States could use direct primary care in Medicaid, where a doctor or clinic gets a set regular fee for primary care. The federal health department would guide states and report to Congress on cost and quality. Current Medicaid benefit and patient cost rules would stay the same.
Modern Action explains what the legislation does, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.
Medicaid Primary Care Improvement Act is a Senate bill in committee. The latest recorded action: Read twice and referred to the Committee on Finance.
Latest action on S. 3298: Read twice and referred to the Committee on Finance.
Who this affects: This bill mainly affects people on Medicaid who get primary care, the doctors and clinics that treat them, and the state agencies that run Medicaid. It could change how primary care is paid for and organized. It does not change who qualifies for Medicaid, what core services Medicaid must cover, or the patient cost limits already in law.
Why this matters: This bill matters because it could change how Medicaid pays for everyday doctor visits. A fixed regular payment may help some doctors build steadier relationships with patients. It may also help states test a different way to pay for care. The effects are uncertain because the bill does not require states to use the model. It also does not set detailed national rules for how each state must run it.
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Officially: Medicaid Primary Care Improvement Act
States could use direct primary care in Medicaid, where a doctor or clinic gets a set regular fee for primary care. The federal health department would guide states and report to Congress on cost and quality. Current Medicaid benefit and patient cost rules would stay the same.
Use this page to support, oppose, or ask Congress to amend S3298. Modern Action explains what the bill does, helps identify the right senators or representative, and drafts a bill-specific message you can edit and send.
Where it stands
Sitting in Finance
No vote scheduled. Constituent contact is what moves bills out of committee.
↓ Why your message matters here
This bill is sitting in committee with no scheduled vote — which means a small number of constituent messages can decide whether it moves forward or quietly dies.
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Where this bill is in the process
Introduced
Introduced in Senate
Senate Committee
Under Senate committee consideration
Latest: Read twice and referred to the Committee on Finance. (12/2/2025)
Senate Floor Vote
Voted on by Senate
Passed Senate
Approved by Senate
House Review
Sent to House for consideration
Passed Both Chambers
Approved by both House and Senate
Signed into Law
Signed by the President
For more detail
Choose one clear position: support, oppose, or amend. Then pick any reasons or personal context you want included. Modern Action uses that input and the bill context to draft a message you can edit and send.
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This page gives you an opportunity to support, oppose, or ask for changes to Medicaid Primary Care Improvement Act, then contact the elected officials who can act. Modern Action drafts the message from your position and the reasons you select.
Modern Action keeps the action tied to the bill itself: what it does, where it is in the process (committee), which office can still act, and what ask belongs in the message.
You are not starting from a blank form. Modern Action drafts the message around S3298, your stance, and the reasons you choose, then lets you edit and send when ready.