Medicaid Primary Care Improvement Act

This bill clarifies that states may provide Medicaid primary care services through fixed-fee arrangements with providers (where patients pay a set monthly fee for all primary care, not per visit), including within Medicaid managed care plans. It requires the Health and Human Services Secretary to issue guidance to states within one year and submit a report to Congress within two years analyzing how states use these arrangements and their impact on care quality and costs. The bill directly affects states administering Medicaid, Medicaid managed care organizations, and primary care providers offering direct primary care models. It does not change existing Medicaid requirements but explicitly permits this payment structure under current law.