I 
117TH CONGRESS 
1ST SESSION H. R. 3089 
To amend title XIX of the Social Security Act to streamline enrollment 
under the Medicaid program of certain providers across State lines, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 11, 2021 
Ms. CLARK of Massachusetts (for herself and Ms. HERRERA BEUTLER) intro-
duced 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 under the Medicaid program of certain pro-
viders 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 ENROLLMENT PROCESS FOR ELIGI-
BLE OUT-OF-STATE PROVIDERS UNDER THE 
MEDICAID PROGRAM. 
(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
ENROLLMENT
PROCESS 
FOR ELIGIBLE OUT-OF-STATE PROVIDERS.— 
‘‘(A) IN GENERAL.—The State adopts and 
implements a process that enables an eligible 
out-of-State provider to enroll as a provider in 
the State plan without the imposition of addi-
tional screening requirements by the State. An 
eligible out-of-State provider that enrolls in the 
State plan through such process shall be so en-
rolled for a 5-year period and may revalidate 
such enrollment through such process for subse-
quent 5-year periods. 
‘‘(B) DEFINITIONS.—In this paragraph: 
‘‘(i) ELIGIBLE
OUT-OF-STATE
PRO-
VIDER.—The term ‘eligible out-of-State 
provider’ means, with respect to a State, a 
provider— 
‘‘(I) that furnishes to qualifying 
individuals any item or service for 
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which payment is available under the 
State plan of the State; 
‘‘(II) that is located in any other 
State; 
‘‘(III) with respect to which the 
Secretary has determined there is a 
limited risk of fraud, waste, or abuse 
for purposes of determining the level 
of screening to be conducted under 
section 1866(j)(2)(B); 
‘‘(IV) that has been screened 
under such section 1866(j)(2)(B) for 
purposes of enrolling in the Medicare 
program under title XVIII or the 
State plan of the State in which such 
provider is located; and 
‘‘(V) that has not been excluded 
from participation in the Medicare 
program under such title or the Med-
icaid program under this title. 
‘‘(ii) QUALIFYING
INDIVIDUAL.—The 
term ‘qualifying individual’ means, with re-
spect to an eligible out-of-State provider— 
‘‘(I) an individual under 18 years 
of age to whom the provider furnishes 
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items and services for the treatment 
of a condition; and 
‘‘(II) an individual 18 years of 
age or older to whom the provider fur-
nishes items and services for the 
treatment of a condition that onset 
before such individual attained 18 
years of age.’’. 
(b) CONFORMING AMENDMENTS.— 
(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), 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,’’. 
(c) EFFECTIVE DATE.— 
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(1) IN GENERAL.—Except as provided in para-
graph (2), the amendments made by this section 
take effect on January 1, 2022. 
(2) EXCEPTION FOR STATE LEGISLATION.—In 
the case of a State plan under title XIX of the So-
cial Security Act (42 U.S.C. 1396 et seq.) or a State 
child health plan under title XXI of such Act (42 
U.S.C. 1397aa et seq.) which the Secretary of 
Health and Human Services determines requires 
State legislation (other than legislation appro-
priating funds) in order for the plan to meet the ad-
ditional requirements imposed by the amendments 
made by this section, such State plan or State child 
health plan shall not be regarded as failing to com-
ply with the requirements of such title XIX or title 
XXI, respectively, 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 legisla-
ture 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 ses-
sion, each year of such session shall be deemed to 
be a separate regular session of the State legislature. 
Æ 
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