HR 4758 · 118th Congress 2023–2025, ended

Accelerating Kids’ Access to Care Act

Latest action · Sep 18, 2024 Received in the Senate and Read twice and referred to the Committee on Finance.

Progress

Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.

  1. IntroducedJul 19, 2023
  2. Passed HouseSep 17, 2024
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

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.

Cosponsors 124

Members who signed on, in the order they did. Signatures ran from Jul 19, 2023 to Jul 18, 2024; 1 is an original cosponsor, there from the day it was introduced.

SeatCosponsorSigned on
R-IAMariannette Miller-MeeksOriginalJul 19, 2023
D-NHAnn M. KusterJul 27, 2023
R-PABrian K. FitzpatrickJul 27, 2023
R-FLKat CammackJul 27, 2023
D-FLKathy CastorJul 27, 2023
R-NEDon BaconAug 22, 2023
D-NJJefferson Van DrewAug 22, 2023
D-DELisa Blunt RochesterAug 22, 2023
D-NYPaul TonkoAug 22, 2023
D-NCDeborah K. RossAug 29, 2023
D-VAJennifer WextonSep 12, 2023
R-PALloyd SmuckerSep 12, 2023
R-TXMichael T. McCaulSep 12, 2023
D-CANanette Diaz BarragánSep 12, 2023
D-MAWilliam R. KeatingSep 14, 2023

Committees 2

Where it was sent and what each committee and subcommittee did with it, in order.

ChamberCommitteeWhat it did
HouseEnergy and Commerce Committee
Referred Jul 19, 2023Markup Jun 12, 2024Reported Jul 23, 2024
Health Subcommittee
Referred Jul 21, 2023Markup May 16, 2024Reported May 16, 2024
SenateFinance Committee
Referred Sep 18, 2024

Actions 16

Everything that happened, newest first.

  1. Sep 18, 2024Received in the Senate and Read twice and referred to the Committee on Finance.
  2. Sep 17, 2024Mrs. Miller-Meeks moved to suspend the rules and pass the bill, as amended.
  3. Sep 17, 2024Considered under suspension of the rules. (consideration: CR H5292-5295)
  4. Sep 17, 2024DEBATE - The House proceeded with forty minutes of debate on H.R. 4758.
  5. Sep 17, 2024Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H5292-5293)
  6. Sep 17, 2024Motion to reconsider laid on the table Agreed to without objection.
  7. Sep 17, 2024The title of the measure was amended. Agreed to without objection.
  8. Jul 23, 2024Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-610.
  9. Jul 23, 2024Placed on the Union Calendar, Calendar No. 508.
  10. Jun 12, 2024Committee Consideration and Mark-up Session Held
  11. Jun 12, 2024Ordered to be Reported (Amended) by the Yeas and Nays: 43 - 0.
  12. May 16, 2024Subcommittee Consideration and Mark-up Session Held
  13. May 16, 2024Forwarded by Subcommittee to Full Committee by Voice Vote.
  14. Jul 21, 2023Referred to the Subcommittee on Health.
  15. Jul 19, 2023Introduced in House
  16. Jul 19, 2023Referred to the House Committee on Energy and Commerce.

In the Congressional Record 2

Days the Record’s own index lists this bill, newest first, with the pages and the members it names. Pages starting H are the House, S the Senate, E Extensions of Remarks.

WhereIn the RecordMembersDate
HouseDebate and remarks H5241, H5292–H5295Text printed H5292Earl L. "Buddy" Carter R-GA, Frank Pallone, Jr. D-NJ, John Joyce R-PA, Lori Trahan D-MA, Mariannette Miller-Meeks R-IASep 17, 2024
HouseDebate and remarks H3956Mariannette Miller-Meeks R-IAJul 26, 2023

Research

What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.

Committee report

Constitutional authority

Congress has the power to enact this legislation pursuant to the following: Article I, Section 8, Clause 18 The single subject of this legislation is: Healthcare

The sponsor’s statement, as printed in the Congressional Record, vol. 169, no. 124, July 19, 2023, page H3859.

Related bills 1

Companion bills and other measures the record links to this one.

BillTitleRelationshipLatest action
S 2372Accelerating Kids’ Access to Care ActIdentical billJul 19, 2023

Titles 6

Every title it has carried, official and short, at each stage.

Official Title as Introduced
To amend title XIX of the Social Security Act to streamline enrollment under the Medicaid program of certain providers across State lines, and for other purposes.
Official Titles as Amended by House
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
Short Title(s) as Introduced
Accelerating Kids’ Access to Care Act
Short Title(s) as Reported to House
Accelerating Kids’ Access to Care Act
Short Title(s) as Passed House
Accelerating Kids’ Access to Care Act
Short Titles from RFS (Referred to Senate) bill text
Accelerating Kids’ Access to Care Act

Subjects

Assigned by the Library of Congress. Policy area: Health.

Text 4

Each version as it was printed, newest first.

  1. Sep 18, 2024Referred in Senate
  2. Sep 17, 2024Engrossed in House
  3. Jul 23, 2024Reported in House
  4. Jul 19, 2023Introduced in House

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Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.