,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bahf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #ca1 #bjad ,mr4   
,begi* introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
provide = a m9imum ,m$ic>e paym5t rate =
 prim>y c>e s]vices furni%$ by prim>y   
c>e physicians4  #a4 ,%ort title  ,?is  
,act may be cit$ z ! ,m$ic>e ,access    
,improvem5t ,act ( #bjad4  #b4 ,f9d+s   
,congress f9ds t ! #bjaj ,report to     
,congress ( ! ,int]ag5cy ,access to     
,heal? ,c>e ,9 ,alaska ,task ,=ce f\nd  
t-- 7#a7 !re is a %ortage ( prim>y c>e  
,m$ic>e provid]s 9 ,alaska1 a problem   
mo/ sev]e 9 ,an*orage b evid5t 9        
,fairbanks z well z 9 rural ,alaska2    
7#b7 ! ma9 reason physicians give = n   
want+ to add new ,m$ic>e pati5ts is _!  
p]ception ( ,m$ic>e's inadequate        
reimbursem5t2  7#c7 ! ,m$ic>e program   
has ! l[e/ reimbursem5t level ( ! six   
prim>y pay]s ( heal? c>e 9 ,alaska2     

7#d7 ! typical physician c h a viable   
practice 9 ,alaska )\t s]vic+ any       
,m$ic>e pati5ts2 &  7#e7 _m 9 ! provid] 
community believe t a fair1 adequate1 & 
uni=m ,f$]al rate w\ld alleviate exi/+  
provid] %ortages 9 ,alaska4  #c4 ,m9imum
 ,m$ic>e paym5t rate = prim>y c>e       
s]vices furni%$ by prim>y c>e physicians
 ,section #ahdh7;b7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#aciew-#d7;b77 is am5d$ by add+ at ! end
 ! foll[+ new p>agraph3  7#h7 ,m9imum   
paym5t rate = prim>y c>e s]vices furni%$
 by prim>y c>e physicians  7,a7 ,9 g5]al
 ,not)/&+ any o!r provision ( ?is       
section1 subject to p>agraphs 7#c71     
7#g71 & 7#h7 ( subsection 7a7 &         
subsection 7p71 ! paym5t rate "u ! fee  
s*$ule "u ?is section = prim>y c>e      
s]vices 7z def9$ 9 subp>agraph 7,b77    
furni%$ 9 #bjae & #bjaf by a physician )
 a prim>y specialty designation ( family
 m$ic9e1 g5]al int]nal m$ic9e1 or       
g]iatric m$ic9e may n be less ?an #ajj  
p]c5t ( ! paym5t rate t appli$ 9 #bjac  

to su* s]vices & su* a physician "u !   
,m$icaid plan "u title ,,xix = ! ,/ate 9
 :i* ! s]vice is furni%$4  7,b7 ,prim>y 
c>e s]vices def9$ ,9 subp>agraph 7,a71 !
 t]m prim>y c>e s]vices means evaluation
 & managem5t s]vices t are proc$ure     
codes = s]vices 9 ! category designat$  
,evaluation & ,managem5t 9 ! ,heal?c>e  
,common ,proc$ure ,cod+ ,sy/em 7e/abli%$
 by ! ,secret>y "u subsection 7c77#e7 z 
( ,decemb] #ca1 #bjad1 & z subsequ5tly  
modifi$74  4