Bill > HR1162

This bill aims to facilitate direct primary care arrangements under Medicaid by clarifying that states can provide medical assistance through direct primary care models. Specifically, the bill defines a "direct primary care arrangement" as a healthcare service where patients receive primary care services from primary care practitioners in exchange for a fixed periodic fee. The legislation explicitly states that nothing in existing Medicaid law should be interpreted as prohibiting states from implementing such arrangements, including through Medicaid managed care organizations or as part of value-based care models. The bill requires the Secretary of Health and Human Services to convene stakeholder meetings within one year to seek input on implementing these arrangements and to issue guidance to states. Additionally, the Secretary must submit a report to Congress within two years analyzing the extent of state contracts with independent physicians and evaluating the quality and cost of care under direct primary care arrangements. The bill emphasizes that this new provision does not alter existing Medicaid cost-sharing requirements or limit medical assistance solely to direct primary care arrangements.

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https://www.congress.gov/bill/119th-congress/house-bill/1162/all-info