,,ii  #aai? ,,congress  #a/ ,session    
,s4 #geb  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #bf1 #bjbe,mr4
 ,grassley 7= himself1 ,mr4 ,b5net1 ,mr4
 ,tillis1 ,mr4 ,re$1 ,mr4 ,sullivan1    
,mr4 ,w>nock1 ,mr4 ,wick]1 ,mr4 ,coons1 
,mr4 ,r\nds1 ,mrs4 ,murray1 ,mr4        
,boozman1 ,mr4 ,m]kley1 ,mr4 ,hawley1   
,mr4 ,fett]man1 ,ms4 ,murk[ski1 ,mr4    
,ka9e1 ,mrs4 ,blackburn1 ,mr4 ,pet]s1   
,mr4 ,s*mitt1 ,mr4 ,w>n]1 ,mrs4 ,capito1
 ,ms4 ,w>r51 ,ms4 ,coll9s1 ,ms4         
,duckwor?1 ,mr4 ,da9es1 ,mr4 ,kelly1    
,mr4 ,ricketts1 ,mr4 ,book]1 & ,mrs4    
,fis*]7 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title ,,xix
 ( ! ,social ,security ,act to /reaml9e 
enrollm5t "u ! ,m$icaid program ( c]ta9 
provid]s across ,/ate l9es4  #a4 ,%ort  
title ,?is ,act may be cit$ z !         
,accel]at+ ,kids' ,access to ,c>e ,act4 
#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 ! eligible   
out-(-,/ate provid] "u ! ,/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    
section4