Us Congress House Bill HB952

Us Congress 2023-2024 Regular Session

• Introduced: 2/9/23
• Refer: 2/9/23
• Refer: 2/17/23

Caption

Kids’ Access to Primary Care Act of 2023

Impact

The legislation emphasizes improving access to quality primary care for children enrolled in Medicaid. Specifically, it reinstates the Medicare payment rate that should be applied for primary care services and expands the range of eligible providers. This change is expected to increase the number of healthcare providers willing to accept Medicaid, subsequently improving healthcare access for children. Furthermore, the increase in the payment rate could have ripple effects on the overall quality of care by incentivizing more healthcare professionals to enter the pediatric primary care field.

Summary

House Bill 952, also known as the Kids' Access to Primary Care Act of 2023, seeks to amend the Social Security Act's Title XIX to renew the Medicare payment rate floor for primary care services rendered under the Medicaid program. This bill aims to create a more sustainable financial environment for primary care providers, particularly those catering to pediatric and family care. By ensuring that reimbursement rates are at least at the level of Medicare payments, the bill aims to bolster the availability of primary care services for children and families relying on Medicaid.

Contention

Potential points of contention surrounding HB 952 may arise regarding the bill's funding mechanisms and its implications on state budgets. While advocates argue that improving payment rates will enhance healthcare access for children, detractors could raise concerns about the sustainability of such funding within state Medicaid programs, particularly in light of existing financial pressures. Additionally, some may question the cap on reimbursements or the implications of expanding provider eligibility, particularly regarding quality assurance and supervision standards.