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S 760119th CongressIntroduced
Kids’ Access to Primary Care Act of 2025
Introduced: Oct 29, 2025
Standard Summary
Comprehensive overview in 1-2 paragraphs
The Kids' Access to Primary Care Act of 2025 renews the Medicare payment rate floor for primary care services under Medicaid and expands eligible providers.
Key Points
- 1Renews Medicare payment rate floor (100%) for primary care services under Medicaid
- 2Expands eligible providers to include OB/GYNs, subspecialists, and advanced practice clinicians
- 3Requires managed care entities to ensure payments meet minimum rates
- 4Includes improved targeting to exclude emergency department services
- 5Applies to services furnished after enactment date
- 6Requires study comparing pre- and post-enactment provider participation
Impact Areas
Medicaid beneficiariesPrimary care providersState Medicaid programsManaged care organizationsChildren's healthcare access
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