Bill · H.R. 1162· House(119-HR-1162)
Medicaid Primary Care Improvement Act
- Introduced
- 2/10/2025
- Last activity
- 2/10/2025 — Referred to the House Committee on Energy and Commerce.
- Sponsored by
- Dan Crenshaw
- Cosponsors
- - 4 - 3
- Introduced
- In Committee
What this bill would do
The Medicaid Primary Care Improvement Act aims to facilitate direct primary care arrangements under the Medicaid program. It clarifies that states are not prohibited from providing medical assistance for primary care services through these arrangements, including as part of value-based care. The bill defines a direct primary care arrangement as one where an individual receives only primary care services for a fixed periodic fee. Additionally, the Secretary of Health and Human Services is tasked with seeking stakeholder input and issuing implementation guidance to states. Finally, the Secretary must submit a report to Congress analyzing state contracting and the quality and cost of care provided through these arrangements.
Yes
Does this make health care easier to get in general?+3
The bill allows states to implement direct primary care arrangements, which may increase access to primary care services for Medicaid recipients.
Would households on low incomes be better off under this?+3
The bill expands the ways Medicaid can deliver primary care services to low-income individuals through direct primary care models.
Does this put more money into Medicaid, the health coverage for people on low incomes?+2
The bill facilitates more efficient ways for states to provide primary care through direct primary care arrangements within the Medicaid program.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
-
Facilitation of Direct Primary Care Arrangements: The bill ensures that states can provide medical assistance for primary care services through direct primary care arrangements, where the compensation is a fixed periodic fee (Section 2(a)). This could allow individuals to access primary care through a specific type of arrangement established by the State or through a managed care organization.
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Stakeholder Input and Guidance: The Secretary of Health and Human Services is required to hold virtual open door meetings to seek input from stakeholders, such as primary care providers, state Medicaid agencies, and managed care organizations (Section 2(b)). This ensures that those practicing under the model have a voice in how implementation guidance is issued to states.
Potential Negative Impacts for People
- No specific negative impacts or burdens are explicitly stated in the provided text.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Healthcare
- Improves Healthcare Access+3Increases Medicaid Funding+2
- Demographic And Interest Groups
- Good For Low Income Households+3
- 1/20/2026
- 1 Cosponsor added.
- 12/16/2025
- 1 Cosponsor added.
- 5/5/2025
- 1 Cosponsor added.
- 3/14/2025
- 1 Cosponsor added.
- 2/10/2025
- Referred to the House Committee on Energy and Commerce.
- 3 Cosponsors added.
- Introduced in House
Jake AuchinclossDemocrat · Massachusetts
Brandon GillRepublican · Texas
Zachary NunnRepublican · Iowa
Robert OnderRepublican · Missouri
Brittany PettersenDemocrat · Colorado
Lloyd SmuckerRepublican · Pennsylvania
Kim SchrierDemocrat · Washington