State Initiatives

HB 1965/SB 2690

This legislation creates a 3-year Health Coverage Continuity Pilot Program within the Department of Human Services, to assist individuals who have lost Medicaid health insurance coverage and lack access to other health insurance options. These options are:

(A) enroll in federally facilitated marketplace silver level plans for persons who qualify for federal advance premium tax credits; or

(B) An annual subsidy for persons who do not qualify for federal advance premium tax credits and have acquired a high-deductible health plan to be used to cover the cost of preventive care

A2150

This bill mandates that Medicaid and NJ FamilyCare managed care organizations provide primary care providers with either a patient-centered medical home model or an alternative payment model that incentivizes high-quality, cost-efficient, and holistic care.

S.B. 5084

This legislation requires health carriers to annually report primary care expenditures

H.B. 680/S. 197

This bill creates a primary care access reform program that offers monthly, capitated payments to participating primary care practices to cover all routine primary care services without any cost-sharing for patients. The bill also sets a primary care spend target of 15% by 2029 and establishes a payment pool, mandates reporting on access and quality, and invests $6.75 million in primary care workforce development

S. 1634

This bill requires health plans and Medicaid managed care providers to annually report the percentage of their overall healthcare spending that goes toward primary care services and requires a minimum of 12.5% of their total expenditures on physical and mental health annually be for primary care services.

H.B. 3361

This bill amends Oklahoma’s Medicaid reimbursement regulations to allow the Oklahoma Health Care Authority to set discretionary minimum reimbursement rates until July 1, 2027. It also has provisions to strengthen primary care, including:

specific reimbursement standards for providers in networks, non-network providers, rural health clinics, Certified Community Behavioral Health Clinics, pharmacies, and anesthesia services.
mandates value-based payment arrangements with quality incentives, requires capitation rates to be actuarially sound and risk-adjusted, and sets a target of at least 11% of health care expenses to be spent on primary care.
monitoring primary care spending, enforcing medical loss ratio standards, and establishing risk corridors and penalties for non-compliance.

Arkansas S.B. 278

This act creates the Arkansas Primary Care Payment Improvement Working Group. This working group will evaluate and provide recommendation to improve primary care delivery, payment systems and produce a report that provides a recommendation for a primary care spending target.

S.B. 188

This bill requires the Office of Health Strategy to consider and adjust for any unintended effects or impacts of primary care spending targets on funding for individuals with developmental disabilities when benchmarking a state-operated reinsurance program.

A.1915A/S.B. 1634

This bill requires health care plans and payors to have a minimum of twelve and one-half percent of their total expenditures on physical and mental health annually be for primary care services.

H.B. 1379/S.B. 5084

This bill requires health carriers to report primary care expenditures annually.

Toward the Future of Primary Care: Key Issues Raised by the 2027 Medicare PFS Proposed Rule

PCC Urges Return to Previous Vaccine Recommendations

20th Birthday Celebration at the 2026 Fall Forum

State Initiatives Database

Use the tool below to find state-level initatives.

State

Year

Status