<?xml version="1.0" encoding="utf-8" standalone="no"?>
<billStatus>
  <version>3.0.0</version>
  <bill>
    <number>3836</number>
    <updateDate>2025-05-27T14:15:35Z</updateDate>
    <updateDateIncludingText>2025-05-27T14:15:35Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2023-06-06</introducedDate>
    <congress>118</congress>
    <cdata>
      <constitutionalAuthorityStatementText>&lt;pre&gt;[Congressional Record Volume 169, Number 98 (Tuesday, June 6, 2023)][House]From the Congressional Record Online through the Government Publishing Office [&lt;a href="https://www.gpo.gov"&gt;www.gpo.gov&lt;/a&gt;]By Mr. CRENSHAW:H.R. 3836.Congress has the power to enact this legislation pursuantto the following:Section 8 of article I of the ConstitutionThe single subject of this legislation is:To facilitate direct primary care arrangements underMedicaid.[Page H2763]&lt;/pre&gt;</constitutionalAuthorityStatementText>
    </cdata>
    <committees>
      <item>
        <systemCode>ssfi00</systemCode>
        <name>Finance Committee</name>
        <chamber>Senate</chamber>
        <type>Standing</type>
        <activities>
          <item>
            <name>Referred To</name>
            <date>2024-03-06T16:56:53Z</date>
          </item>
        </activities>
      </item>
      <item>
        <systemCode>hsif00</systemCode>
        <name>Energy and Commerce Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
        <subcommittees>
          <item>
            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
            <activities>
              <item>
                <name>Reported by</name>
                <date>2023-07-13T18:53:41Z</date>
              </item>
              <item>
                <name>Markup by</name>
                <date>2023-07-13T18:53:41Z</date>
              </item>
              <item>
                <name>Referred to</name>
                <date>2023-06-09T20:28:27Z</date>
              </item>
            </activities>
          </item>
        </subcommittees>
        <activities>
          <item>
            <name>Reported By</name>
            <date>2023-09-01T20:59:14Z</date>
          </item>
          <item>
            <name>Markup By</name>
            <date>2023-07-19T15:56:02Z</date>
          </item>
          <item>
            <name>Referred To</name>
            <date>2023-06-06T14:01:40Z</date>
          </item>
        </activities>
      </item>
    </committees>
    <committeeReports>
      <committeeReport>
        <citation>H. Rept. 118-170</citation>
      </committeeReport>
    </committeeReports>
    <actions>
      <item>
        <actionDate>2024-03-06</actionDate>
        <committees>
          <item>
            <systemCode>ssfi00</systemCode>
            <name>Finance Committee</name>
          </item>
        </committees>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Received in the Senate and Read twice and referred to the Committee on Finance.</text>
        <type>IntroReferral</type>
      </item>
      <item>
        <actionDate>2024-03-05</actionDate>
        <actionTime>16:45:31</actionTime>
        <text>Motion to reconsider laid on the table Agreed to without objection.</text>
        <type>Floor</type>
        <actionCode>H38310</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2024-03-05</actionDate>
        <actionTime>16:45:29</actionTime>
        <text>On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H798-799)</text>
        <type>Floor</type>
        <actionCode>H37300</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2024-03-05</actionDate>
        <actionTime>16:45:29</actionTime>
        <text>Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H798-799)</text>
        <type>Floor</type>
        <actionCode>8000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2024-03-05</actionDate>
        <actionTime>16:33:02</actionTime>
        <text>DEBATE - The House proceeded with forty minutes of debate on H.R. 3836.</text>
        <type>Floor</type>
        <actionCode>H8D000</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2024-03-05</actionDate>
        <actionTime>16:33:01</actionTime>
        <text>Considered under suspension of the rules. (consideration: CR H798-800)</text>
        <type>Floor</type>
        <actionCode>H30000</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2024-03-05</actionDate>
        <actionTime>16:33:00</actionTime>
        <text>Mr. Guthrie moved to suspend the rules and pass the bill, as amended.</text>
        <type>Floor</type>
        <actionCode>H30300</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2023-09-01</actionDate>
        <text>Placed on the Union Calendar, Calendar No. 134.</text>
        <type>Calendars</type>
        <actionCode>H12410</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
        <calendarNumber>
          <calendar>U00134</calendar>
        </calendarNumber>
      </item>
      <item>
        <actionDate>2023-09-01</actionDate>
        <text>Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-170.</text>
        <type>Committee</type>
        <actionCode>H12200</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
        <committees>
          <item>
            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2023-09-01</actionDate>
        <text>Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-170.</text>
        <type>Committee</type>
        <actionCode>5000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
        <committees>
          <item>
            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2023-07-19</actionDate>
        <committees>
          <item>
            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
          </item>
        </committees>
        <sourceSystem>
          <code>1</code>
          <name>House committee actions</name>
        </sourceSystem>
        <text>Ordered to be Reported (Amended) by the Yeas and Nays: 51 - 0.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2023-07-19</actionDate>
        <committees>
          <item>
            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
          </item>
        </committees>
        <sourceSystem>
          <code>1</code>
          <name>House committee actions</name>
        </sourceSystem>
        <text>Committee Consideration and Mark-up Session Held.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2023-07-13</actionDate>
        <committees>
          <item>
            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
          </item>
        </committees>
        <sourceSystem>
          <code>1</code>
          <name>House committee actions</name>
        </sourceSystem>
        <text>Subcommittee Consideration and Mark-up Session Held</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2023-07-13</actionDate>
        <committees>
          <item>
            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
          </item>
        </committees>
        <sourceSystem>
          <code>1</code>
          <name>House committee actions</name>
        </sourceSystem>
        <text>Forwarded by Subcommittee to Full Committee (Amended) by the Yeas and Nays: 28 - 0.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2023-06-09</actionDate>
        <committees>
          <item>
            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
          </item>
        </committees>
        <sourceSystem>
          <code>1</code>
          <name>House committee actions</name>
        </sourceSystem>
        <text>Referred to the Subcommittee on Health.</text>
        <type>Committee</type>
      </item>
      <item>
        <actionDate>2023-06-06</actionDate>
        <text>Referred to the House Committee on Energy and Commerce.</text>
        <type>IntroReferral</type>
        <actionCode>H11100</actionCode>
        <sourceSystem>
          <code>2</code>
          <name>House floor actions</name>
        </sourceSystem>
        <committees>
          <item>
            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
          </item>
        </committees>
      </item>
      <item>
        <actionDate>2023-06-06</actionDate>
        <text>Introduced in House</text>
        <type>IntroReferral</type>
        <actionCode>Intro-H</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
      <item>
        <actionDate>2023-06-06</actionDate>
        <text>Introduced in House</text>
        <type>IntroReferral</type>
        <actionCode>1000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
        </sourceSystem>
      </item>
    </actions>
    <sponsors>
      <item>
        <bioguideId>C001120</bioguideId>
        <fullName>Rep. Crenshaw, Dan [R-TX-2]</fullName>
        <firstName>Dan</firstName>
        <lastName>Crenshaw</lastName>
        <party>R</party>
        <state>TX</state>
        <district>2</district>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>S001216</bioguideId>
        <fullName>Rep. Schrier, Kim [D-WA-8]</fullName>
        <firstName>Kim</firstName>
        <lastName>Schrier</lastName>
        <party>D</party>
        <state>WA</state>
        <district>8</district>
        <sponsorshipDate>2023-06-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001199</bioguideId>
        <fullName>Rep. Smucker, Lloyd [R-PA-11]</fullName>
        <firstName>Lloyd</firstName>
        <lastName>Smucker</lastName>
        <party>R</party>
        <state>PA</state>
        <district>11</district>
        <sponsorshipDate>2023-06-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B000574</bioguideId>
        <fullName>Rep. Blumenauer, Earl [D-OR-3]</fullName>
        <firstName>EARL</firstName>
        <lastName>BLUMENAUER</lastName>
        <party>D</party>
        <state>OR</state>
        <district>3</district>
        <sponsorshipDate>2023-06-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000620</bioguideId>
        <fullName>Rep. Pettersen, Brittany [D-CO-7]</fullName>
        <firstName>Brittany</firstName>
        <lastName>Pettersen</lastName>
        <party>D</party>
        <state>CO</state>
        <district>7</district>
        <sponsorshipDate>2023-07-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Congressional oversight</name>
          <updateDate>2023-08-11T19:45:21Z</updateDate>
        </item>
        <item>
          <name>Health care costs and insurance</name>
          <updateDate>2023-08-11T19:45:21Z</updateDate>
        </item>
        <item>
          <name>Medicaid</name>
          <updateDate>2023-08-11T19:45:21Z</updateDate>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
        <updateDate>2023-07-06T19:15:24Z</updateDate>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2023-06-06</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2023-09-18T15:48:22Z</updateDate>
        <cdata>
          <text>&lt;p&gt;&lt;b&gt;Medicaid Primary Care Improvement Act&lt;/b&gt;&lt;/p&gt; &lt;p&gt;This bill specifies that state Medicaid programs are authorized to provide primary care services through direct primary care arrangements (i.e., arrangements in which primary care providers receive a fixed periodic fee for their services).&lt;/p&gt; &lt;p&gt;The Centers for Medicare &amp;amp; Medicaid Services must (1) issue guidance on how state Medicaid programs may implement direct primary care arrangements, and (2) report on the extent to which state Medicaid programs contract with independent providers and on the quality and cost of care under direct primary care arrangements that are offered through Medicaid managed care organizations.&lt;/p&gt;</text>
        </cdata>
      </summary>
      <summary>
        <versionCode>07</versionCode>
        <actionDate>2023-09-01</actionDate>
        <actionDesc>Reported to House</actionDesc>
        <updateDate>2023-09-19T12:46:26Z</updateDate>
        <cdata>
          <text>&lt;p&gt;&lt;b&gt;Medicaid Primary Care Improvement Act&lt;/b&gt;&lt;/p&gt; &lt;p&gt;This bill specifies that state Medicaid programs are authorized to provide primary care services through direct primary care arrangements (i.e., arrangements in which primary care providers receive a fixed periodic fee for their services).&lt;/p&gt; &lt;p&gt;The Centers for Medicare &amp;amp; Medicaid Services must (1) convene at least one virtual stakeholder meeting and issue related guidance on how state Medicaid programs may implement direct primary care arrangements, and (2) report on the extent to which state Medicaid programs contract with independent providers and on the quality and cost of care under direct primary care arrangements that are offered through Medicaid managed care organizations.&lt;/p&gt;</text>
        </cdata>
      </summary>
      <summary>
        <versionCode>53</versionCode>
        <actionDate>2024-03-05</actionDate>
        <actionDesc>Passed House</actionDesc>
        <updateDate>2024-03-27T21:39:21Z</updateDate>
        <cdata>
          <text>&lt;p&gt;&lt;b&gt;Medicaid Primary Care Improvement Act&lt;/b&gt;&lt;/p&gt; &lt;p&gt;This bill specifies that state Medicaid programs are authorized to provide primary care services through direct primary care arrangements (i.e., arrangements in which primary care providers receive a fixed periodic fee for their services).&lt;/p&gt; &lt;p&gt;The Centers for Medicare &amp;amp; Medicaid Services must (1) convene at least one virtual stakeholder meeting and issue related guidance on how state Medicaid programs may implement direct primary care arrangements, and (2) report on the extent to which state Medicaid programs contract with independent providers and on the quality and cost of care under direct primary care arrangements that are offered through Medicaid managed care organizations.&lt;/p&gt;</text>
        </cdata>
      </summary>
    </summaries>
    <title>Medicaid Primary Care Improvement Act</title>
    <titles>
      <item>
        <titleType>Short Titles from RFS (Referred to Senate) bill text</titleType>
        <titleTypeCode>255</titleTypeCode>
        <title>Medicaid Primary Care Improvement Act</title>
        <updateDate>2024-07-24T15:12:56Z</updateDate>
        <chamberCode>S</chamberCode>
        <chamberName>Senate</chamberName>
        <billTextVersionName>Referred in Senate</billTextVersionName>
        <billTextVersionCode>RFS</billTextVersionCode>
      </item>
      <item>
        <titleType>Display Title</titleType>
        <titleTypeCode>45</titleTypeCode>
        <title>Medicaid Primary Care Improvement Act</title>
        <updateDate>2024-07-09T18:13:39Z</updateDate>
      </item>
      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <titleTypeCode>101</titleTypeCode>
        <title>Medicaid Primary Care Improvement Act</title>
        <updateDate>2024-05-24T13:39:03Z</updateDate>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Title(s) as Reported to House</titleType>
        <titleTypeCode>102</titleTypeCode>
        <title>Medicaid Primary Care Improvement Act</title>
        <updateDate>2024-05-24T13:36:51Z</updateDate>
        <chamberCode>H</chamberCode>
        <chamberName>House</chamberName>
        <billTextVersionName>Reported in House</billTextVersionName>
        <billTextVersionCode>RH</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Title(s) as Passed House</titleType>
        <titleTypeCode>104</titleTypeCode>
        <title>Medicaid Primary Care Improvement Act</title>
        <updateDate>2024-05-24T13:33:58Z</updateDate>
        <chamberCode>H</chamberCode>
        <chamberName>House</chamberName>
        <billTextVersionName>Engrossed in House</billTextVersionName>
        <billTextVersionCode>EH</billTextVersionCode>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <titleTypeCode>6</titleTypeCode>
        <title>To facilitate direct primary care arrangements under Medicaid.</title>
        <updateDate>2024-03-18T21:20:55Z</updateDate>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Referred in Senate</type>
        <date>2024-03-06T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-118hr3836rfs/xml/BILLS-118hr3836rfs.xml</url>
          </item>
        </formats>
      </item>
      <item>
        <type>Engrossed in House</type>
        <date>2024-03-05T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-118hr3836eh/xml/BILLS-118hr3836eh.xml</url>
          </item>
        </formats>
      </item>
      <item>
        <type>Reported in House</type>
        <date>2023-09-01T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-118hr3836rh/xml/BILLS-118hr3836rh.xml</url>
          </item>
        </formats>
      </item>
      <item>
        <type>Introduced in House</type>
        <date>2023-06-06T04:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-118hr3836ih/xml/BILLS-118hr3836ih.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2024-03-06</actionDate>
      <text>Received in the Senate and Read twice and referred to the Committee on Finance.</text>
    </latestAction>
  </bill>
  <dublinCore xmlns:dc="http://purl.org/dc/elements/1.1/">
    <dc:format>text/xml</dc:format>
    <dc:language>EN</dc:language>
    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
  </dublinCore>
</billStatus>
