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Contact Congress about H.R. 1162: Medicaid Primary Care Improvement Act

States could pay Medicaid primary care doctors a fixed regular fee instead of paying per visit. The federal health department would give states guidance and report on cost and quality.

Modern Action explains legislation in plain English, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.

Medicaid Primary Care Improvement Act is a House bill in committee. The latest recorded action: Referred to the House Committee on Energy and Commerce.

Latest action on H.R. 1162: Referred to the House Committee on Energy and Commerce.

Who this affects: This bill mainly affects state Medicaid programs, Medicaid managed care plans, primary care doctors, and Medicaid patients. States would get clearer permission to try fixed-fee primary care. Doctors and clinics could see new payment contracts. Medicaid patients could see changes in how primary care visits are arranged, but the bill does not let states cut Medicaid down to only direct primary care.

Why this matters: This bill matters because it gives states clearer room to try a different way to pay for Medicaid primary care. Instead of paying for each visit, a state or managed care plan could pay a regular fee for primary care access. That could change how doctors schedule care, manage patients, and plan their work. The real effects on cost, access, and health are uncertain because states would decide whether and how to use the model.

Key provisions in H.R. 1162

  • States could use direct primary care for Medicaid primary care services. They could also do this through Medicaid managed care plans.
  • Direct primary care means the patient gets only primary care services from primary care providers. The provider gets only a fixed regular fee, not separate payments for each visit.
  • States could include this model in Medicaid value-based care programs. These programs pay in ways meant to reward better care or results.
  • The Secretary of Health and Human Services must act within one year after the bill becomes law. The Secretary must hold at least one virtual public meeting with stakeholders and then give states guidance.
  • Congress must get a report within two years. It must look at state contracts with independent doctors and primary care practices, and at cost and quality when Medicaid managed care pays for direct primary care.

How Modern Action helps you take action on H.R. 1162

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about H.R. 1162

What is H.R. 1162?
States could pay Medicaid primary care doctors a fixed regular fee instead of paying per visit. The federal health department would give states guidance and report on cost and quality.
How do I support or oppose H.R. 1162?
Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.
Who should I contact about H.R. 1162?
Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.
Can Modern Action explain H.R. 1162 before I act?
Yes. Modern Action gives you a plain-English summary, current status, and action context before you send anything.

Keep acting on Modern Action

More ways to act on this issue

Compare the broader issue and related bills without leaving Modern Action.

Related issues

  • Contact your reps on Eligibility Rules, Expansion Financing, And Patient Cost ProtectionsMedicaid expansion matching incentives, asset tests, renewal checks, state coverage options, and protections against using payment models to reduce benefits or increase patient costs.
  • Contact your reps on Medicaid Managed Care And Provider Payment OversightRules for Medicaid managed-care plans and state programs to pay providers, document compliance, use alternative payment models, and keep payment methods tied to access and care quality.

Related bills

  • Take action on S. 3298: Medicaid Primary Care Improvement Act
  • Take action on H.R. 3995: State Public Option Act
  • Take action on S. 2073: State Public Option Act
  • Take action on H.R. 3321: Ending Medicaid Discrimination Against the Most Vulnerable Act
  • Take action on H.R. 9345: Medicaid Equal Standards Act
  • Take action on H.R. 1433: Kids’ Access to Primary Care Act of 2025
  • Take action on S. 760: Kids’ Access to Primary Care Act of 2025