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US SB760

Bill

Status

Introduced

2/26/2025

Primary Sponsor

Patty Murray

Click for details

Origin

Senate

119th Congress

AI Summary

  • Requires Medicaid to pay primary care providers at least 100% of Medicare rates (or the 2009 Medicare conversion factor rate if higher) for primary care services, renewing a policy that expired after 2014

  • Expands eligible providers beyond family medicine, internal medicine, and pediatrics to include obstetricians/gynecologists, their subspecialists, nurse practitioners, physician assistants, certified nurse-midwives, and advanced practice clinicians working under their supervision

  • Excludes primary care services provided in hospital emergency departments from the enhanced payment rate requirement

  • Mandates that Medicaid managed care organizations pay providers at least the required rates and provide documentation to states and HHS demonstrating compliance

  • Directs HHS to conduct a study within 13 months comparing Medicaid enrollment, provider participation, and payment rates before and after implementation, with $200,000 authorized for fiscal year 2026

Legislative Description

Kids’ Access to Primary Care Act of 2025

Health

Last Action

Read twice and referred to the Committee on Finance.

2/26/2025

Committee Referrals

Finance2/26/2025

Full Bill Text

No bill text available