,,ii  #aacth ,,congress  #b;d ,session  
,s4 #cjjg  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,december #aa1 
#bjad ,ms4 ,klobuchar 7for herself and  
,mr4 ,heinrich7 introduced the following
 bill2 which was read twice and referred
 to the ,committee on ,finance  ,a      
,,bill  ,to amend title ,,xix of the    
,social ,security ,act to extend the    
application of the ,medicare payment    
rate floor to primary care services     
furnished under ,medicaid and to apply  
the rate floor to additional providers  
of primary care services4  #a4 ,short   
title  ,this ,act may be cited as the   
,ensuring ,enhanced ,access to ,primary 
,care ,act4  #b4 ,extension of          
application of ,medicare payment rate   
floor to primary care services furnished
 under ,medicaid and application to     
additional providers  7a7 ,in general   
,section #aijb7;a77#ac77;,c7 of the     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7a77#ac77;,c77 is amended-- 7#a7 
by striking in #bjac and #bjad and      

inserting on or after ,january #a1      
#bjac1 and before ,january #a1 #bjag12  
and  7#b7 by inserting neurology1       
psychiatry1 obstetrics and gynecology1  
after general internal medicine14  7b7  
,conforming amendment ,section          
#aije7;dd7 of the ,social ,security ,act
 7#db ,u4,s4,c4 #acif;d7dd77 is amended 
by striking ,january #a1 #bjae and      
inserting ,january #a1 #bjag4  7c7      
,effective date ,the amendments made by 
this section shall apply to items and   
services furnished on or after the first
 day of the first calendar quarter that 
begins after the date of the enactment  
of this ,act4