Accelerating Kids’ Access to Care Act
Official title: To amend title XIX of the Social Security Act to streamline enrollment under the Medicaid program of certain providers across State lines, and to prevent the use of abusive spread pricing in Medicaid
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Received in the Senate and Read twice and referred to the Committee on Finance.
Accelerating Kids' Access to Care Act
This bill requires state Medicaid programs to establish a process through which qualifying out-of-state providers may temporarily treat children without undergoing additional screening requirements. It also requires pass-through pricing models for covered drugs under Medicaid.
Specifically, states must establish a process through which qualifying providers may enroll for five years as participating providers to treat individuals under the age of 21 without undergoing additional screening requirements, unless the state has an agreement with other states that governs coverage of children with medically complex conditions that is in accordance with specified guidance from the Centers for Medicare & Medicaid Services (CMS).
A qualifying provider (1) must not have been excluded or terminated from participating in a federal health care program or state Medicaid program; and (2) must have been successfully enrolled in Medicare or a state Medicaid program based on a determination that the provider posed a limited risk of fraud, waste, or abuse.
In addition, the bill requires pass-through pricing models, and prohibits spread-pricing, for payment arrangements with pharmacy benefit managers under Medicaid.
- Engrossed in House Formatted Text PDF Formatted XML
- Introduced in House Formatted Text PDF Formatted XML
- Referred in Senate Formatted Text PDF Formatted XML
- Reported in House Formatted Text PDF Formatted XML
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Cite this page
U.S. Congress. (2026). H.R. 4758: Accelerating Kids’ Access to Care Act. 118th Congress. Open America. https://openamerica.io/bill/118-HR-4758/
"H.R. 4758: Accelerating Kids’ Access to Care Act." 118th Congress, 2026, Open America, https://openamerica.io/bill/118-HR-4758/.
H.R. 4758, 118th Cong. (2026), https://openamerica.io/bill/118-HR-4758/.
[H.R. 4758: Accelerating Kids’ Access to Care Act](https://openamerica.io/bill/118-HR-4758/)