Bill · S. 760· Senate(119-S-760)
Kids’ Access to Primary Care Act of 2025
- Introduced
- 2/26/2025
- Last activity
- 2/26/2025 — Read twice and referred to the Committee on Finance.
- Sponsored by
- Patty Murray
- Cosponsors
- - 6 - 0
- Introduced
- In Committee
What this bill would do
The Kids' Access to Primary Care Act of 2025 seeks to amend the Social Security Act regarding Medicaid. It renews the application of the Medicare payment rate floor to primary care services provided under Medicaid. The bill expands the types of providers eligible for these rates, including specific physicians, advanced practice clinicians, and certain health clinics. It also aims to improve the targeting of primary care services by excluding those provided in hospital emergency departments. Additionally, the Act requires managed care entities to ensure specific payment levels for these services. Finally, it mandates a study to compare enrollment, provider numbers, and payment rates.
Yes· 3 of 9
Would children be better off under this?+5
The bill specifically targets enhancing primary care access for children enrolled in Medicaid.
Does this put more money into Medicaid, the health coverage for people on low incomes?+5
The bill increases the amount of money provided to Medicaid providers through a higher payment rate floor.
Would households on low incomes be better off under this?+4
Increased Medicaid provider reimbursement is intended to strengthen the availability of primary care for low-income populations.
The opposite
Does this make the government pay for what it commits to?-2
The bill mandates higher payment floors for Medicaid providers, which increases federal and state Medicaid expenditures.
Who it would affect, and how
Potential Positive Impacts for People
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Increased Payment Rates for Providers: The bill renews a payment floor ensuring primary care services are paid at a rate not less than 100 percent of the Medicare Part B payment rate for certain providers. This applies to physicians in family medicine, general internal medicine, pediatric medicine, or obstetrics and gynecology, as well as various subspecialties (Section 2(a)(1)).
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Expanded Provider Inclusion: The bill expands eligible providers to include advanced practice clinicians working under supervision, as well as rural health clinics and Federally-qualified health centers (Section 2(a)(1)(ii)).
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Fair Pay for Advanced Practice Clinicians: The legislation ensures that nurse practitioners, physician assistants, and certified nurse-midwives are paid at rates that are not less than what they would be paid if the services were provided under Medicare Part B (Section 2(a)(1)(ii)(V)).
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Managed Care Accountability: The bill requires managed care contracts to provide payments to primary care providers that are at least equal to the amounts required by the Secretary (Section 2(c)(1)).
Potential Negative Impacts for People
- Exclusion of Emergency Department Services: The bill explicitly excludes primary care services provided in a hospital's emergency department from the definition of primary care services used for the purpose of targeting these payments (Section 2(b)(1)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Children+5Good For Low Income Households+4Good For Rural Residents+4Good For Hispanic Americans+2Good For Urban Residents+2
- Healthcare
- Increases Medicaid Funding+5Improves Healthcare Access+4
- Social Issues And Justice
- Improves Poverty Reduction+2
- Economy And Finance
- Increases Job Creation+3Improves Fiscal Responsibility-2
- 2/26/2025
- Read twice and referred to the Committee on Finance.
- 6 Cosponsors added.
- Introduced in Senate
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Richard BlumenthalDemocrat · Connecticut
Cory BookerDemocrat · New Jersey
Ben LujánDemocrat · New Mexico
Jeff MerkleyDemocrat · Oregon
Raphael WarnockDemocrat · Georgia
Peter WelchDemocrat · Vermont