Bipartisan bill seeks expansion of direct primary care through Medicaid

Congress members Dan Crenshaw, Kim Schrier, Lloyd Smucker, and Brittany Pettersen have introduced a bipartisan bill named the Medicaid Primary Care Improvement Act. The legislation aims to expand healthcare access through direct primary care (DPC) within state Medicaid programs. This model enables Medicaid beneficiaries to receive primary care services for a fixed monthly fee, potentially improving health outcomes and reducing emergency room visits.

"This bill incentivizes a form of healthcare that is better for patients and for the American taxpayer," said Congressman Crenshaw. He emphasized the need for state Medicaid programs to innovate to address cost and workforce challenges.

Congresswoman Schrier, drawing from her experience as a doctor, highlighted the importance of primary care in maintaining health and preventing chronic diseases. "I’m proud to introduce this bipartisan legislation," she stated.

Congressman Smucker remarked on the potential savings and improved health outcomes with DPC models. "Patients and taxpayers are the winners," he said, emphasizing innovation in state Medicaid programs.

Congresswoman Pettersen shared her perspective as a mother on the necessity of reliable primary care for families. She expressed her commitment to working on this bipartisan solution to improve access for Medicaid patients.

Health organizations have shown support for the bill. Jay Keese from the Direct Primary Care Coalition praised it for clearing regulatory obstacles and offering lower-income Americans better primary care options. Jen Brull from the American Academy of Family Physicians noted that removing barriers could enhance access to continuous primary care.

Cliff Porter from the Texas Public Policy Foundation highlighted the opportunity presented by DPC models in addressing chronic disease effectively. Lawson Mansell from Niskanen Center stressed the need for innovation in primary care models due to America's shortage in this area.

The bill allows states flexibility in adopting value-based care models without federal restrictions. It requires HHS to provide guidance on implementing DPC models under Medicaid, conduct stakeholder meetings, and report on their impact within two years.