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US SB760
Bill
AI Summary
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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
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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
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Excludes primary care services provided in hospital emergency departments from the enhanced payment rate requirement
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Mandates that Medicaid managed care organizations pay providers at least the required rates and provide documentation to states and HHS demonstrating compliance
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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