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Contact Congress about S. 3298: Medicaid Primary Care Improvement Act

States could use direct primary care in Medicaid, where a doctor or clinic gets a set regular fee for primary care. The federal health department would guide states and report to Congress on cost and quality. Current Medicaid benefit and patient cost rules would stay the same.

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 Senate bill in committee. The latest recorded action: Read twice and referred to the Committee on Finance.

Latest action on S. 3298: Read twice and referred to the Committee on Finance.

Who this affects: This bill mainly affects people on Medicaid who get primary care, the doctors and clinics that treat them, and the state agencies that run Medicaid. It could change how primary care is paid for and organized. It does not change who qualifies for Medicaid, what core services Medicaid must cover, or the patient cost limits already in law.

Why this matters: This bill matters because it could change how Medicaid pays for everyday doctor visits. A fixed regular payment may help some doctors build steadier relationships with patients. It may also help states test a different way to pay for care. The effects are uncertain because the bill does not require states to use the model. It also does not set detailed national rules for how each state must run it.

Key provisions in S. 3298

  • States could use direct primary care for Medicaid primary care. They could do this through state Medicaid plans, waivers, or Medicaid managed care plans.
  • States could include this model in value-based care. That means programs that try to reward better health results, not just more visits.
  • Direct primary care would cover only primary care. Primary care practitioners would provide it, and the only payment would be a fixed regular fee.
  • The Secretary of Health and Human Services must hold at least one virtual public meeting. This must happen within one year after the bill becomes law, and stakeholders must be invited.
  • The Secretary must give states guidance on using direct primary care in Medicaid. The guidance must come after stakeholder input and within one year after the bill becomes law.

How Modern Action helps you take action on S. 3298

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 S. 3298

What is S. 3298?
States could use direct primary care in Medicaid, where a doctor or clinic gets a set regular fee for primary care. The federal health department would guide states and report to Congress on cost and quality. Current Medicaid benefit and patient cost rules would stay the same.
How do I support or oppose S. 3298?
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 S. 3298?
Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.
Can Modern Action explain S. 3298 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 H.R. 1162: 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