Accelerating Kids’ Access to Care Act of 2025
Summary
The Accelerating Kids' Access to Care Act of 2025 would streamline how states process applications from out-of-state healthcare providers who want to treat children covered by Medicaid and the Children's Health Insurance Program (CHIP). Currently, states may require additional screening before allowing out-of-state providers to participate. This bill would require states to establish a process allowing qualifying out-of-state providers to enroll for five-year periods without undergoing those extra screening requirements.
To qualify for this streamlined enrollment, out-of-state providers would need to meet two conditions: they cannot have been excluded or terminated from federal health care programs or state Medicaid programs, and they must already be successfully enrolled in Medicare or a state Medicaid program based on a determination that they pose limited fraud or abuse risk. The bill's provisions would take effect three years after enactment, if passed. The practical effect could be to increase access to pediatric healthcare services in areas where local providers are limited, by making it easier for qualified providers from other states to serve eligible children.