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HR 1509
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Accelerating Kids’ Access to Care Act of 2025

To amend titles XIX and XXI of the Social Security Act to streamline the enrollment process for eligible out-of-state providers under Medicaid and CHIP.

Introduced Feb 21, 2025

Latest action (Feb 21, 2025) Referred to the House Committee on Energy and Commerce.

Referred to
Energy and Commerce Committee
Policy area
Health
Issues
Healthcare
Legislative subjects (6)
Child healthHealth care coverage and accessIntergovernmental relationsMedicaidPoverty and welfare assistanceState and local government operations

Summary

This bill streamlines the enrollment process for out-of-state healthcare providers to participate in Medicaid and the Children's Health Insurance Program (CHIP). States would be required to allow healthcare providers located in other states to enroll if they are already enrolled in Medicare or another state's Medicaid program and have been screened as having limited risk of fraud or abuse. These out-of-state providers could enroll with minimal documentation requirements—just basic information like their name and provider identification number. Once enrolled through this streamlined process, out-of-state providers would maintain their Medicaid/CHIP participation for five years, unless they are terminated. The bill takes effect three years after enactment and aims to expand access to healthcare for children enrolled in Medicaid and CHIP.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)
104 cosponsors

Actions (2)
  1. Feb 21, 2025 Referred to the House Committee on Energy and Commerce. · house
  2. Feb 21, 2025 Introduced in House

More bills on these subjects (8)

Other bills that carry the most legislative subjects in common with this one (topical discovery — distinct from the procedural related bills above).

  • S 2289 — Healthy Moms and Babies Act (shares 6 subjects)
  • S 3386 — Health Care Freedom for Patients Act of 2025 (shares 6 subjects)
  • HR 5304 — Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2026 (shares 6 subjects)
  • HR 191 — Inflation Reduction Act of 2025 (shares 5 subjects)
  • HR 5658 — Child Care for Every Community Act (shares 4 subjects)
  • HR 2483 — SUPPORT for Patients and Communities Reauthorization Act of 2025 (shares 4 subjects)
  • S 2939 — Child Care for Every Community Act (shares 4 subjects)
  • HR 1510 — Due Process Continuity of Care Act (shares 4 subjects)

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

  • HR 1433 — Kids’ Access to Primary Care Act of 2025 · Introduced Feb 18, 2025 · Cong. 119 85%
  • S 752 — Accelerating Kids’ Access to Care Act · Introduced Feb 26, 2025 · Cong. 119 84%
  • S 760 — Kids’ Access to Primary Care Act of 2025 · Introduced Feb 26, 2025 · Cong. 119 78%
  • HR 4028 — Stabilize Medicaid and CHIP Coverage Act · Introduced Jun 17, 2025 · Cong. 119 78%
  • S 2069 — Stabilize Medicaid and CHIP Coverage Act · Introduced Jun 12, 2025 · Cong. 119 78%
  • HR 3399 — Care for Military Kids Act of 2025 · Introduced May 14, 2025 · Cong. 119 77%

Text versions (1)
  • Introduced in House · Feb 21, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

Full text

IN THE HOUSE OF REPRESENTATIVES

February 21, 2025

Mrs. Trahan (for herself and Mrs. Miller-Meeks) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend titles XIX and XXI of the Social Security Act to streamline the enrollment process for eligible out-of-state providers under Medicaid and CHIP.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Accelerating Kids’ Access to Care Act of 2025”.

SEC. 2. STREAMLINED ENROLLMENT PROCESS FOR ELIGIBLE OUT-OF-STATE PROVIDERS UNDER MEDICAID AND CHIP.

(a) In General.—Section 1902(kk) of the Social Security Act (42 U.S.C. 1396a(kk)) is amended by adding at the end the following new paragraph:

“(10) Streamlined enrollment process for eligible out-of- state providers.—

“(A) In general.—The State—

“(i) adopts and implements a process to allow an eligible out-of-State provider to enroll under the State plan (or a waiver of such plan) to furnish items and services to, or order, prescribe, refer, or certify eligibility for items and services for, 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 an eligible out-of-State provider under such State plan (or a waiver of such plan), such as the provider’s name and National Provider Identifier (and such other information specified by the Secretary); and

“(ii) provides that an eligible out-of- State provider that enrolls as a participating provider in the State plan (or a waiver of such plan) through such process shall be so enrolled for a 5-year period, unless the provider is terminated or excluded from participation during such period.

“(B) Definitions.—In this paragraph:

“(i) Eligible out-of-state provider.—The term ‘eligible out-of-State provider’ means, with respect to a State, a provider—

“(I) that is located in any other State;

“(II) that— “(aa) was determined by the Secretary to have a limited risk of fraud, waste, and abuse for purposes of determining the level of screening to be conducted under section 1866(j)(2), has been so screened under such section 1866(j)(2), and is enrolled in the Medicare program under title XVIII; or “(bb) was determined by the State agency administering or supervising the administration of the State plan (or a waiver of such plan) of such other State to have a limited risk of fraud, waste, and abuse for purposes of determining the level of screening to be conducted under paragraph (1) of this subsection, has been so screened under such paragraph

(1), and is enrolled under such State plan (or a waiver of such plan); and

“(III) that has not been— “(aa) excluded from participation in any Federal health care program pursuant to section 1128 or 1128A; “(bb) excluded from participation in the State plan (or a waiver of such plan) pursuant to part 1002 of title 42, Code of Federal Regulations (or any successor regulation), or State law; or

“(cc) terminated from participating in a Federal health care program or the State plan (or a waiver of such plan) for a reason described in paragraph (8)(A).

“(ii) Qualifying individual.—The term ‘qualifying individual’ means an individual under 21 years of age who is enrolled under the State plan (or waiver of such plan).

“(iii) State.—The term ‘State’ means 1 of the 50 States or the District of Columbia.”.

(b) Conforming Amendments.—

(1) Section 1902(a)(77) of the Social Security Act (42 U.S.C. 1396a(a)(77)) is amended by inserting “enrollment,” after “screening,”.

(2) The subsection heading for section 1902(kk) of such Act (42 U.S.C. 1396a(kk)) is amended by inserting “enrollment,” after “screening,”.

(3) Section 2107(e)(1)(G) of such Act (42 U.S.C. 1397gg(e)(1)(G)) is amended by inserting “enrollment,” after “screening,”.

(c) Effective Date.—The amendments made by this section shall take effect on the date that is 3 years after the date of enactment of this Act. <all>

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