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Kids’ Access to Primary Care Act of 2025

3/21/2025, 4:26 PM

Summary of Bill S 760

Bill 119 s 760, also known as the "Medicare Payment Rate Floor Renewal Act," aims to make changes to title XIX of the Social Security Act in order 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 the Medicare program.

The Medicare payment rate floor is a provision that guarantees a minimum payment rate for certain healthcare services, including primary care services, provided to Medicare beneficiaries. By extending this provision to Medicaid, the bill aims to address disparities in reimbursement rates between the two programs and ensure that Medicaid patients have access to high-quality primary care services.

In addition to renewing the application of the Medicare payment rate floor to primary care services under Medicaid, the bill also includes provisions for other purposes. While the specific details of these additional provisions are not outlined in the summary, it is likely that they are related to improving access to healthcare services for Medicaid beneficiaries and addressing other issues within the Medicaid program. Overall, Bill 119 s 760 seeks to improve the reimbursement rates for primary care services provided under the Medicaid program, ultimately aiming to enhance access to quality healthcare for Medicaid patients.

Congressional Summary of S 760

Kids' Access to Primary Care Act of 2025

This bill modifies payments for Medicaid primary care services. Specifically, the bill applies a Medicare payment rate floor to Medicaid primary care services that are provided after the date of enactment of the bill and extends the payment rate to additional types of practitioners (e.g., obstetricians).

The Centers for Medicare & Medicaid Services must conduct a study on the number of children enrolled in Medicaid, the number of providers receiving payment for primary care services, and associated payment rates before and after the bill's implementation.

Current Status of Bill S 760

Bill S 760 is currently in the status of Bill Introduced since February 26, 2025. Bill S 760 was introduced during Congress 119 and was introduced to the Senate on February 26, 2025.  Bill S 760's most recent activity was Read twice and referred to the Committee on Finance. as of February 26, 2025

Bipartisan Support of Bill S 760

Total Number of Sponsors
3
Democrat Sponsors
3
Republican Sponsors
0
Unaffiliated Sponsors
0
Total Number of Cosponsors
6
Democrat Cosponsors
6
Republican Cosponsors
0
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill S 760

Primary Policy Focus

Health

Alternate Title(s) of Bill S 760

A bill to amend title XIX of the Social Security Act to renew the application of the Medicare payment rate floor to primary care services furnished under the Medicaid program, and for other purposes.
A bill to amend title XIX of the Social Security Act to renew the application of the Medicare payment rate floor to primary care services furnished under the Medicaid program, and for other purposes.

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