HR4758-118

Reported

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.

118th Congress Introduced Jul 19, 2023

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

This bill, 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., changes federal law or congressional policy affecting health care providers and patients. The main policy domain is Healthcare, Government Operations, Transportation.

Who Benefits and How

health care providers and patients may benefit from new authority, funding, eligibility, regulatory clarity, or reduced risk created by the bill.

Who Bears the Burden and How

federal implementing agencies, health care providers and patients may take on implementation duties, reporting obligations, compliance costs, or oversight responsibilities.

Key Provisions

  • Section H46099322C2AD44F39B724D8D997D6C7F: 1. Short title This Act may be cited as the Accelerating Kids’ Access to Care Act.
  • Section HEDE9D469544C4792804CB9249E6C7215: 2. Streamlined enrollment process for eligible out-of-State providers under medicaid and chip Section 1902(kk) of the Social Security Act (42 U.S.C. 1396a(kk))...
  • Section H1AD2D677E85D48F684AEF327654D7E86: 3. Preventing the use of abusive spread pricing in medicaid Section 1927 of the Social Security Act (42 U.S.C. 1396r–8) is amended— in subsection (e), by...
  • Section HC5FE14DACC674AFC94BF3A1AA355E78B: 4. Medicaid improvement fund Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C. 1396w–1(b)(3)(A)) is amended by striking $0 and inserting $69,000,000.

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

This bill, 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., changes federal law or congressional policy affecting health care providers and patients.

Key Policy Areas

Healthcare, Government Operations, Transportation

Primary Purpose

This bill, 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., changes federal law or congressional policy affecting health care providers and patients.

Policy Domains

Healthcare Government Operations Transportation

Whole bill

Identified Gains
  • health care providers and patients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: eh
health care providers and patients: ,
Identified Costs
  • federal implementing agencies
  • health care providers and patients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: eh
federal implementing agencies: ,
health care providers and patients: ,

Legislative Progress

Reported
Introduced Committee Passed
Sep 18, 2024

Received; read twice and referred to the Committee on Finance

Jul 23, 2024

Additional sponsors: Ms. Castor of Florida, Mr. Fitzpatrick, Ms. Kuster, …

Jul 23, 2024

Reported with amendments, committed to the Committee of the Whole …

Jul 19, 2023

Mrs. Trahan (for herself and Mrs. Miller-Meeks) introduced the following …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Government
4 mentions across 3 clauses
+3 positive -1 negative

Centers for Medicare & Medicaid Services, State Medicaid agencies, State Medicaid programs

Positive-direction: Centers for Medicare & Medicaid Services, State Medicaid programs

Negative-direction: State Medicaid agencies

Healthcare Beneficiaries
2 mentions across 1 clause
+2 positive

Children with medically complex conditions, Families seeking out-of-state pediatric specialists

Pharmacy Benefit Management
2 mentions across 1 clause
-2 negative

Pharmacy Benefit Managers (PBMs)

Health Care Providers
1 mention across 1 clause
+1 positive

Out-of-state healthcare providers specializing in pediatric care

Taxpayers
1 mention across 1 clause
-1 negative

Taxpayers

Pharmacy
1 mention across 1 clause
+1 positive

Retail and specialty pharmacies dispensing Medicaid prescriptions

Financial Services
1 mention across 1 clause
-1 negative

Managed care organizations in Medicaid

Healthcare
1 mention across 1 clause
-1 negative

340B covered entities (hospitals, clinics serving low-income patients)

4/4
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Government Operations Transportation
Actor Mappings
"secretary_of_health_and_human_services"
→ Secretary of Health and Human Services

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