State Initiatives

New Mexico Senate Bill 14

The bill establishes the New Mexico Health Care Authority in July 2024. Also amends the Primary Care Council’s duties to:
– Analyze the proportion of health care delivery expenditures allocated to primary care statewide annually.
– Develop a five-year plan to determine how primary care investment could increase access to primary care and improve the quality of primary care services while also lowering the costs of primary care delivery.
– Review national and state models of optimal primary care investment to increase access to and improve the quality of primary care services.

S.B. 42

The bill modifies and repeals reporting provisions related to the Department of Health and Human Services. Specifically, it repeals the requirement to publish annually a report on primary care spending within Utah.

S.B. 1127B/A.8592

The bill proposes amendments to the NY State Insurance and Social Services Law, requiring plans and payors to annually report the percentage of overall healthcare spending allocated to primary care. Plans or payors reporting less than 12.5% on primary care services would need to submit plans to increase spending by 1% annually until meeting or exceeding the threshold to address underinvestment in primary care and improve overall health outcomes in New York.

H. 1250 An Act to Improve Health Equity

This broad health equity bill includes provisions requiring the Massachusetts Health Policy Commission to establish targets for primary care and behavioral health spending targets and provide analyses of progress toward those targets.

SB 563

SB 563 affirmed requirements for reporting of the percentage of health care expenses by each contracted entity on primary care services and that no later than the fourth year of a contract with the Medicaid program must devote at least 11% to primary care.

HB 259 Current Operations Appropriations Act of 2023

Charges the North Carolina Primary Care Payment Reform Task Force with developing a definition of primary care that is applicable to the NC Medicaid program and commercial insurance, measuring how much insurance plans spend on primary care, determining the quality of the primary care delivery system in North Carolina, studying the primary care payment landscape in states that implement a minimum primary care spend, and collecting data to inform a primary care investment target for insurance plans.

SB 809 An Act Establishing the Primary Care Investment Task Force and Providing for Duties of the Primary Care Investment Task Force

Establishes the Primary Care Investment Task Force which will take a detailed and objective look at where Pennsylvania stands when it comes to primary care investments compared to other states. Building off their findings, the task force will also identify what can be done to bolster investment in primary care.

S151 An act relating to pay parity and transparency in health care

This multi-issue bill includes provisions to increase primary care payments and spending. It requires that Medicaid matches 100% of the amount that Medicare pays its providers and that state and large health insurers increase their annual spending on primary care until the total reaches at least 12% of overall health care spending.

HF 2930 Omnibus Health Finance Bill

This omnibus appropriations legislation would require the Commissioner of Health to provide a one-time report on primary care spending and establish a Health Care Affordability Commission with broader responsibility to establish broader health spending and outcome targets for the state.

Elements of this bill were incorporated in the final budget bill,SF 2995.

S. 1197

Establishes the primary care reform commission to review, examine, and make findings on the level of primary care spending by all payers in the context of all health care spending in the state and publish an annual report on the findings, and also make recommendations to increase and strengthen spending on primary care in the state and improve primary care infrastructure, taking care to avoid increasing costs to patients or the total cost of health care.

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

The PCC Community’s Perspective on APCM

Evidence Report Release – APCM: Ensuring the Bundled Payment Delivers Better Health

State Initiatives Database

Use the tool below to find state-level initatives.

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