Accelerating Kids’ Access to Care Act of 2025
Summary
What This Bill Does
The Accelerating Kids' Access to Care Act of 2025 amends Medicaid state enrollment requirements. States must adopt a process allowing eligible out-of-state providers to enroll under the State plan or waiver to furnish, order, prescribe, refer, or certify items and services for qualifying individuals without imposing screening or enrollment requirements beyond the minimum needed to pay the provider, such as name, National Provider Identifier, and information specified by HHS. Once enrolled through the streamlined process, the provider remains enrolled for five years unless terminated or excluded. The bill is designed to help children who need specialized care across State lines get services faster.
Who Benefits and How
Medicaid children needing specialty care benefit because out-of-state providers can enroll faster to furnish or order services. CHIP children benefit from easier access to providers across State lines when local specialty capacity is limited. Out-of-state pediatric specialists benefit from reduced duplicative State enrollment barriers. Children's hospitals benefit when provider enrollment no longer delays cross-state Medicaid or CHIP care.
Who Bears the Burden and How
State Medicaid agencies must create a streamlined enrollment process for eligible out-of-state providers. State CHIP agencies must align enrollment procedures for qualifying children and providers. Program integrity offices must rely on minimum payment information while still monitoring terminations and exclusions. In-state provider groups may face more competition from out-of-state specialists.
Key Provisions
- Requires streamlined enrollment for eligible out-of-state providers under Medicaid and CHIP.
- Limits State screening and enrollment requirements to the minimum necessary for payment.
- Authorizes out-of-state providers to furnish, order, prescribe, refer, or certify services for qualifying individuals.
- Provides a five-year enrollment period unless the provider is terminated or excluded.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
Requires State Medicaid and CHIP programs to streamline five-year enrollment for eligible out-of-state providers serving qualifying individuals without imposing screening or enrollment requirements beyond payment necessities.
Key Policy Areas
Medicaid, CHIP, Children's Health
Primary Purpose
Requires State Medicaid and CHIP programs to streamline five-year enrollment for eligible out-of-state providers serving qualifying individuals without imposing screening or enrollment requirements beyond payment necessities.
Policy Domains
Resolution provisions
Identified Gains
- Medicaid children
- CHIP children
- Out-of-state pediatric specialists
- Children's hospitals
Identified Costs
- State Medicaid agencies
- State CHIP agencies
- Program integrity offices
- In-state provider groups
Sponsors
Legislative Progress
In CommitteeMrs. Trahan (for herself and Mrs. Miller-Meeks) introduced the following …
Referred to the House Committee on Energy and Commerce.
Introduced in House
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Children's hospitals, Out-of-state pediatric specialists
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology