,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #hgfe  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ab1 #bjbf,mr4  
,rouzer 7for himself1 ,mrs4 ,kiggans of 
,virginia1 ,mr4 ,courtney1 and ,mr4     
,bera7 introduced the following bill2   
which was referred to the ,committee on 
,energy and ,commerce1 and in addition  
to the ,committees on ,ways and ,means1 
and ,oversight and ,government ,reform1 
for a period to be subsequently         
determined by the ,speaker1 in each case
 for consideration of such provisions as
 fall within the jurisdiction of the    
committee concerned  ,a ,,bill  ,to     
amend title ,,xi of the ,social         
,security ,act to require reports on    
primary care spending under ,federal    
health care programs and to establish a 
working group on primary care4  #a4     
,short title ,this ,act may be cited as 
the ,prioritizing ,primary ,care ,act of
 #bjbf4  #b4 ,requiring reports and     
establishing working group on primary   
care  7a7 ,report ,part ,a of title ,,xi

 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acja et seq47 is amended by  
adding at the end the following new     
section3  #aaej;,d4 ,report on primary  
care spending ,not later than #a year   
after the date of the enactment of this 
section1 and not less frequently than   
annually thereafter1 each head of a     
,federal agency that administers a      
,federal health care program 7as such   
term is defined in section #aabh;,b7 or 
the health program established under    
chapter #hi of title #e1 ,united ,states
 ,code1 shall submit to ,congress a     
report on primary care spending 7as     
defined by the ,secretary7 under each   
such program administered by such head1 
including1 with respect to the #a-year  
period ending on the date that is #ij   
days before the date on which the report
 is required to be submitted-- 7#a7 the 
total dollar amount of ,federal funds   
expended or obligated under such program
 during such period that is attributable
 to primary care spending2 and  7#b7 the

 percentage of the total amount of      
,federal funds expended or obligated to 
provide health benefits under such      
program during such period that is      
attributable to primary care spending4  
4  7b7 ,working group on primary care   
7#a7 ,in general ,not later than #a year
 after the date of the enactment of this
 ,act1 the ,secretary of ,health and    
,human ,services 7in this section       
referred to as the ,secretary7 shall    
establish a working group 7in this      
subsection referred to as the ,working  
,group7 to study and make               
recommendations on--  7,a7 how each     
,federal health care program 7as such   
term is defined in section #aabh;,b of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #acbj;a-#g;b77 and the health 
program established under chapter #hi of
 title #e1 ,united ,states ,code1 may   
prioritize primary care spending 7as    
defined by the ,secretary for purposes  
of #aaej;,d of the ,social ,security    
,act72  7,b7 how to increase the        

accessibility of primary care providers 
7as defined by the ,secretary72 and     
7,c7 how to improve the availability and
 quality of primary care services 7as   
defined by the ,secretary71 including   
with respect to individuals in rural and
 medically underserved areas 7as defined
 by the ,working ,group74  7#b7         
,membership ,the ,working ,group shall  
consist of members from relevant        
,federal agencies and nongovernmental   
entities1 as determined appropriate by  
the ,secretary4  7#c7 ,report ,not later
 than #a year after the date on which   
the ,working ,group is established under
 paragraph 7#a71 the ,working ,group    
shall submit to ,congress a report      
containing the recommendations described
 in such paragraph4  7#d7 ,consultation 
,in conducting the study and making the 
recommendations required under paragraph
 7#a71 the ,working ,group shall solicit
 input from ,states and relevant        
nongovernmental entities 7as determined 
appropriate by the ,working ,group71    

including entities that represent       
patients1 health care professionals1    
researchers1 or health care industries4