,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #eijj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #ac1         
#bjbj,mr4 ,k5n$y 7= himself1 ,ms4 ,h]r]a
 ,beutl]1 & ,mr4 ,lujn7 introduc$ !     
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to am5d title ,,xix ( ! ,social
 ,security ,act to /reaml9e enrollm5t "u
 ! ,m$icaid program ( c]ta9 provid]s    
across ,/ate l9es1 & = o!r purposes4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,accel]at+ ,kids' ,access to ,c>e     
,act4  #b4 ,/reaml9$ enrollm5t process =
 eligible out-(-,/ate provid]s "u !     
,m$icaid program  7a7 ,9 g5]al ,section 
#aijb7kk7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acif;a7kk77 is am5d$ by 
add+ at ! end ! foll[+ new p>agraph3    
7#aj7 ,/reaml9$ enrollm5t process =     
eligible out-(-,/ate provid]s  7,a7 ,9  
g5]al ,! ,/ate adopts & implem5ts a     
process t enables an eligible           
out-(-,/ate provid] to enroll z a       
provid] 9 ! ,/ate plan )\t ! imposition 

( additional scre5+ requirem5ts by !    
,/ate4 ,an eligible out-(-,/ate provid] 
t enrolls 9 ! ,/ate plan ?r\gh su*      
process %all be s enroll$ = a #e-ye>    
p]iod & may revalidate su* enrollm5t    
?r\gh su* process = subsequ5t #e-ye>    
p]iods4  7,b7 ,def9itions ,9 ?is        
p>agraph3 7i7 ,eligible out-(-,/ate     
provid] ,! t]m eligible out-(-,/ate     
provid] means1 ) respect to a ,/ate1 a  
provid]-- 7,i7 t furni%es to qualify+   
individuals any item or s]vice = :i*    
paym5t is available "u ! ,/ate plan ( ! 
,/ate2  7,,ii7 t is locat$ 9 any o!r    
,/ate2  7,,iii7 ) respect to :i* !      
,secret>y has det]m9$ !re is a limit$   
risk ( fraud1 wa/e1 or abuse = purposes 
( det]m9+ ! level ( scre5+ to be        
conduct$ "u section #ahff7;j77#b77;,b72 
7,,iv7 t has be5 scre5$ "u su* section  
#ahff7;j77#b77;,b7 = purposes ( enroll+ 
9 ! ,m$ic>e program "u title ,,xviii or 
! ,/ate plan ( ! ,/ate 9 :i* su* provid]
 is locat$2 &  7,v7 t has n be5 exclud$ 
f p>ticipation 9 ! ,m$ic>e program "u   

su* title or ! ,m$icaid program "u ?is  
title4  7ii7 ,qualify+ individual ,! t]m
 qualify+ individual means1 ) respect to
 an eligible out-(-,/ate provid]-- 7,i7 
an individual "u #ah ye>s ( age to :om !
 provid] furni%es items & s]vices = !   
treatm5t ( a condition2 &  7,,ii7 an    
individual #ah ye>s ( age or old] to :om
 ! provid] furni%es items & s]vices = ! 
treatm5t ( a condition t onset be=e su* 
individual atta9$ #ah ye>s ( age4  4    
7b7 ,con=m+ am5dm5ts  7#a7 ,section     
#aijb7;a77#gg7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acif;a7a77#gg77 is 
am5d$ by ins]t+ enrollm5t1 aft] scre5+14
  7#b7 ,section #aijb7kk7 ( su* ,act    
7#db ,u4,s4,c4 #acif;a7kk771 z am5d$ by 
subsection 7a71 is fur!r am5d$-- 7,a7 9 
! subsection head+1 by ins]t+           
,enrollm5t1 aft] ,scre5+12 &  7,b7 9    
p>agraph 7#i71 by /rik+ ,no?+ & ins]t+  
,except z provid$ 9 p>agraph 7#aj71     
no?+4  7#c7 ,section #bajg7;e77#a77;,g7 
( su* ,act 7#db ,u4,s4,c4               
#acig;gg7e77#a77;,g77 is am5d$ by ins]t+

 enrollm5t1 aft] scre5+14  7c7          
,effective date  7#a7 ,9 g5]al ,except z
 provid$ 9 p>agraph 7#b71 ! am5dm5ts    
made by ?is section take effect on      
,janu>y #a1 #bjba4  7#b7 ,exception =   
,/ate legislation ,9 ! case ( a ,/ate   
plan "u title ,,xix ( ! ,social         
,security ,act 7#db ,u4,s4,c4 #acif et  
seq47 or a ,/ate *ild heal? plan "u     
title ,,xxi ( su* ,act 7#db ,u4,s4,c4   
#acig;aa et seq47 :i* ! ,secret>y (     
,heal? & ,human ,s]vices det]m9es       
requires ,/ate legislation 7o!r ?an     
legislation appropriat+ funds7 9 ord] = 
! plan to meet ! additional requirem5ts 
impos$ by ! am5dm5ts made by ?is        
section1 su* ,/ate plan or ,/ate *ild   
heal? plan %all n be reg>d$ z fail+ to  
comply ) ! requirem5ts ( su* title ,,xix
 or title ,,xxi1 respectively1 solely on
 ! basis ( its failure to meet ^!       
additional requirem5ts be=e ! fir/ day (
 ! fir/ cal5d> qu>t] beg9n+ aft] ! close
 ( ! fir/ regul> session ( ! ,/ate      
legislature t beg9s aft] ! date ( !     

enactm5t ( ?is ,act4 ,= purposes ( !    
previ\s s5t5ce1 9 ! case ( a ,/ate t has
 a #b-ye> legislative session1 ea* ye> (
 su* session %all be deem$ to be a      
sep>ate regul> session ( ! ,/ate        
legislature4