Ensuring Access to Primary Care for Women & Children Act
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Ensuring Access to Primary Care for Women and Children Act - Amends title XIX (Medicaid) of the Social Security Act to require that the primary care services furnished in 2015 and 2016 by a physician with a primary specialty designation of family medicine, general internal medicine, or pediatric medicine be paid at a rate that is not less than 100% of the payment rate that applies to such services and physician under Medicare part B (Supplementary Medical Insurance).
Extends this 100% of Medicare payment floor under certain conditions to the following providers, who are self-attested as Board-certified and at least 60% of whose services billed for under Medicaid must be for primary care services: (1) physicians with a primary specialty designation of obstetrics and gynecology; (2) advanced practice clinicians; (3) rural health clinics, federally-qualified health centers, or other specified health clinics; and (4) nurse practitioners, physician assistants, or certified nurse-midwives.
Excludes from coverage of primary care services any such services provided in an emergency department of a hospital.
Referred to the Subcommittee on Health.
- Introduced in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 5723: Ensuring Access to Primary Care for Women & Children Act. 113th Congress. Open America. https://openamerica.io/bill/113-HR-5723/
"H.R. 5723: Ensuring Access to Primary Care for Women & Children Act." 113th Congress, 2026, Open America, https://openamerica.io/bill/113-HR-5723/.
H.R. 5723, 113th Cong. (2026), https://openamerica.io/bill/113-HR-5723/.
[H.R. 5723: Ensuring Access to Primary Care for Women & Children Act](https://openamerica.io/bill/113-HR-5723/)