,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dgag  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bd1         
#bjbj,mr4 ,grassley 7= himself1 ,mr4    
,b5net1 ,mr4 ,portman1 ,mr4 ,br[n1 ,mr4 
,hawley1 & ,mrs4 ,murray7 introduc$ !   
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,f9ance  ,a ,,bill   
,to am5d title ,,xix ( ! ,social        
,security ,act to /reaml9e enrollm5t (  
c]ta9 ,m$icaid provid]s across ,/ate    
l9es1 & = o!r purposes4  #a4 ,%ort title
 ,?is ,act may be cit$ z ! ,accel]at+   
,kids' ,access to ,c>e ,act4  #b4       
,/reaml9$ scre5+ & enrollm5t process =  
eligible out-(-,/ate ,m$icaid provid]s  
7a7 ,9 g5]al ,section #aijb7kk7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7kk77 is am5d$ by add+ at ! end !
 foll[+ new p>agraph3  7#aj7 ,/reaml9$  
scre5+ & enrollm5t process = eligible   
out-(-,/ate provid]s  7,a7 ,9 g5]al     
,subject to subsection 7a77#fe71 ! ,/ate
 adopts a /reaml9$ scre5+ & enrollm5t   
process = eligible out-(-,/ate provid]s4

  7,b7 ,/reaml9$ scre5+ & enrollm5t     
process ,= purposes ( subp>agraph 7,a71 
! t]m /reaml9$ scre5+ & enrollm5t       
process means a process t enables an    
eligible out-(-,/ate provid] to enroll z
 a provid] 9 ! ,/ate plan on a simplifi$
 & /reaml9$ basis 9 accordance ) !      
requirem5ts ( subp>agraph 7,d74  7,c7   
,eligible out-(-,/ate provid] ,=        
purposes ( subp>agraph 7,a71 ! t]m      
eligible out-(-,/ate provid] means1 )   
respect to a ,/ate1 a p$iatric provid] t
 furni%es m$ical s]vices to a *ild 7or  
to an adult if su* s]vices are to treat 
a condition t pres5t$ dur+ *ildhood7 =  
:i* paym5t is available "u ! ,/ate plan 
"u ?is title1 if-- 7i7 ! provid] is     
locat$ 9 ano!r ,/ate & is enroll$ z a   
provid] 9 good /&+ "u ! ,/ate plan ( su*
 o!r ,/ate2 &  7ii7 ) respect to !      
category ( provid] to :i* su* provid]   
belongs1 ! ,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;,b74  7,d7 ,requirem5ts  
,= purposes ( subp>agraph 7,b71 !       
requirem5ts ( ?is subp>agraph are !     
foll[+3 7i7 ,an eligible out-(-,/ate    
provid] t elects to be & is enroll$ 9 ! 
program e/abli%$ "u ?is title 9         
accordance ) ! process e/abli%$ by !    
,secret>y "u section #b7;b7 ( !         
,accel]at+ ,kids' ,access to ,c>e ,act  
is enroll$ 9 ! ,/ate plan "u ?is title  
)\t be+ subject to any additional scre5+
 & enrollm5t activities requir$ by !    
,/ate4  7ii7 ,an eligible out-(-,/ate   
provid] t is enroll$ 9 ! ,/ate plan     
?r\gh ! /reaml9$ scre5+ & enrollm5t     
process %all be enroll$ = a p]iod ( #e  
ye>s be=e be+ requir$ to obta9          
revalidation4  7iii7 ,an eligible       
out-(-,/ate provid] t is enroll$ 9 !    
,/ate plan ?r\gh ! /reaml9$ scre5+ &    
enrollm5t process %all be p]mitt$ to    
ord] all cl9ically necess>y foll[-up    
c>e1 includ+ ) respect to ! prescrib+ ( 
m$ications4  4  7b7 ,coord9ation )      
,m$ic>e ,! ,secret>y %all e/abli% a     

process = p]mitt+ a provid] ! option1 :5
 enroll+ 9 ! program e/abli%$ "u !      
,m$ic>e program "u title ,,xviii ( !    
,social ,security ,act pursuant to      
subp>t ,p ( "p #dbd ( title #db1 ,code (
 ,f$]al ,regulations 7or any successor  
regulation71 to elect1 at ! same "t1 to 
enroll 9 ! ,m$icaid program "u title    
,,xix ( su* ,act = purposes ( all ,/ate 
plans "u su* title ,,xix4 ,! ,secret>y  
may utilize ! ,m$ic>e ,provid]          
,enrollm5t1 ,*a9 & ,own]%ip ,sy/em      
7ref]r$ to z ,,pecos71 or ano!r         
national1 /&>diz$1 & widely accessible  
plat=m to e/abli% su* process4  7c7     
,con=m+ am5dm5ts  7#a7 ,section         
#aijb7;a77#gg7 ( su* ,act 7#db ,u4,s4,c4
 #acif;a7a77#gg771 is am5d$ 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#aj77;,d77i71 no?+4  7#c7    
,section #bajg7;e77#a77;,f7 ( su* ,act  
7#db ,u4,s4,c4 #acig;gg7e77#a77;,f77 is 
am5d$ by ins]t+ enrollm5t1 aft] scre5+14
  7d7 ,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 = m$ical assi/ance "u title ,,xix (
 ! ,social ,security ,act or a ,/ate    
*ild heal? plan "u title ,,xxi ( su*    
,act :i* ! ,secret>y ( ,heal? & ,human  
,s]vices det]m9es requires ,/ate        
legislation 7o!r ?an legislation        
appropriat+ funds7 9 ord] = ! plan to   
meet ! additional requirem5ts impos$ by 
! am5dm5ts made by ?is section1 su*     
,/ate plan %all n be reg>d$ z fail+ to  
comply ) ! requirem5ts ( su* title      
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