Accelerating Kids’ Access to Care Act of 2025

Summary

Requires every State to create a simple way for eligible out‑of‑state health care providers to enroll so they can treat certain Medicaid and CHIP patients across state lines. States may not add extra provider screening beyond what is needed to pay the claim. Once enrolled through this streamlined track, providers stay enrolled for five years unless they are terminated or excluded. Key terms are defined, related Medicaid/CHIP rules are updated to match, and the changes take effect three years after enactment.

Key Points

• States must create a simple enrollment pathway for eligible out‑of‑state providers to serve certain Medicaid/CHIP patients.
• No extra provider screening is allowed beyond what is needed to pay the claim.
• Providers enrolled via this pathway stay enrolled for five years unless terminated or excluded.
• The policy applies to a defined group of Medicaid/CHIP enrollees referred to as qualifying individuals.
• State Medicaid/CHIP agencies are responsible for setting up and running the process.
• Conforming updates align other Medicaid/CHIP rules with this new pathway.
• The law takes effect three years after enactment to allow time for implementation.
• Aims to reduce delays in cross‑state care and cut administrative burden for providers.

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