,,ii #aahth ,,congress #ast ,session ,s4 #bcgb ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,july #ai1 #bjbc,mr4 ,grassley 7for himself1 ,mr4 ,bennet1 ,mrs4 ,blackburn1 ,ms4 ,cortez ,masto1 ,mr4 ,boozman1 ,mr4 ,brown1 ,mr4 ,vance1 ,ms4 ,stabenow1 ,mr4 ,hawley1 ,mr4 ,kelly1 ,mrs4 ,capito1 ,ms4 ,sinema1 ,mr4 ,wicker1 ,mr4 ,markey1 ,mr4 ,van ,hollen1 ,mr4 ,warnock1 ,mr4 ,casey1 and ,ms4 ,baldwin7 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 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 ,medicaid and ,,chip 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 participating provider in the ,state plan 7or a waiver of such plan7 without the imposition of additional screening requirements by the ,state1 unless the ,state has a standard agreement with other ,states governing coverage and payment for services furnished to ,medicaid-eligible children with medically complex conditions that was developed in accordance with guidance issued by the ,secretary under section #aide;,a4 ,an eligible out-of-,state provider that enrolls as a participating provider in the ,state plan 7or a waiver of such plan7 through such process shall be enrolled for a #e-year period unless the provider is terminated or excluded from participation during such period4 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 a qualifying individual any item or service for which ,federal financial assistance is available under the ,state plan 7or a waiver of such plan72 7,,ii7 that is located in any other ,state2 7,,iii7 with respect to which the ,secretary has determined 7or1 in the case of a provider for which no risk level determination has been made by the ,secretary1 the ,state agency administering or supervising the administration of the ,state plan 7or a waiver of such plan7 has determined7 there is a limited risk of fraud1 waste1 and abuse for purposes of determining the level of screening to be conducted under section #ahff7;j77#b7 7except that1 if such ,state agency has designated a higher risk level for the provider than the ,secretary1 the ,state agency's designation shall apply72 7,,iv7 that has been screened under such section #ahff7;j77#b7 and enrolled in the ,medicare program under title ,,xviii1 or screened under paragraph 7#a7 of this subsection and enrolled in the ,state plan 7or a waiver of such plan7 in which such provider is located2 and 7,v7 that has not been excluded from participation in any ,federal health care program pursuant to section #aabh or #aabh;,a1 excluded from participation in the ,state plan 7or a waiver of such plan7 pursuant to part #ajjb of title #db1 ,code of ,federal ,regulations1 or ,state law1 or terminated from participating in a ,federal health care program or the ,state plan 7or a waiver of such plan7 for a reason described in paragraph 7#h77;,a7 of this subsection4 7ii7 ,qualifying individual ,the term qualifying individual means1 with respect to an eligible out-of-,state provider1 an individual under #ba years of age to whom the provider furnishes items and services for the treatment of a condition4 7iii7 ,state ,the term ,state means #a of the #ej ,states or the ,district of ,columbia4 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 ,the subsection heading for section #aijb7kk7 of such ,act 7#db ,u4,s4,c4 #acif;a7kk77is amended by inserting ,enrollment1 after ,screening14 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 the date that is #b years after the date of enactment of this ,act4 7#b7 ,exception for ,state legislation ,in the case of a ,state plan under ,medicaid or a ,state child health plan under ,,chip which the ,secretary 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 ,medicaid or ,,chip1 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