,,ii  #aaith ,,congress  #ast ,session  
,s4 #geb  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,february #bf1      
#bjbe,mr4 ,grassley 7for himself1 ,mr4  
,bennet1 ,mr4 ,tillis1 ,mr4 ,reed1 ,mr4 
,sullivan1 ,mr4 ,warnock1 ,mr4 ,wicker1 
,mr4 ,coons1 ,mr4 ,rounds1 ,mrs4        
,murray1 ,mr4 ,boozman1 ,mr4 ,merkley1  
,mr4 ,hawley1 ,mr4 ,fetterman1 ,ms4     
,murkowski1 ,mr4 ,kaine1 ,mrs4          
,blackburn1 ,mr4 ,peters1 ,mr4 ,schmitt1
 ,mr4 ,warner1 ,mrs4 ,capito1 ,ms4      
,warren1 ,ms4 ,collins1 ,ms4 ,duckworth1
 ,mr4 ,daines1 ,mr4 ,kelly1 ,mr4        
,ricketts1 ,mr4 ,booker1 and ,mrs4      
,fischer7 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 lines4  #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-- 7i7 adopts and
 implements a process to allow an       
eligible out-of-,state provider to      
enroll under the ,state plan 7or a      
waiver of such plan7 to furnish items   
and services to1 or order1 prescribe1   
refer1 or certify eligibility for items 
and services for1 qualifying individuals
 without the imposition of screening or 
enrollment requirements by such ,state  
that exceed the minimum necessary for   
such ,state to provide payment to the   
eligible out-of-,state provider under   
the ,state plan 7or a waiver of such    
plan71 such as the provider's name and  
,national ,provider ,identifier 7and    
such other information specified by the 

,secretary72 and  7ii7 provides that 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 so  
enrolled for a #e-year period1 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 is       
located in any other ,state2  7,,ii7    
that-- 7aa7 was determined by the       
,secretary to have a limited risk of    
fraud1 waste1 and abuse for purposes of 
determining the level of screening to be
 conducted under section #ahff7;j77#b71 
has been so screened under such section 
#ahff7;j77#b71 and is enrolled in the   
,medicare program under title ,,xviii2  
or  7bb7 was determined by the ,state   
agency administering or supervising the 
administration of the ,state plan 7or a 

waiver of such plan7 of such other      
,state to have a limited risk of fraud1 
waste1 and abuse for purposes of        
determining the level of screening to be
 conducted under paragraph 7#a7 of this 
subsection1 has been so screened under  
such paragraph 7#a71 and is enrolled    
under such ,state plan 7or a waiver of  
such plan72 and  7,,iii7 that has not   
been-- 7aa7 excluded from participation 
in any ,federal health care program     
pursuant to section #aabh or #aabh;,a2  
7bb7 excluded from participation in the 
,state plan 7or a waiver of such plan7  
pursuant to part #ajjb of title #db1    
,code of ,federal ,regulations 7or any  
successor regulation71 or ,state law2 or
  7cc7 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;,a74  7ii7 ,qualifying individual 
,the term qualifying individual means an
 individual under #ba years of age who  
is enrolled under the ,state plan 7or   

waiver of such plan74  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;a7kk77 is     
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 ,the   
amendments made by this section shall   
take effect on the date that is #c years
 after the date of enactment of this    
section4