summary
Introduced
02/18/2025
02/18/2025
In Committee
02/18/2025
02/18/2025
Crossed Over
Passed
Dead
Introduced Session
119th Congress
Bill Summary
A BILL To amend title XIX of the Social Security Act to renew the application of the Medicare payment rate floor to primary care services furnished under the Medicaid program, and for other purposes.
AI Summary
This bill aims to renew and expand the Medicare payment rate floor for primary care services under Medicaid, ensuring that certain healthcare providers receive higher reimbursement rates. Specifically, the bill extends and broadens the types of primary care providers eligible for the enhanced payment rate, including physicians in family medicine, internal medicine, pediatrics, and obstetrics and gynecology, as well as their subspecialties. The bill also includes advanced practice clinicians, rural health clinics, and other healthcare providers working under the supervision of qualified physicians. The legislation requires that these providers either be board-certified or self-attest to their qualifications. Additionally, the bill mandates a comprehensive study to compare the number of children enrolled in Medicaid, the number of healthcare providers receiving payments, and payment rates across different states before and after the implementation of these changes. The bill also includes a congressional recommendation that healthcare providers follow the American Academy of Pediatrics' "Bright Futures" guidelines for child and adolescent health supervision. The overall goal is to improve access to primary care for children and ensure fair compensation for healthcare providers serving Medicaid patients.
Committee Categories
Business and Industry
Sponsors (11)
Kim Schrier (D)*,
Kathy Castor (D),
Steve Cohen (D),
Don Davis (D),
Suzan DelBene (D),
Brian Fitzpatrick (R),
Seth Magaziner (D),
Grace Meng (D),
Terri Sewell (D),
Marilyn Strickland (D),
Paul Tonko (D),
Last Action
Referred to the House Committee on Energy and Commerce. (on 02/18/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/119th-congress/house-bill/1433/all-info |
| BillText | https://www.congress.gov/119/bills/hr1433/BILLS-119hr1433ih.pdf |
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