H.R. 1509House119th Congress (2025-2027)In Committee

Accelerating Kids’ Access to Care Act of 2025

AI-Generated Summary

Updated November 24, 2025 at 2:31 AM UTC

The Accelerating Kids’ Access to Care Act of 2025 updates the Social Security Act to make it easier for out‑of‑state doctors, hospitals, and other health providers to join a state’s Medicaid or CHIP program. By limiting the paperwork and screening needed, the bill aims to increase the number of providers available to children under 21 who are covered by these programs. The changes apply to all 50 states and the District of Columbia and become active three years after the law is passed.

Key Provisions

States must create a simple enrollment process that lets qualified out‑of‑state providers join the state Medicaid or CHIP plan with only basic information (like name and National Provider Identifier) and without extra screening requirements.
Providers who enroll through this streamlined process are automatically enrolled for five years unless they are terminated or excluded during that time.
An “eligible out‑of‑state provider” is defined as a provider located in another state who has been screened for low fraud risk, is enrolled in Medicare or the other state’s plan, and is not excluded or terminated from any federal or state health program.
A “qualifying individual” is any person under 21 who is enrolled in the state’s Medicaid or CHIP plan.
Minor wording changes are made to other sections of the Social Security Act to insert the word “enrollment” where appropriate.
The new rules take effect three years after the law is enacted.

Legislative Activity

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1 earlier action

HouseIntro Referral Latest Action

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

February 21, 2025

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HouseIntro Referral

Introduced in House

February 21, 2025

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

February 21, 2025

Floor Debate

1 member

What members said about H.R. 1509 on the floor

1 Republican

Rep. Monica De La CruzR-TX-15 · May 6, 2025

Under clause 7 of rule XII, sponsors were added to public bills and resolutions, as follows: H.R. 116: Ms. Boebert. H.R. 151: Ms. Van Duyne. H.R. 255: Mr. Gill of Texas, Mr. Self, and Ms. Crockett.…

Under clause 7 of rule XII, sponsors were added to public bills and resolutions, as follows:

H.R. 116: Ms. Boebert.

H.R. 151: Ms. Van Duyne.

H.R. 255: Mr. Gill of Texas, Mr. Self, and Ms. Crockett.

H.R. 404: Mr. Wied.

H.R. 429: Mr. Suozzi.

H.R. 479: Ms. Boebert.

H.R. 556: Mr. Wied.

H.R. 574: Mr. Van Drew, Mrs. Miller-Meeks, Mr. Stauber, and

Mr. Fitzpatrick.

H.R. 628: Ms. Davids of Kansas.

H.R. 659: Mr. Soto, Mrs. Ramirez, and Mr. Garcia of

California.

H.R. 740: Ms. Malliotakis and Mr. Kustoff.

H.R. 802: Ms. Bonamici.

H.R. 833: Mr. Hamadeh of Arizona, Mr. Moran, Mr. Barr, and

Mr. Burlison.

H.R. 842: Mr. Kiley of California and Ms. Stansbury.

H.R. 909: Mr. Subramanyam and Ms. Schakowsky.

H.R. 914: Ms. McDonald Rivet.

H.R. 942: Mr. Bresnahan and Ms. Davids of Kansas.

H.R. 956: Mr. Biggs of Arizona.

H.R. 1004: Ms. Elfreth and Ms. Kelly of Illinois.

H.R. 1024: Mr. Moran.

H.R. 1041: Mr. Ezell, Mr. Hurd of Colorado, Mr. Cline, and

Ms. De La Cruz.

H.R. 1086: Mrs. Miller-Meeks.

H.R. 1106: Mr. Himes.

H.R. 1151: Mr. Rose.

H.R. 1181: Ms. Fedorchak.

H.R. 1232: Mr. James and Mr. Pfluger.

H.R. 1241: Ms. Boebert.

H.R. 1262: Mrs. Hinson and Mr. Garamendi.

H.R. 1286: Mrs. Fischbach.

H.R. 1329: Mr. Burchett and Mr. McCaul.

H.R. 1330: Mr. Suozzi.

H.R. 1357: Mr. Morelle.

H.R. 1378: Mr. Rogers of Kentucky and Mr. Garbarino.

H.R. 1400: Ms. Perez.

H.R. 1415: Mr. Schmidt and Mr. Weber of Texas.

H.R. 1505: Mr. Min.

H.R. 1509: Ms. Houlahan, Mr. Carbajal, Ms. Lee of Florida,

and Mr. Fry.

H.R. 1521: Mr. Harder of California.

H.R. 1539: Mr. Bilirakis.

H.R. 1636: Mr. Thompson of Mississippi.

H.R. 1659: Ms. Budzinski.

H.R. 1676: Mr. Haridopolos.

H.R. 1682: Mr. James.

H.R. 1695: Mr. Rutherford.

H.R. 1709: Mr. Nunn of Iowa.

H.R. 1775: Ms. Stansbury.

H.R. 1822: Mr. Owens.

H.R. 1868: Ms. Williams of Georgia.

H.R. 1882: Mr. Gill of Texas.

H.R. 1909: Mr. Wittman.

H.R. 1918: Ms. McBride.

H.R. 2028: Ms. Van Duyne and Ms. McBride.

H.R. 2033: Ms. Malliotakis.

H.R. 2109: Mr. Costa.

H.R. 2126: Mr. Brecheen and Mr. James.

H.R. 2145: Ms. Davids of Kansas.

H.R. 2160: Mr. Schmidt.

H.R. 2189: Mr. Fry.

H.R. 2199: Ms. McBride.

H.R. 2230: Ms. Malliotakis.

H.R. 2253: Mr. Frost.

H.R. 2290: Mr. Garamendi.

H.R. 2294: Ms. McBride.

H.R. 2311: Mr. Jackson of Illinois.

H.R. 2315: Ms. Boebert.

H.R. 2355: Mr. Mann.

H.R. 2395: Ms. Hageman.

H.R. 2514: Ms. Budzinski.

H.R. 2531: Mr. Larson of Connecticut and Ms. Stansbury.

H.R. 2536: Mr. Riley of New York.

H.R. 2538: Ms. Stansbury and Mr. Graves.

H.R. 2550: Mr. Clyburn.

H.R. 2599: Mr. Issa.

H.R. 2623: Mr. Wied.

H.R. 2687: Ms. Pelosi.

H.R. 2705: Mr. Collins and Ms. Boebert.

H.R. 2729: Mr. Stauber, Mr. Rose, Mrs. Radewagen, and Mr.

Peters.

H.R. 2736: Mrs. Sykes.

H.R. 2753: Ms. Chu, Mr. Johnson of Georgia, Ms. Goodlander,

Mr. Meeks, Mr. Courtney, Ms. Escobar, Ms. Dexter, and Mr.

Pocan.

H.R. 2761: Mr. Goldman of New York.

H.R. 2767: Ms. Norton.

H.R. 2781: Mr. Bishop.

H.R. 2788: Mr. Cohen.

H.R. 2841: Ms. Boebert.

H.R. 2904: Mrs. Cherfilus-McCormick.

H.R. 2941: Mr. Krishnamoorthi.

H.R. 2969: Mr. Cline.

H.R. 2979: Mr. Fitzpatrick.

H.R. 3033: Mr. Pfluger.

H.R. 3036: Mr. Takano.

H.R. 3043: Mr. McGuire.

H.R. 3048: Mr. Fitzpatrick.

H.R. 3098: Mr. Correa.

H.R. 3107: Mr. Bishop.

H.R. 3112: Ms. Perez, Mr. Peters, Mrs. Cherfilus-McCormick,

and Mr. Sherman.

H.R. 3128: Ms. Sewell.

H.R. 3131: Mr. Rogers of Kentucky.

H.R. 3142: Mr. Bacon.

H.R. 3177: Mr. Steube.

H.R. 3179: Ms. Van Duyne and Mr. Self.

H.R. 3195: Mr. Rogers of Alabama.

H.R. 3199: Ms. Omar, Ms. Meng, Mr. Boyle of Pennsylvania,

Mr. Mullin, and Mr. Sherman.

H.R. 3204: Mr. Neguse.

H.J. Res. 38: Mr. Steube.

H. Res. 155: Ms. Pingree.

H. Res. 166: Ms. Norton.

H. Res. 267: Mr. Davis of Illinois, Mr. Garcia of

California, Mr. Thompson of Mississippi, Ms. McClellan, Mr.

Bacon, Mr. Torres of New York, Mrs. Hayes, Ms. Ansari, Ms.

Tlaib, Ms. Stansbury, Mr. Johnson of Georgia, Ms. Titus, Mr.

Soto, and Mr. Fields.

H. Res. 364: Mr. Thompson of Pennsylvania, Ms. Malliotakis,

Mr. Fallon, and Mr. Kustoff.

H. Res. 380: Mr. Pocan, Mr. Thanedar, Ms. McCollum, and Ms.

Tokuda.

Bill Text

Latest available legislative text

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Introduced in HouseIssued February 21, 2025

119th CONGRESS

1st Session

H. R. 1509

IN THE HOUSE OF REPRESENTATIVES

February 21, 2025

Mrs. Trahan (for herself and Mrs. Miller-Meeks) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend titles XIX and XXI of the Social Security Act to streamline the enrollment process for eligible out-of-state providers under Medicaid and CHIP.

Short title

This Act may be cited as the Accelerating Kids’ Access to Care Act of 2025.

Streamlined enrollment process for eligible out-of-state providers under Medicaid and CHIP

(a)

In general

Section 1902(kk) of the Social Security Act (42 U.S.C. 1396a(kk)) is amended by adding at the end the following new paragraph:

(10)

Streamlined enrollment process for eligible out-of-state providers

(A)

In general

The State—

(i)

adopts and implements a process to allow an eligible out-of-State provider to enroll under the State plan (or a waiver of such plan) to furnish items and services to, or order, prescribe, refer, or certify eligibility for items and services for, qualifying individuals without the imposition of screening or enrollment requirements by such State that exceed the minimum necessary for such State to provide payment to an eligible out-of-State provider under such State plan (or a waiver of such plan), such as the provider's name and National Provider Identifier (and such other information specified by the Secretary); and

(ii)

provides that an eligible out-of-State provider that enrolls as a participating provider in the State plan (or a waiver of such plan) through such process shall be so enrolled for a 5-year period, unless the provider is terminated or excluded from participation during such period.

(B)

Definitions

In this paragraph:

(i)

Eligible out-of-state provider

The term eligible out-of-State provider means, with respect to a State, a provider—

(I)

that is located in any other State;

(II)

that—

(aa)

was determined by the Secretary to have a limited risk of fraud, waste, and abuse for purposes of determining the level of screening to be conducted under section 1866(j)(2), has been so screened under such section 1866(j)(2), and is enrolled in the Medicare program under title XVIII; or

(bb)

was determined by the State agency administering or supervising the administration of the State plan (or a waiver of such plan) of such other State to have a limited risk of fraud, waste, and abuse for purposes of determining the level of screening to be conducted under paragraph (1) of this subsection, has been so screened under such paragraph (1), and is enrolled under such State plan (or a waiver of such plan); and

(III)

that has not been—

(aa)

excluded from participation in any Federal health care program pursuant to section 1128 or 1128A;

(bb)

excluded from participation in the State plan (or a waiver of such plan) pursuant to part 1002 of title 42, Code of Federal Regulations (or any successor regulation), or State law; or

(cc)

terminated from participating in a Federal health care program or the State plan (or a waiver of such plan) for a reason described in paragraph (8)(A).

(ii)

Qualifying individual

The term qualifying individual means an individual under 21 years of age who is enrolled under the State plan (or waiver of such plan).

(iii)

State

The term State means 1 of the 50 States or the District of Columbia.

(b)

Conforming amendments

(1)

Section 1902(a)(77) of the Social Security Act (42 U.S.C. 1396a(a)(77)) is amended by inserting enrollment, after screening,.

(2)

The subsection heading for section 1902(kk) of such Act (42 U.S.C. 1396a(kk)) is amended by inserting enrollment, after screening,.