HR 3836 United States House · 118th Congress

Medicaid Primary Care Improvement Act

This bill allows states to use fixed-fee primary care arrangements under Medicaid, where patients pay a set monthly fee for basic primary care services (like check-ups and preventive care) instead of traditional billing. It directly affects Medicaid programs, primary care providers (doctors and clinics), and enrollees receiving primary care. Key provisions remove barriers to states contracting directly with providers for this model and require the HHS Secretary to issue implementation guidance and submit a report on cost and quality outcomes within a year. The bill does not change Medicaid eligibility, cost-sharing rules, or limit services to only this payment model.
Bill status passed 3 of 5 stages cleared
Introduction
Jun 2023
Committee Review
Mar 2024
House Passage
Mar 2024
Senate Passage
President
Introduced Jun 6, 2023 Last action Mar 6, 2024
Floor votes

How they voted

This bill passed the House by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
16
Key actions
5
Committee
7
Amendments
3
Mar 6, 2024
Committee
Received in the Senate and Read twice and referred to the Committee on Finance.
upper
Mar 5, 2024
Introduced
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H798-799)
lower
Mar 5, 2024
Lower · Passed
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H798-799)
lower
Mar 5, 2024
Introduced
Mr. Guthrie moved to suspend the rules and pass the bill, as amended.
lower
Sep 1, 2023
Lower · Passed
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-170.
lower
Jul 19, 2023
Introduced
Ordered to be Reported (Amended) by the Yeas and Nays: 51 - 0.
lower
Jul 19, 2023
Lower · Passed
Committee Consideration and Mark-up Session Held.
lower
Jul 13, 2023
Lower · Passed
Subcommittee Consideration and Mark-up Session Held
lower
Jul 13, 2023
Lower · Passed
Forwarded by Subcommittee to Full Committee (Amended) by the Yeas and Nays: 28 - 0.
lower
Jun 9, 2023
Committee
Referred to the Subcommittee on Health.
lower
Jun 6, 2023
Committee
Referred to the House Committee on Energy and Commerce.
lower
Jun 6, 2023
Introduced
Introduced in House
lower
1 primary · 4 co-sponsors

Sponsors