# 119-hr-1162: Medicaid Primary Care Improvement Act

119-hr-1162, Medicaid Primary Care Improvement Act, is a 119th Congress bill sponsored by Rep. Crenshaw, Dan [R-TX-2] (R-TX); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-1162
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1162
- Congress: 119
- Title: Medicaid Primary Care Improvement Act
- Status: introduced
- Introduced: 2025-02-10
- Sponsor: Rep. Crenshaw, Dan [R-TX-2] (R-TX)
- Cosponsors: 7
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**This bill would clarify that Medicaid may provide primary care through direct primary care arrangements.** It defines a direct primary care arrangement as primary care services paid only by a fixed periodic fee and says states can include those arrangements in value-based care models. - Families and beneficiaries: Could receive Medicaid primary care through fixed-fee direct primary care arrangements, and existing Medicaid cost-sharing rules under state plans remain unchanged. - Primary care providers: Independent primary care clinicians and small practices could contract to furnish Medicaid primary care paid by a fixed periodic fee instead of traditional fee-for-service payments. - States and Medicaid managed care organizations: Would be able to incorporate direct primary care into state plans or waivers and into value-based care arrangements. - Federal oversight and reporting: The HHS Secretary would convene at least one virtual stakeholder meeting within 1 year and must report to Congress within 2 years on how states use direct primary care and on quality and cost outcomes.

## Cosponsors (7)

- Rep. Schrier, Kim [D-WA-8] (D-WA), 2025-02-10T00:00:00.000Z
- Rep. Smucker, Lloyd [R-PA-11] (R-PA), 2025-02-10T00:00:00.000Z
- Rep. Pettersen, Brittany [D-CO-7] (D-CO), 2025-02-10T00:00:00.000Z
- Rep. Onder, Robert F. [R-MO-3] (R-MO), 2025-03-14T00:00:00.000Z
- Rep. Nunn, Zachary [R-IA-3] (R-IA), 2025-05-05T00:00:00.000Z
- Rep. Gill, Brandon [R-TX-26] (R-TX), 2025-12-16T00:00:00.000Z
- Rep. Auchincloss, Jake [D-MA-4] (D-MA), 2026-01-20T00:00:00.000Z

## Provisions PRIA read

- Medicaid could pay for direct primary care: benefit, low. If enacted, states could let Medicaid pay for primary care through a direct primary care plan. You would get only primary care from primary care practitioners, and the provider would be paid a fixed periodic fee. States could do this through Medicaid managed care and value-based models. It would no…
- Federal guidance for states on direct primary care: benefit, low. Within 1 year after enactment, HHS would hold at least one virtual meeting to get input from providers, states, and Medicaid plans. HHS would then issue guidance to states on using direct primary care in Medicaid. Within 2 years, HHS would report to Congress on state contracting and on quality and…

## Related bills

- 119-hr-1422: Enhanced Iran Sanctions Act of 2025
- 119-hr-979: AM Radio for Every Vehicle Act of 2025
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-3277: Ensuring Lasting Smiles Act

## Sources
- [119-hr-1162 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1162)

## Related
- [119-hr-1422: Enhanced Iran Sanctions Act of 2025](https://policyrisk.com/legislation/119-hr-1422)
- [119-hr-979: AM Radio for Every Vehicle Act of 2025](https://policyrisk.com/legislation/119-hr-979)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-3277: Ensuring Lasting Smiles Act](https://policyrisk.com/legislation/119-hr-3277)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1162 (as of 2026-04-21).