# 119-s-3298: Medicaid Primary Care Improvement Act

119-s-3298, Medicaid Primary Care Improvement Act, is a 119th Congress bill sponsored by Sen. Blackburn, Marsha [R-TN] (R-TN); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-3298
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3298
- Congress: 119
- Title: Medicaid Primary Care Improvement Act
- Status: introduced
- Introduced: 2025-12-02
- Sponsor: Sen. Blackburn, Marsha [R-TN] (R-TN)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Allows direct primary care arrangements in Medicaid.** This bill would clarify that states may provide primary care services in Medicaid through direct primary care arrangements where primary care practitioners are paid a fixed periodic fee. It would require the HHS Secretary to hold at least one virtual open-door meeting within 1 year to gather stakeholder input and issue guidance. It would also require a report to Congress within 2 years analyzing how states use these arrangements and the quality and cost of care when paid through Medicaid managed care organizations. - States: Would let state Medicaid agencies use direct primary care arrangements in their state plans, waivers, or through Medicaid managed care organizations. - Primary care providers: Could enable independent physicians and small primary care practices to contract with Medicaid for primary care paid by a fixed periodic fee and participate in value-based arrangements. - Medicaid managed care organizations: Would be able to pay for primary care through fixed-fee direct primary care contracts and face a required federal analysis of cost and quality when they do so. - Medicaid enrollees and families: Preserves existing statutory rules on cost-sharing and the amount, duration, and scope of Medicaid services so covered protections remain in place.

## Provisions PRIA read

- Allow direct primary care in Medicaid: benefit, medium. If enacted, States could provide primary care under Medicaid through direct primary care arrangements. A direct primary care arrangement would give only primary care from primary care practitioners and be paid by a fixed periodic fee. States or Medicaid managed care organizations could use these ar…

## Related bills

- 119-s-4744: Take Care of America’s Veterans Act
- 119-s-3597: National Quantum Initiative Reauthorization Act of 2026
- 119-s-2142: GOLDEN DOME Act of 2025
- 119-s-2438: Transformation to Competitive Integrated Employment Act
- 119-s-4952: Protecting American Taxpayers Act
- 119-s-1748: Kids Online Safety Act

## Sources
- [119-s-3298 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3298)

## Related
- [119-s-4744: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-s-4744)
- [119-s-3597: National Quantum Initiative Reauthorization Act of 2026](https://policyrisk.com/legislation/119-s-3597)
- [119-s-2142: GOLDEN DOME Act of 2025](https://policyrisk.com/legislation/119-s-2142)
- [119-s-2438: Transformation to Competitive Integrated Employment Act](https://policyrisk.com/legislation/119-s-2438)
- [119-s-4952: Protecting American Taxpayers Act](https://policyrisk.com/legislation/119-s-4952)
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3298 (as of 2026-04-21).