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Version 00 · Introduced in House · Feb 21, 2025
Accelerating Kids’ Access to Care Act of 2025
This bill requires states to establish a process through which qualifying out-of-state providers may temporarily treat children under Medicaid and the Children's Health Insurance Program (CHIP) without undergoing additional screening requirements.
Specifically, states must establish a process through which qualifying out-of-state providers may enroll for five years as participating providers to treat individuals under the age of 21 without undergoing additional screening requirements.
A qualifying out-of-state provider (1) must not have been excluded or terminated from participating in a federal health care program or state Medicaid program; and (2) must have been successfully enrolled in Medicare or a state Medicaid program based on a determination that the provider posed a limited risk of fraud, waste, or abuse.
The bill’s changes take effect three years after enactment.
People & committees
Rep. Trahan, Lori [D-MA-3] · D–MA
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Referred to the House Committee on Energy and Commerce.
Introduced in House
Introduced in House
Primary sources
Text links open the official source. We also preserved the text version used in the PlainBill explanation below.
Source last updated: Sep 19, 2026. Consult Congress.gov for the current record.
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PlainBill explanation
Based on the full Introduced in House · 2025-02-21 text. This explanation has not received human editorial review. This overview describes the proposal’s major provisions; it does not establish what its real-world effects would be.
The proposed Accelerating Kids’ Access to Care Act of 2025 would require streamlined Medicaid enrollment for eligible out-of-state providers serving individuals under 21 enrolled under the enrolling state's plan or a waiver of that plan. Providers would need prior screening as a limited risk of fraud, waste, and abuse, existing enrollment in Medicare or in the Medicaid plan (or a waiver of that plan) of the state where they are located, and no disqualifying exclusion or termination. Enrollment would last five years unless terminated or excluded; the amendments would take effect three years after enactment.
This Act may be cited as the Accelerating Kids’ Access to Care Act of 2025.
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
(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)
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).
The term qualifying individual means an individual under 21 years of age who is enrolled under the State plan (or waiver of such plan).
shall be so enrolled for a 5-year period, unless the provider is terminated or excluded from participation during such period.
The amendments made by this section shall take effect on the date that is 3 years after the date of enactment of this Act.
States would have to establish a streamlined enrollment process for eligible out-of-state providers. It would cover providers furnishing items and services as well as those ordering, prescribing, referring, or certifying eligibility for items and services for qualifying individuals.
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
The enrolling state could not impose screening or enrollment requirements exceeding the minimum necessary to pay the eligible provider under its plan or waiver. The text gives the provider's name and National Provider Identifier as examples and allows the Secretary to specify other information.
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)
Enrollment through this process would last five years, but a provider could still be terminated or excluded during that period.
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.
A provider would need to be located in another state and meet one of two screening routes: a federal limited-risk determination, screening under section 1866(j)(2), and Medicare enrollment; or a limited-risk determination by the Medicaid agency in the state where the provider is located, screening under section 1902(kk)(1), and enrollment in that state's plan or waiver. Both routes concern risk of fraud, waste, and abuse; the referenced screening provisions are not reproduced.
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:
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)
Providers would be ineligible if they had been excluded from any federal health care program under sections 1128 or 1128A, excluded from the enrolling state's plan or waiver under the specified regulation or state law, or terminated from a federal health care program or the enrolling state's plan or waiver for a reason described in paragraph (8)(A). The referenced exclusion and termination provisions are not supplied, so their underlying grounds cannot be fully described.
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).
The process would serve individuals younger than 21 enrolled under the enrolling state's plan or a waiver of that plan. For this provision, “State” means one of the 50 states or the District of Columbia.
(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.
The bill would insert “enrollment,” after “screening,” in Social Security Act sections 1902(a)(77) and 2107(e)(1)(G), and in the heading of section 1902(kk). Section 2's heading expressly mentions Medicaid and CHIP. These textual changes are supported, but the surrounding existing law is not reproduced; the supplied text alone does not establish how the CHIP conforming amendment affects eligibility for the streamlined process.
2. Streamlined enrollment process for eligible out-of-state providers under Medicaid and CHIP
(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,.
All amendments in section 2 would take effect three years after enactment. The bill does not supply a fixed calendar date.
(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.
The supplied action snapshot, updated September 19, 2026, records introduction in the House and referral to the House Committee on Energy and Commerce on February 21, 2025.
Source snapshot updated 2026-09-19T23:40:39Z. 2025-02-21: Referred to the House Committee on Energy and Commerce. 2025-02-21: Introduced in House
A closer look
Reviewed version: Introduced in House · 2025-02-21. These findings describe provisions and who may benefit; they are not judgments of waste, corruption, or motive.
This review covers the supplied bill text. “None identified” does not rule out provisions in later versions or accompanying reports and disclosures.
Provisions outside the bill’s main subject, or policy changes attached to appropriations.
None identified in the reviewed text
No unrelated provision or policy change attached to appropriations was identified after reviewing the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials.
Spending directed to particular recipients or places outside ordinary competitive or formula-based allocation.
None identified in the reviewed text
No congressionally directed spending for particular recipients or places was identified after reviewing the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials; formal earmark disclosures and reports were not supplied.
Narrow exceptions, exemptions, or preferential treatment that warrant a closer look.
None identified in the reviewed text
No materially narrow carve-out, special exemption, or preferential treatment warranting a finding was identified after reviewing the complete supplied introduced text. Eligibility rules defining the central policy's intended participants do not alone warrant a finding. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials.
Full text preserved for this analysis. Legislative record snapshot: Sep 19, 2026. How PlainBill uses AI