Medicaid would have to pay at least Medicare rates for many primary care services. The rule would cover children and some adults, add more provider types, and require a federal study of the results.
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Kids’ Access to Primary Care Act of 2025 is a House bill in committee. The latest recorded action: Referred to the House Committee on Energy and Commerce.
Latest action on H.R. 1433: Referred to the House Committee on Energy and Commerce.
Who this affects: This bill mainly affects children and low-income families who rely on Medicaid for basic care. It also affects doctors, nurse practitioners, physician assistants, certified nurse-midwives, clinics, state Medicaid agencies, and private Medicaid managed care plans. Providers may receive higher payments for covered primary care. States and plans would have to update payment systems and document that they meet the new rules.
Why this matters: Many Medicaid patients struggle to find primary care, and low payment rates can be one reason. This bill tries to address that by raising pay for covered primary care visits. If providers respond by accepting more Medicaid patients, children and families may get care earlier and outside emergency rooms. The bill does not guarantee that access will improve, so it also requires a federal study.
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