I 
115TH CONGRESS 
2D SESSION 
H. R. 6524 
To amend title XIX of the Social Security Act to streamline enrollment 
of certain Medicaid providers and suppliers across State lines, and for 
other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 25, 2018 
Mr. KENNEDY (for himself, Mr. BEN RAY LUJA´N of New Mexico, Ms. HER-
RERA BEUTLER, and Mr. MCKINLEY) introduced the following bill; which 
was referred to the Committee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act to streamline 
enrollment of certain Medicaid providers and suppliers 
across State lines, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Accelerating Kids’ Ac-
cess to Care Act’’. 
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SEC. 2. STREAMLINED SCREENING AND ENROLLMENT 
PROCESS FOR ELIGIBLE OUT-OF-STATE MED-
ICAID PROVIDERS AND SUPPLIERS. 
(a) IN GENERAL.—Section 1902(kk) of the Social Se-
curity Act (42 U.S.C. 1396a(kk)) is amended by adding 
at the end the following new paragraph: 
‘‘(10) STREAMLINED SCREENING AND ENROLL-
MENT PROCESS FOR ELIGIBLE OUT-OF-STATE PRO-
VIDERS AND SUPPLIERS.— 
‘‘(A) IN GENERAL.—Subject to subsection 
(a)(65), the State adopts a streamlined screen-
ing and enrollment process for eligible out-of- 
State providers and suppliers. 
‘‘(B) STREAMLINED SCREENING AND EN-
ROLLMENT
PROCESS.—For purposes of sub-
paragraph (A), the term ‘streamlined screening 
and enrollment process’ means a process that 
enables an eligible out-of-State provider or sup-
plier to enroll as a provider or supplier in the 
State plan on a simplified and streamlined basis 
in accordance with the requirements of sub-
paragraph (D). 
‘‘(C) ELIGIBLE
OUT-OF-STATE
PROVIDER 
OR SUPPLIER.—For purposes of subparagraph 
(A), the term ‘eligible out-of-State provider or 
supplier’ means a provider or supplier of med-
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ical or other items or services furnished to a 
child for which payment is available under the 
State plan under this title that is located in an-
other State and with respect to which the Sec-
retary has determined there is a limited risk of 
fraud, waste, or abuse for purposes of deter-
mining the level of screening to be conducted 
under section 1866(j)(2)(B). 
‘‘(D) REQUIREMENTS.—For purposes of 
subparagraph (B), the requirements of this sub-
paragraph are the following: 
‘‘(i) An eligible out-of-State provider 
or supplier that elects to be and is enrolled 
in the program established under this title 
in accordance with the process established 
by the Secretary under section 2(b) of the 
Accelerating Kids’ Access to Care Act is 
enrolled in the State plan under this title 
without being subject to any additional 
screening and enrollment activities re-
quired by the State. 
‘‘(ii) An eligible out-of-State provider 
or supplier that is enrolled in the State 
plan through the streamlined screening 
and enrollment process shall be enrolled 
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for a period of 5 years before being re-
quired to obtain revalidation. 
‘‘(iii) An eligible out-of-State provider 
or supplier that is enrolled in the State 
plan through the streamlined screening 
and enrollment process shall be permitted 
to order all clinically necessary follow-up 
care, including with respect to the pre-
scribing of medications.’’. 
(b) COORDINATION WITH MEDICARE.—The Sec-
retary shall establish a process for permitting a provider 
or a supplier, as the case may be, the option when enroll-
ing in the program established under the Medicare pro-
gram under title XVIII of the Social Security Act pursu-
ant to subpart P of part 424 of title 42, Code of Federal 
Regulations (or any successor regulation), to elect, at the 
same time, to enroll in the Medicaid program under title 
XIX of such Act for purposes of all State plans under 
such title XIX. The Secretary may utilize the Medicare 
Provider Enrollment, Chain and Ownership System (re-
ferred to as ‘‘PECOS’’), or another national, standard-
ized, and widely accessible platform to establish such proc-
ess. 
(c) CONFORMING AMENDMENTS.— 
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(1) Section 1902(a)(77) of the Social Security 
Act (42 U.S.C. 1396a(a)(77)) is amended by insert-
ing ‘‘enrollment,’’ after ‘‘screening,’’. 
(2) Section 1902(kk) of such Act (42 U.S.C. 
1396a(kk)), as amended by subsection (a), is further 
amended— 
(A) in the subsection heading, by inserting 
‘‘ENROLLMENT,’’ after ‘‘SCREENING,’’; and 
(B) in paragraph (9), by striking ‘‘Noth-
ing’’ and inserting ‘‘Except as provided in para-
graph (10)(D)(i), nothing’’. 
(3) Section 2107(e)(1)(G) of such Act (42 
U.S.C. 1397gg(e)(1)(G)) is amended by inserting 
‘‘enrollment,’’ after ‘‘screening,’’. 
(d) EFFECTIVE DATE.— 
(1) IN GENERAL.—Except as provided in para-
graph (2), the amendments made by this section 
take effect on January 1, 2019. 
(2) EXCEPTION FOR STATE LEGISLATION.—In 
the case of a State plan for medical assistance under 
title XIX of the Social Security Act or a State child 
health plan under title XXI of such Act which the 
Secretary of Health and Human Services determines 
requires State legislation (other than legislation ap-
propriating funds) in order for the plan to meet the 
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additional requirements imposed by the amendments 
made by this section, such State plan shall not be 
regarded as failing to comply with the requirements 
of such title solely on the basis of its failure to meet 
these additional requirements before the first day of 
the first calendar quarter beginning after the close 
of the first regular session of the State legislature 
that begins after the date of the enactment of this 
Act. For purposes of the previous sentence, in the 
case of a State that has a 2-year legislative session, 
each year of such session shall be deemed to be a 
separate regular session of the State legislature. 
Æ 
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