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Adds a new paragraph (10) to subsection (kk) of section 1902 requiring States to adopt a streamlined enrollment process for eligible out-of-State providers and defining terms including eligible out-of-State provider, qualifying individual, and State.
A conforming amendment stated to insert text after paragraph (77) of subsection (a); the specific inserted text is not included in the section text provided.
A conforming amendment to the subsection corresponding to 2107(e)(1)(G) is stated (an insertion after the identified subparagraph), but the specific inserted language is not provided in the section text.
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.
Referred to the House Committee on Energy and Commerce.
Introduced February 21, 2025 by Lori Trahan · Last progress February 21, 2025
Referred to the House Committee on Energy and Commerce.
Introduced in House
