summary
Introduced
02/21/2025
02/21/2025
In Committee
02/21/2025
02/21/2025
Crossed Over
Passed
Dead
Introduced Session
119th Congress
Bill Summary
A BILL To amend titles XIX and XXI of the Social Security Act to streamline the enrollment process for eligible outof-state providers under Medicaid and CHIP.
AI Summary
This bill aims to streamline the enrollment process for out-of-state healthcare providers who want to participate in Medicaid and the Children's Health Insurance Program (CHIP), specifically for providing care to children under 21 years old. Under the proposed changes, states would be required to implement a simplified enrollment process for "eligible out-of-state providers" who have already been screened and deemed low-risk for fraud, waste, and abuse by either Medicare or another state's Medicaid program. These providers would be able to enroll in a state's Medicaid or CHIP program with minimal additional screening, using basic information like their name and National Provider Identifier. Once enrolled, providers would remain eligible to participate for a 5-year period unless they are terminated or excluded from the program for specific reasons, such as being excluded from federal healthcare programs or terminated for serious violations. The bill includes safeguards to ensure that only providers with a proven track record of compliance can take advantage of this streamlined enrollment process, with the ultimate goal of making it easier for children to access healthcare services across state lines. The provisions would take effect three years after the bill's enactment.
Committee Categories
Business and Industry
Sponsors (103)
Lori Trahan (D)*,
Yassamin Ansari (D),
Jake Auchincloss (D),
Don Bacon (R),
Troy Balderson (R),
Becca Balint (D),
Gus Bilirakis (R),
Sanford Bishop (D),
Suzanne Bonamici (D),
Robert Bresnahan (R),
Vern Buchanan (R),
Janelle Bynum (D),
Salud Carbajal (D),
Mike Carey (R),
Buddy Carter (R),
Kathy Castor (D),
Joaquin Castro (D),
Emanuel Cleaver (D),
Steve Cohen (D),
Gerry Connolly (D),
Angie Craig (D),
Dan Crenshaw (R),
Sharice Davids (D),
Madeleine Dean (D),
Suzan DelBene (D),
Chris Deluzio (D),
Maxine Dexter (D),
Gabe Evans (R),
Brad Finstad (R),
Brian Fitzpatrick (R),
Lizzie Fletcher (D),
Lois Frankel (D),
Russell Fry (R),
Dan Goldman (D),
Vicente Gonzalez (D),
Josh Gottheimer (D),
Sam Graves (R),
Jahana Hayes (D),
Jim Himes (D),
Chrissy Houlahan (D),
John James (R),
Pramila Jayapal (D),
Bill Keating (D),
Mike Kennedy (R),
Timothy Kennedy (D),
Ro Khanna (D),
Raja Krishnamoorthi (D),
Greg Landsman (D),
George Latimer (D),
Mike Lawler (R),
Laurel Lee (R),
Mike Levin (D),
Stephen Lynch (D),
Seth Magaziner (D),
Nicole Malliotakis (R),
Tracey Mann (R),
Doris Matsui (D),
Lucy McBath (D),
Sarah McBride (D),
Michael McCaul (R),
Jenn McClellan (D),
Kristen McDonald Rivet (D),
Morgan McGarvey (D),
Jim McGovern (D),
Dan Meuser (R),
Carol Miller (R),
Mariannette Miller-Meeks (R),
Blake Moore (R),
Tim Moore (R),
Seth Moulton (D),
Frank Mrvan (D),
Kevin Mullin (D),
Jerry Nadler (D),
Zach Nunn (R),
Ilhan Omar (D),
Jimmy Panetta (D),
Brittany Pettersen (D),
Chellie Pingree (D),
Mark Pocan (D),
Josh Riley (D),
Deborah Ross (D),
John Rutherford (R),
Andrea Salinas (D),
Mary Gay Scanlon (D),
Brad Schneider (D),
Kim Schrier (D),
Jefferson Shreve (R),
Lateefah Simon (D),
Adam Smith (D),
Lloyd Smucker (R),
Darren Soto (D),
Emilia Sykes (D),
Mike Thompson (D),
Rashida Tlaib (D),
Paul Tonko (D),
David Valadao (R),
Jeff Van Drew (R),
Eugene Vindman (D),
Tim Walberg (R),
Debbie Wasserman Schultz (D),
Joe Wilson (R),
Rob Wittman (R),
Rudy Yakym (R),
Last Action
Referred to the House Committee on Energy and Commerce. (on 02/21/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/119th-congress/house-bill/1509/all-info |
| BillText | https://www.congress.gov/119/bills/hr1509/BILLS-119hr1509ih.pdf |
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