[Congressional Record Volume 171, Number 113 (Monday, June 30, 2025)]
[Senate]
[Pages S4125-S4126]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 2787. Mr. GRASSLEY submitted an amendment intended to be proposed 
by him to the bill H.R. 1, to provide for reconciliation pursuant to 
title II of H. Con. Res. 14; which was ordered to lie on the table; as 
follows:

       At the appropriate place, insert the following:

     SEC. ___. 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 the eligible out-of-State provider under the 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--

[[Page S4126]]

       ``(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,''.
       (3) Section 2107(e)(1)(G) of such Act (42 U.S.C. 
     1397gg(e)(1)(G)) is amended by inserting ``enrollment,'' 
     after ``screening,''.
       (c) Effective Date.--The amendments made by this section 
     shall take effect on the date that is 3 years after the date 
     of enactment of this section.
                                 ______