Kids’ Access to Primary Care Act of 2025

Bill 119 HR 1433, also known as the "Medicare Payment Rate Floor Renewal Act," aims to amend title XIX of the Social Security Act to extend the application of the Medicare payment rate floor to primary care services provided under the Medicaid program. This bill seeks to ensure that healthcare providers who offer primary care services to Medicaid patients receive fair and adequate reimbursement rates, similar to those provided under Medicare.

The Medicare payment rate floor was initially established to address disparities in payment rates between Medicare and Medicaid for primary care services. By renewing the application of this rate floor, the bill aims to promote access to quality primary care services for Medicaid beneficiaries and ensure that healthcare providers are adequately compensated for their services.

In addition to renewing the Medicare payment rate floor for primary care services, the bill also includes provisions for other purposes related to Medicaid reimbursement rates and payment policies. These additional provisions are aimed at improving the overall effectiveness and efficiency of the Medicaid program. Overall, Bill 119 HR 1433 seeks to address payment disparities and promote access to quality primary care services for Medicaid beneficiaries by renewing the application of the Medicare payment rate floor. This legislation is important for ensuring that healthcare providers are fairly compensated for their services and that Medicaid beneficiaries have access to the care they need.