Sponsors (8)
I'll give you the short version of this bill.
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Amends Medicare Advantage provisions at 1852(a)(1)(B) (42 U.S.C. 1395w–22(a)(1)(B)) by inserting a new subclause (VIII) that references the first 3 primary care visits furnished to an enrollee during a year (beginning with 2026).
Requires that the first three primary care visits per person each year be covered without any cost-sharing under Medicare (including Medicare Advantage) and Medicaid, beginning in 2026. The bill defines “primary care visit” to include outpatient mental and behavioral health services, nonspecialty medical services, and care coordination, and updates payment/cost‑sharing rules in the Social Security Act to implement the change.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced February 6, 2025 by Andrea Salinas · Last progress February 6, 2025