,,ii  #aafth ,,congress  #b;d ,session  
,s4 #dgag  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #bd1
 #bjbj,mr4 ,grassley 7for himself1 ,mr4 
,bennet1 ,mr4 ,portman1 ,mr4 ,brown1    
,mr4 ,hawley1 and ,mrs4 ,murray7        
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,finance  ,a ,,bill  ,to  
amend title ,,xix of the ,social        
,security ,act to streamline enrollment 
of certain ,medicaid 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 screening 
and enrollment process for eligible     
out-of-,state ,medicaid providers  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 screening and enrollment  
process for eligible out-of-,state      
providers  7,a7 ,in general ,subject to 

subsection 7a77#fe71 the ,state adopts a
 streamlined screening and enrollment   
process for eligible out-of-,state      
providers4  7,b7 ,streamlined screening 
and enrollment process ,for purposes of 
subparagraph 7,a71 the term streamlined 
screening and enrollment process means a
 process that enables an eligible       
out-of-,state provider to enroll as a   
provider in the ,state plan on a        
simplified and streamlined basis in     
accordance with the requirements of     
subparagraph 7,d74  7,c7 ,eligible      
out-of-,state provider ,for purposes of 
subparagraph 7,a71 the term eligible    
out-of-,state provider means1 with      
respect to a ,state1 a pediatric        
provider that furnishes medical services
 to a child 7or to an adult if such     
services are to treat a condition that  
presented during childhood7 for which   
payment is available under the ,state   
plan under this title1 if-- 7i7 the     
provider is located in another ,state   
and is enrolled as a provider in good   

standing under the ,state plan of such  
other ,state2 and  7ii7 with respect to 
the category of provider to which such  
provider belongs1 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;,b74  7,d7 ,requirements 
,for purposes of subparagraph 7,b71 the 
requirements of this subparagraph are   
the following3 7i7 ,an eligible         
out-of-,state provider that elects to be
 and is enrolled in the program         
established under this title in         
accordance with the process established 
by the ,secretary under section #b7;b7  
of the ,accelerating ,kids' ,access to  
,care ,act is enrolled in the ,state    
plan under this title without being     
subject to any additional screening and 
enrollment activities required by the   
,state4  7ii7 ,an eligible out-of-,state
 provider that is enrolled in the ,state
 plan through the streamlined screening 

and enrollment process shall be enrolled
 for a period of #e years before being  
required to obtain revalidation4  7iii7 
,an eligible out-of-,state provider that
 is enrolled in the ,state plan through 
the streamlined screening and enrollment
 process shall be permitted to order all
 clinically necessary follow-up care1   
including with respect to the           
prescribing of medications4  4  7b7     
,coordination with ,medicare ,the       
,secretary shall establish a process for
 permitting a provider the option1 when 
enrolling in the program established    
under the ,medicare program under title 
,,xviii of the ,social ,security ,act   
pursuant to subpart ,p of part #dbd of  
title #db1 ,code of ,federal            
,regulations 7or any successor          
regulation71 to elect1 at the same time1
 to enroll in the ,medicaid program     
under title ,,xix of such ,act for      
purposes of all ,state plans under such 
title ,,xix4 ,the ,secretary may utilize
 the ,medicare ,provider ,enrollment1   

,chain and ,ownership ,system 7referred 
to as ,,pecos71 or another national1    
standardized1 and widely accessible     
platform to establish such process4  7c7
 ,conforming amendments  7#a7 ,section  
#aijb7;a77#gg7 of such ,act 7#db        
,u4,s4,c4 #acif;a7a77#gg771 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#aj77;,d77i71 nothing4  7#c7 ,section  
#bajg7;e77#a77;,f7 of such ,act 7#db    
,u4,s4,c4 #acig;gg7e77#a77;,f77 is      
amended by inserting enrollment1 after  
screening14  7d7 ,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 for medical assistance under title 
,,xix of the ,social ,security ,act or a
 ,state child health plan under title   
,,xxi of such ,act 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 shall not be regarded as    
failing to comply with the requirements 
of such title 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