Ask AI
H.R. 5723

Ensuring Access to Primary Care for Women & Children Act

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.

Rep. Castor, Kathy [D-FL-14](D-FL)Sponsor
1committees4actions1related bills9subjects
  • Introduced in HouseNov 17, 2014
  1. Committee

    Referred to the Subcommittee on Health.

  2. IntroReferralH11100

    Referred to the House Committee on Energy and Commerce.

  3. IntroReferralIntro-H

    Introduced in House

  4. IntroReferral1000

    Introduced in House

Ensuring Access to Primary Care for Women & Children Act — Informed