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B 26-0523

Streamlining Medicaid Credentialing Amendment Act of 2025

26th Council Period (2025-2026) Introduced by Christina Henderson

Streamlines Medicaid credentialing to speed provider enrollment via standardized rules, electronic submissions, a centralized portal, and provisional enrollment to protect access.

Public Hearing on B26-0523
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WeVote Research Nonpartisan
Bill Summary · B 26-0523

Summary of Bill B 26-0523: Streamlining Medicaid Credentialing Amendment Act of 2025

Overview

Bill B 26-0523, titled the Streamlining Medicaid Credentialing Amendment Act of 2025, is currently in the legislative pipeline and has been referred to the Committee on Health. It was introduced on December 1, 2025 by Councilmember Henderson (Office of the Secretary). The latest action listed is its referral to the Health Committee on December 2, 2025.

Purpose and Scope (Based on Title)

  • The bill appears designed to simplify and speed up the credentialing and enrollment process for providers who participate in the Medicaid program.
  • The objective is likely to reduce administrative burden, shorten processing times, and improve access to Medicaid services for recipients by making credentialing more efficient and standardized.

Note: The summary below reflects typical elements associated with “streamlining credentialing” legislation. The exact provisions should be confirmed in the bill’s text.

Key Provisions (Indicative, Pending Text)

If enacted, the bill could include provisions such as:
- Standardization of credentialing requirements across Medicaid programs to avoid duplicative submissions.
- Establishment of a centralized electronic credentialing/enrollment portal for providers.
- Defined processing timelines for credentialing applications and renewals (e.g., target days to decision; renewal cycles).
- Allowance of electronic submission of documents and acceptance of data already submitted to licensing boards or prior-enrollment systems.
- Enhanced coordination with licensing boards, professional associations, and other relevant entities to streamline verification.
- Provisions for interim or provisional enrollment to ensure continuity of care while full credentialing is completed.
- Accountability measures, including reporting requirements on processing times, backlogs, and performance metrics.
- Security and privacy safeguards for provider data and Medicaid information.
- Potential funding or pilot programs to test and scale the streamlined process.

Affected Parties and Impacts

  • Primary: Healthcare providers seeking Medicaid enrollment or re-credentialing; Medicaid program administrators.
  • Indirect: Hospitals, clinics, and other entities that bill Medicaid; Medicaid beneficiaries who may experience faster access to covered services.
  • Government/Agency Impact: Health department or Medicaid agency would implement and manage the streamlined process, performance tracking, and IT systems.

Procedural and Timeline Aspects

  • Introduced: December 1, 2025 (Councilmember Henderson, Office of the Secretary).
  • Referral: December 2, 2025, to the Committee on Health.
  • Next steps (typical process): Committee hearings and potential amendments, followed by a floor vote in the legislative body, and, if approved, enactment subject to the usual executive signing or veto process (as applicable in the jurisdiction).

Additional Notes

  • The analysis above relies on the bill’s title and status; the actual text will specify the exact provisions, definitions, and effective dates.
  • Readers seeking a precise understanding should review the official bill text and any fiscal notes or committee reports once released.

How to Track

  • Monitor Committee on Health hearings and amendments.
  • Review the bill’s fiscal impact statement, if provided.
  • Check the legislative database for final vote and enacted language.

Compiled from official sources — confirm details with the bill’s official record.

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