II 

114TH CONGRESS 

1ST SESSION S. 2118 

To amend title XIX of the Social Security Act to extend the application 

of the Medicare payment rate floor to primary care services furnished 

under Medicaid and to apply the rate floor to additional providers of 

primary care services. 

IN THE SENATE OF THE UNITED STATES 

OCTOBER 1, 2015 

Ms. KLOBUCHAR (for herself and Mr. HEINRICH) introduced the following bill; 

which was read twice and referred to the Committee on Finance 

A BILL 

To amend title XIX of the Social Security Act to extend 

the application of the Medicare payment rate floor to 

primary care services furnished under Medicaid and to 

apply the rate floor to additional providers of primary 

care services. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Ensuring Enhanced 

5 Access to Primary Care Act’’. 


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•S 2118 IS

1 SEC. 2. EXTENSION OF APPLICATION OF MEDICARE PAY2 MENT RATE FLOOR TO PRIMARY CARE SERV3 ICES FURNISHED UNDER MEDICAID AND AP4 PLICATION TO ADDITIONAL PROVIDERS. 

5 (a) RENEWAL OF PAYMENT FLOOR; ADDITIONAL

6 PROVIDERS.—Section 1902(a)(13) of the Social Security 

7 Act (42 U.S.C. 1396a(a)(13)) is amended by striking sub8 paragraph (C) and inserting the following: 

9 ‘‘(C) payment for primary care services (as 

10 defined in subsection (jj)) at a rate that is not 

11 less than 100 percent of the payment rate that 

12 applies to such services and physician under 

13 part B of title XVIII (or, if greater, the pay14 ment rate that would be applicable under such 

15 part if the conversion factor under section 

16 1848(d) for the year involved were the conver17 sion factor under such section for 2009), and 

18 that is not less than the rate that would other19 wise apply to such services under this title if 

20 the rate were determined without regard to this 

21 subparagraph, and that are— 

22 ‘‘(i) furnished in 2013 and 2014, by a 

23 physician with a primary specialty designa24 tion of family medicine, general internal 

25 medicine, or pediatric medicine; or 


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•S 2118 IS

1 ‘‘(ii) furnished in the 2-year period 

2 that begins on the first day of the first 

3 month that begins after the date of enact4 ment of the Ensuring Enhanced Access to 

5 Primary Care Act— 

6 ‘‘(I) by a physician with a pri7 mary specialty designation of family 

8 medicine, general internal medicine, 

9 or pediatric medicine, but only if the 

10 physician self-attests that the physi11 cian is Board certified in family medi12 cine, general internal medicine, or pe13 diatric medicine; 

14 ‘‘(II) by a physician with a pri15 mary specialty designation of obstet16 rics and gynecology, but only if the 

17 physician self-attests that the physi18 cian is Board certified in obstetrics 

19 and gynecology; or 

20 ‘‘(III) by physician with a pri21 mary specialty designation of psychi22 atry or neurology, but only if the phy23 sician self-attests that the physician is 

24 Board certified in psychiatry or neu25 rology;’’. 


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1 (b) CONFORMING AMENDMENT.—Section 1905(dd) 

2 of the Social Security Act (42 U.S.C. 1396d(dd)) is 

3 amended by inserting ‘‘or furnished during the 2-year pe4 riod that begins on the first day of the first month that 

5 begins after the date of enactment of the Ensuring En6 hanced Access to Primary Care Act,’’ after ‘‘2015,’’. 

Æ 


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