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.
Sponsors
Legislative Progress
ReportedAdditional sponsors: Ms. Castor of Florida, Mr. Fitzpatrick, Ms. Kuster, …
Reported with amendments, committed to the Committee of the Whole …
Mrs. Trahan (for herself and Mrs. Miller-Meeks) introduced the following …
Summary
What This Bill Does
Allows healthcare providers to enroll in other states Medicaid programs using their home state screening to treat children with complex medical conditions. Creates 5-year enrollment periods.
Who Benefits and How
Children with complex medical needs gain access to out-of-state specialists. Providers can treat patients across state lines without duplicative enrollment. Families face fewer barriers to specialized care.
Who Bears the Burden and How
State Medicaid programs must accept out-of-state provider enrollment. States lose some control over provider screening. Fraud risk may increase with less state-specific vetting.
Key Provisions
- Allows out-of-state provider enrollment for treating complex-condition children
- Uses home state screening in lieu of destination state screening
- Provides 5-year enrollment periods
Evidence Chain:
This summary is derived from the structured analysis below. See "Detailed Analysis" for per-title beneficiaries/burden bearers with clause-level evidence links.
Primary Purpose
Streamlines Medicaid enrollment for out-of-state providers treating children with complex medical conditions
Policy Domains
Legislative Strategy
"Remove state barriers to pediatric specialty care"
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "secretary"
- → Secretary of HHS
Key Definitions
Terms defined in this bill
provider enrolled in Medicare or home state Medicaid
child with medically complex condition
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