MA H2537

Establishes primary care expenditure targets requiring health care spending on primary care to reach 8% of total health care expenditures in 2026, 10% in 2027, and 12% in 2028 and beyond

Creates a Primary Care Board within the Health Policy Commission to study primary care access, develop workforce plans, and propose payment models including a standard all-payer primary care capitation model with per-member per-month payments

Requires health care entities failing to meet primary care expenditure targets to file performance improvement plans, with civil penalties up to $500,000 for first violations and up to $750,000 for second violations for non-compliance

Mandates that Federally Qualified Health Centers be reimbursed by insurers at rates equivalent to MassHealth methodology, applying to hospital service corporations, medical service corporations, HMOs, and preferred provider organizations

Establishes Medicaid Graduate Medical Education payments for primary care, behavioral health, and maternal health residency training, with first payments to hospitals and community health centers due by October 1, 2025