Bill · S. 3298· Senate(119-S-3298)
Medicaid Primary Care Improvement Act
- Introduced
- 12/2/2025
- Last activity
- 12/2/2025 — Read twice and referred to the Committee on Finance.
- Sponsored by
- Marsha Blackburn
- Cosponsors
- None
- Introduced
- In Committee
What this bill would do
The Medicaid Primary Care Improvement Act aims to facilitate direct primary care arrangements within the Medicaid program. It clarifies that nothing in the Social Security Act prohibits States from providing primary care through these arrangements, including through Medicaid managed care organizations. The bill defines a direct primary care arrangement as a setup where an individual receives only primary care services in exchange for a fixed periodic fee. The Secretary of Health and Human Services is required to seek stakeholder input through a virtual meeting and issue implementation guidance to States. Additionally, the Secretary must submit a report to Congress analyzing the extent of these arrangements and the resulting quality and cost of care.
Yes
Does this make health care easier to get in general?+3
The bill allows states to implement direct primary care arrangements to potentially expand access to primary services via fixed periodic fees.
Would households on low incomes be better off under this?+3
The bill facilitates new methods for Medicaid recipients to access primary care services.
Does this put more money into Medicaid, the health coverage for people on low incomes?+2
The bill facilitates new service delivery models within Medicaid without explicitly increasing the total funding amount.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Expansion of Primary Care Options: By clarifying that States can provide medical assistance through direct primary care arrangements (Section 2(a)), the bill may allow individuals to access primary care services through a model based on a fixed periodic fee (Section 2(b)(1)).
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Stakeholder Involvement: The Secretary is required to convene a virtual open door meeting to seek input from primary care providers, State Medicaid agencies, and managed care organizations (Section 2(c)(1)), which could ensure diverse perspectives are considered in the implementation process.
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Informed Oversight: The requirement for the Secretary to submit a report to Congress containing an analysis of the quality of care and cost of care (Section 2(d)(2)) could provide transparency regarding how these arrangements affect those enrolled in Medicaid.
Potential Negative Impacts for People
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Service Limitations: Under the definition of a direct primary care arrangement, individuals are provided medical assistance consisting solely of primary care services (Section 2(b)(1)), which means other types of medical assistance may not be included in this specific arrangement.
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Regulatory Constraints: The bill specifies that nothing in the section should alter statutory requirements regarding the amount, duration, and scope of medical assistance that must be made available to individuals (Section 2(e)).
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
- 12/2/2025
- Read twice and referred to the Committee on Finance.
- Introduced in Senate