Relating To Primary Care.
Last status update Jan 23, 2026
What this measure contains
Requires all health carriers to allocate, initially, not less than 6% of the carrier's total medical expenditures to primary care providers, with the percentage increasingly incrementally to 12%. Requires health carriers to pay primary care providers directly, rather than through administrative mechanisms. Places restrictions on downcoding and claim modifications. Requires health carriers to ensure access to primary care in rural areas, including access to Primary Care Access Visits and Community Access Primary Care Sites. Requires Insurance Commissioner to administer requirements established in bill. Requires the Department of Human Services Med-QUEST Division to apply the Act, to the extent permitted by federal law and subject to any federal approvals, to Medicaid managed care organizations. Requires reports. Requires the Auditor to evaluate the impact of the Act on various metrics 3 years after the measure's effective date. Establishes the primary care stabilization special fund.
Source summary of the imported measure. Amendments can change the wording; read a specific version for its complete provisions.
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- Introduced · Official document ↗· Jan 23, 2026
Related measures
- HB1965— Same As
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Floor actions reported in the history
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Legislative history
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Introduced.
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Passed First Reading.
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Referred to HHS/CPN, WAM.
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The committee(s) on HHS/CPN has scheduled a public hearing on 02-17-26 9:45AM; Conference Room 229 & Videoconference.
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The committee(s) on HHS/CPN deferred the measure until 02-18-26 10:06AM; Conference Room 229 & Videoconference.
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The committee on HHS deferred the measure.
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The committee on CPN deferred the measure.