragraph 7#b71 the amendments made by  
this section take effect on ,january #a1
 #bjba4  7#b7 ,exception for ,state     
legislation ,in the case of a ,state    
plan under title ,,xix of the ,social   
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 or a ,state child health plan     
under title ,,xxi of such ,act 7#db     
,u4,s4,c4 #acig;aa et seq47 which the   

,secretary of ,health and ,human        
,services determines requires ,state    
legislation 7other than legislation     
appropriating funds7 in order for the   
plan to meet the additional requirements
 imposed by the amendments made by this 
section1 such ,state plan or ,state     
child health plan shall not be regarded 
as failing to comply with the           
requirements of such title ,,xix or     
title ,,xxi1 respectively1 solely on the
 basis of its failure to meet these     
additional requirements 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 ,act4 ,for     
purposes of the previous sentence1 in   
the case of a ,state that has a #b-year 
legislative session1 each year of such  
session shall be deemed to be a separate
 regular session of the ,state          
legislature4