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Adds a new paragraph (10) to subsection (kk) requiring States to implement a streamlined enrollment process for eligible out-of-State providers to enroll under the State plan (or a waiver) to furnish/order/prescribe/refer/certify for qualifying individuals, limits State screening/enrollment requirements to the minimum necessary (e.g., provider name and NPI and other information specified by the Secretary), provides that enrollment obtained through this process lasts for a 5-year period unless terminated or excluded, and adds definitions for 'eligible out-of-State provider', 'qualifying individual', and 'State' (specifying the 50 States and the District of Columbia). The conforming amendment also alters the subsection heading as indicated in the bill.
Makes a conforming insertion into paragraph (77) of subsection (a) of 42 U.S.C. 1396a (text of the insertion is not provided in the section excerpt).
Makes a conforming insertion into subsection (e)(1)(G) of 42 U.S.C. 1397gg (text of the insertion is not provided in the section excerpt).
Requires each State to set up a simple, low‑barrier process that lets eligible out‑of‑State health providers enroll in the State’s Medicaid program or waiver to serve people under age 21. Enrollment through the streamlined process needs only basic information (for example, provider name and NPI) and lasts five years unless the provider is terminated or excluded earlier; terms used are defined and technical changes are made. The rule becomes effective three years after enactment.
Lower Costs for Everyday Americans Act
Accelerating Kids’ Access to Care Act of 2025
Read twice and referred to the Committee on Finance.
Introduced February 26, 2025 by Charles Ernest Grassley · Last progress February 26, 2025
Read twice and referred to the Committee on Finance.
Introduced in Senate