,,ii  #aai? ,,congress  #a/ ,session    
,s4 #cbih  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #b1 #bjbe,mrs4
 ,blackburn introduc$ ! foll[+ bill2 :i*
 0 read twice & ref]r$ to ! ,committee  
on ,f9ance  ,a ,,bill  ,to facilitate   
direct prim>y c>e arrangem5ts "u        
,m$icaid4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,m$icaid ,prim>y ,c>e      
,improvem5t ,act4  #b4 ,cl>ify+ t c]ta9 
paym5t arrangem5ts are all[able "u !    
,m$icaid program  7a7 ,9 g5]al ,no?+ 9  
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq47 %all be   
con/ru$ z prohibit+ a ,/ate1 "u its     
,/ate plan 7or waiv] ( su* plan7 "u su* 
title 7includ+ ?r\gh a m$icaid manag$   
c>e organization71 f provid+ m$ical     
assi/ance consi/+ ( prim>y c>e s]vices  
?r\gh a direct prim>y c>e arrangem5t ) a
 heal? c>e provid]1 includ+ z "p ( a    
value-bas$ c>e arrangem5t e/abli%$ by ! 
,/ate4  7b7 ,def9itions ,9 ?is ,act3    
7#a7 ,direct prim>y c>e arrangem5t ,!   
t]m direct prim>y c>e arrangem5t means1 

) respect to any individual1 an         
arrangem5t "u :i* su* individual is     
provid$ m$ical assi/ance consi/+ solely 
( prim>y c>e s]vices provid$ by prim>y  
c>e practition]s1 if ! sole comp5sation 
= su* c>e is a fix$ p]iodic fee4  7#b7  
,m$icaid manag$ c>e organization ,! t]m 
m$icaid manag$ c>e organization has !   
mean+ giv5 t t]m 9 section              
#aijc7m77#a77;,a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4                     
#acif;b7m77#a77;,a774  7#c7 ,secret>y ,!
 t]m ,secret>y means ! ,secret>y (      
,heal? & ,human ,s]vices4  7c7 ,guidance
 ,n lat] ?an #a ye> aft] ! date (       
enactm5t ( ?is ,act1 ! ,secret>y %all-- 
7#a7 conv5e at lea/ #a virtual op5 door 
meet+ to seek input f /akehold]s1       
includ+ prim>y c>e provid]s :o practice 
"u ! direct prim>y c>e model1 ,/ate     
,m$icaid ag5cies1 & m$icaid manag$ c>e  
organizations2 &  7#b7 tak+ into acc\nt 
su* input1 issue guidance to ,/ates on  
h[ a ,/ate may implem5t direct prim>y   
c>e arrangem5ts "u title ,,xix ( !      

,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq474  7d7 ,report ,n lat] ?an
 #b ye>s aft] ! date ( enactm5t ( ?is   
,act1 ! ,secret>y %all submit to        
,congress a report conta9+-- 7#a7 an    
analysis ( ! ext5t to :i* ,/ates are    
contract+ ) indep5d5t physicians1       
indep5d5t physician practices1 & prim>y 
c>e practices = purposes ( furni%+      
m$ical assi/ance "u ,/ate plans 7or     
waiv]s ( su* plans7 "u title ,,xix ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq47 ?r\gh direct prim>y c>e  
arrangem5ts2 &  7#b7 an analysis (      
quality ( c>e & co/ ( c>e furni%$ to    
individuals enroll$ "u su* title :]e su*
 c>e is paid = "u a direct prim>y c>e   
arrangem5t ?r\gh a m$icaid manag$ c>e   
organization4  7e7 ,rule ( con/ruction  
,no?+ 9 ?is section %all be con/ru$ to  
alt] /atutory requirem5ts applicable to 
,/ate plans 7or waiv]s ( su* plans7 "u  
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq471 includ+  
requirem5ts relat+ to co/-%>+ &         

requirem5ts relat+ to ! am\nt1 duration1
 & scope ( m$ical assi/ance t is requir$
 to be made available to individuals :o 
are eligible = su* assi/ance "u su* a   
plan or waiv]4