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.
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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.
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