,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #aeji  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,febru>y #ba1         
#bjbe,mrs4 ,trahan 7= h]self & ,mrs4    
,mill]-,meeks7 introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d titles   
,,xix & ,,xxi ( ! ,social ,security ,act
 to /reaml9e ! enrollm5t process =      
eligible out-(-/ate provid]s "u ,m$icaid
 & ,,*ip4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,accel]at+ ,kids' ,access  
to ,c>e ,act ( #bjbe4  #b4 ,/reaml9$    
enrollm5t process = eligible out-(-/ate 
provid]s "u ,m$icaid & ,,*ip  7a7 ,9    
g5]al ,section #aijb7kk7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acif;a7kk77 is am5d$ by add+ at ! end !
 foll[+ new p>agraph3  7#aj7 ,/reaml9$  
enrollm5t process = eligible out-(-/ate 
provid]s  7,a7 ,9 g5]al ,! ,/ate-- 7i7  
adopts & implem5ts a process to all[ an 
eligible out-(-,/ate provid] to enroll  
"u ! ,/ate plan 7or a waiv] ( su* plan7 
to furni% items & s]vices to1 or ord]1  

prescribe1 ref]1 or c]tify eligibility =
 items & s]vices =1 qualify+ individuals
 )\t ! imposition ( scre5+ or enrollm5t 
requirem5ts by su* ,/ate t exce$ !      
m9imum necess>y = su* ,/ate to provide  
paym5t to an eligible out-(-,/ate       
provid] "u su* ,/ate plan 7or a waiv] ( 
su* plan71 su* z ! provid]'s "n &       
,national ,provid] ,id5tifi] 7& su* o!r 
in=mation specifi$ by ! ,secret>y72 &   
7ii7 provides t an eligible out-(-,/ate 
provid] t enrolls z a p>ticipat+ provid]
 9 ! ,/ate plan 7or a waiv] ( su* plan7 
?r\gh su* process %all be s enroll$ = a 
#e-ye> p]iod1 unless ! provid] is       
t]m9at$ or exclud$ f p>ticipation dur+  
su* p]iod4  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 is locat$ 9 any o!r    
,/ate2  7,,ii7 t-- 7aa7 0 det]m9$ by !  
,secret>y to h a limit$ risk ( fraud1   
wa/e1 & abuse = purposes ( det]m9+ !    
level ( scre5+ to be conduct$ "u section

 #ahff7;j77#b71 has be5 s scre5$ "u su* 
section #ahff7;j77#b71 & is enroll$ 9 ! 
,m$ic>e program "u title ,,xviii2 or    
7bb7 0 det]m9$ by ! ,/ate ag5cy adm9i/]+
 or sup]vis+ ! adm9i/ration ( ! ,/ate   
plan 7or a waiv] ( su* plan7 ( su* o!r  
,/ate to h a limit$ risk ( fraud1 wa/e1 
& abuse = purposes ( det]m9+ ! level (  
scre5+ to be conduct$ "u p>agraph 7#a7 (
 ?is subsection1 has be5 s scre5$ "u su*
 p>agraph 7#a71 & is enroll$ "u su*     
,/ate plan 7or a waiv] ( su* plan72 &   
7,,iii7 t has n be5--  7aa7 exclud$ f   
p>ticipation 9 any ,f$]al heal? c>e     
program pursuant to section #aabh or    
#aabh;,a2  7bb7 exclud$ f p>ticipation 9
 ! ,/ate plan 7or a waiv] ( su* plan7   
pursuant to "p #ajjb ( title #db1 ,code 
( ,f$]al ,regulations 7or any successor 
regulation71 or ,/ate law2 or  7cc7     
t]m9at$ f p>ticipat+ 9 a ,f$]al heal?   
c>e program or ! ,/ate plan 7or a waiv] 
( su* plan7 = a reason describ$ 9       
p>agraph 7#h77;,a74  7ii7 ,qualify+     
individual ,! t]m qualify+ individual   

means an individual "u #ba ye>s ( age :o
 is enroll$ "u ! ,/ate plan 7or waiv] ( 
su* plan74  7iii7 ,/ate ,! t]m ,/ate    
means #a ( ! #ej ,/ates or ! ,di/rict ( 
,columbia4  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 ,!       
subsection head+ = section #aijb7kk7 (  
su* ,act 7#db ,u4,s4,c4 #acif;a7kk77 is 
am5d$ by ins]t+ enrollm5t1 aft] scre5+14
  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 ,! am5dm5ts made by ?is 
section %all take effect on ! date t is 
#c ye>s aft] ! date ( enactm5t ( ?is    
,act4