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
D-MNAngie CraigSep 27, 2023
D-FLDebbie Wasserman SchultzSep 27, 2023
D-TXLizzie FletcherSep 27, 2023
R-NCRichard HudsonSep 27, 2023
D-CATony CárdenasSep 27, 2023
R-OHBill JohnsonSep 28, 2023
D-COYadira CaraveoSep 28, 2023
R-INRudy Yakym IIISep 29, 2023
D-WASuzan K. DelBeneSep 29, 2023
R-NYAnthony D'EspositoOct 24, 2023
D-MDC. A. Dutch RuppersbergerOct 24, 2023
D-MEChellie PingreeOct 24, 2023
R-CADavid G. ValadaoOct 24, 2023
R-PAJohn JoyceOct 24, 2023
R-NYNicole MalliotakisOct 24, 2023
D-FLSheila Cherfilus-McCormickOct 24, 2023
D-TNSteve CohenOct 24, 2023
D-MNDean PhillipsNov 6, 2023
D-COJason CrowNov 6, 2023
R-INJim BanksNov 6, 2023
R-VARobert J. WittmanNov 6, 2023
D-CADoris O. MatsuiNov 7, 2023
R-FLGus M. BilirakisNov 7, 2023
R-TXDan CrenshawNov 17, 2023
D-CATed LieuNov 17, 2023
D-PASusan WildNov 30, 2023
R-CAYoung KimNov 30, 2023
D-COJoe NeguseDec 5, 2023
R-NYNicholas A. LangworthyDec 5, 2023
R-PADaniel MeuserJan 10, 2024
D-DCEleanor Holmes NortonJan 10, 2024
D-VAGerald E. ConnollyJan 10, 2024
D-CAJim CostaJan 10, 2024
R-NYMarcus J. MolinaroJan 10, 2024
R-MOMark AlfordJan 10, 2024
R-MNBrad FinstadJan 16, 2024
R-GAEarl L. "Buddy" CarterJan 16, 2024
D-NCDonald G. DavisJan 18, 2024
D-CAEric SwalwellJan 18, 2024
R-FLLaurel M. LeeJan 18, 2024
R-TXMichael C. BurgessJan 18, 2024
D-ILBradley Scott SchneiderJan 25, 2024
D-NVDina TitusJan 25, 2024
R-PAMike KellyJan 25, 2024
D-FLDarren SotoFeb 20, 2024
D-WAKim SchrierFeb 20, 2024
R-INVictoria SpartzFeb 20, 2024
R-TNDiana HarshbargerFeb 28, 2024
R-CODoug LambornFeb 28, 2024
D-MOEmanuel CleaverFeb 28, 2024
D-MDJamie RaskinFeb 28, 2024
D-ILJonathan L. JacksonFeb 28, 2024
R-OHMike CareyFeb 28, 2024
R-OHTroy BaldersonFeb 28, 2024
D-MDDavid J. TroneFeb 29, 2024
R-PRJenniffer González-ColónFeb 29, 2024
D-ILRobin L. KellyFeb 29, 2024
R-SCJoe WilsonMar 5, 2024
D-WIMark PocanMar 5, 2024
R-FLNeal P. DunnMar 5, 2024
R-INJames R. BairdMar 8, 2024
D-PAMary Gay ScanlonMar 11, 2024
R-NYMichael LawlerMar 11, 2024
D-NVSteven HorsfordMar 11, 2024
R-MOBlaine LuetkemeyerMar 12, 2024
D-TXColin Z. AllredMar 12, 2024
D-PADwight EvansMar 20, 2024
R-NJThomas H. Kean, Jr.Mar 20, 2024
R-NYAndrew R. GarbarinoMar 29, 2024
D-NYDaniel S. GoldmanMar 29, 2024
D-NYJoseph D. MorelleApr 15, 2024
R-IAZachary NunnApr 15, 2024
R-MIJohn JamesApr 23, 2024
D-KSSharice DavidsApr 23, 2024
D-ORAndrea SalinasApr 26, 2024
D-COBrittany PettersenApr 26, 2024
D-MOCori BushApr 26, 2024
D-INFrank J. MrvanApr 26, 2024
D-WIGwen MooreApr 26, 2024
D-CTJames A. HimesApr 26, 2024
D-CAJared HuffmanApr 26, 2024
D-NYJerrold NadlerApr 26, 2024
D-CAKevin MullinApr 26, 2024
D-ILLauren UnderwoodApr 26, 2024
D-FLMaxwell FrostApr 26, 2024
D-NMMelanie A. StansburyApr 26, 2024
D-CAMike LevinApr 26, 2024
D-KYMorgan McGarveyApr 26, 2024
D-MIRashida TlaibApr 26, 2024
D-AZRaúl M. GrijalvaApr 26, 2024
D-RISeth MagazinerApr 26, 2024
D-OHShontel M. BrownApr 26, 2024
R-PAGlenn ThompsonMay 10, 2024
R-CAJay ObernolteMay 10, 2024
R-INLarry BucshonMay 10, 2024
D-NJMikie SherrillMay 10, 2024
D-NCWiley NickelJun 5, 2024
D-NJAndy KimJun 11, 2024
D-ORSuzanne BonamiciJun 11, 2024
D-NCAlma S. AdamsJun 14, 2024
D-MAStephen F. LynchJun 14, 2024
R-WVCarol D. MillerJun 26, 2024
D-NJBill Pascrell, Jr.Jul 8, 2024
D-NHChris PappasJul 8, 2024
D-PAChrissy HoulahanJul 8, 2024
D-CAJimmy PanettaJul 8, 2024
R-KSTracey MannJul 8, 2024
D-NJBonnie Watson ColemanJul 18, 2024
D-CAJimmy GomezJul 18, 2024

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)

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.