This legislation aims to streamline the enrollment process for eligible out-of-state healthcare providers participating in Medicaid and the Children's Health Insurance Program (CHIP). States would be mandated to adopt a process allowing these providers to enroll with minimal screening and enrollment requirements, primarily focusing on services for qualifying individuals under 21 years of age . Once enrolled, these providers would maintain their participation status for a 5-year period, unless they are terminated or excluded. An "eligible out-of-state provider" is defined as one located in another state that has already undergone screening by Medicare or another state's Medicaid/CHIP program and determined to have a limited risk of fraud, waste, and abuse. However, providers excluded from any federal healthcare program or terminated for specific reasons would not qualify. These provisions are set to take effect three years following the bill's enactment.