US SB3298

Clarifies that states may provide Medicaid primary care services through direct primary care arrangements, where providers receive a fixed periodic fee rather than fee-for-service payments, including through Medicaid managed care organizations and value-based care arrangements

Requires the Secretary of Health and Human Services to convene at least one virtual stakeholder meeting within 1 year to gather input from direct primary care providers, state Medicaid agencies, and managed care organizations

Directs HHS to issue guidance to states on implementing direct primary care arrangements under Medicaid within 1 year of enactment

Mandates a congressional report within 2 years analyzing state adoption of direct primary care contracting with independent physicians and assessing quality and cost outcomes for Medicaid enrollees in these arrangements

Preserves existing Medicaid statutory requirements, including cost-sharing rules and requirements for the amount, duration, and scope of medical assistance states must provide