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

At a Glance

Read full bill text

Legislative Progress

Reported
Introduced Committee Passed
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 …

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
Model: claude-opus-4
Generated: Jan 10, 2026 18:42

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

Medicaid Healthcare Children

Legislative Strategy

"Remove state barriers to pediatric specialty care"

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Medicaid Children Healthcare
Actor Mappings
"secretary"
→ Secretary of HHS

Key Definitions

Terms defined in this bill

2 terms
"eligible out-of-state provider" §2b1

provider enrolled in Medicare or home state Medicaid

"qualifying individual" §2b2

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