Medicaid Primary Care Improvement Act

This bill clarifies that states can use direct primary care arrangements under Medicaid, where patients pay a fixed monthly fee for primary care services (like check-ups and preventive care) instead of traditional billing. It directly affects Medicaid beneficiaries, primary care providers, and state Medicaid agencies by allowing states to contract with providers for this model through managed care organizations. Key provisions require the Health Secretary to issue implementation guidance within one year and submit a report to Congress within two years analyzing how states use these arrangements and their impact on care quality and costs. The bill does not change existing Medicaid requirements for cost-sharing or the scope of covered services.