Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Congressional Research Service
Official summary
Version 00 · Introduced in Senate · Apr 9, 2014
Expanding Primary Care Access and Workforce Act - Amends the Public Health Service Act to appropriate funds for scholarship and student loan repayment programs for primary care providers.
Amends the Patient Protection and Affordable Care Act of 2010 to provide appropriations for the National Health Care Workforce Commission and extend provisions related to community health centers and the Family Nurse Practitioner Residency Training Program. Extends payments and development grants for Teaching Health Centers, the Nurse Faculty Loan Program, the Primary Care Residency Expansion Program, and Area Health Education Centers.
Prohibits the Secretary of Health and Human Services (HHS) from determining physician fees for payments under title XVIII (Medicare) of the Social Security Act by consulting with physician organizations or entities unless at least 50% of the members are primary care physicians.
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Amends title XVIII (Medicare) of the Social Security Act to extend the Medicare incentive payment program for primary care services. Amends title XIX (Medicaid) to permanently apply the Medicare payment rate floor to primary care services furnished under Medicaid.
Requires medical schools receiving federal funds to maintain a family medicine or primary care department.
Amends Medicare provisions related to payments for graduate medical education costs to permit HHS to increase the resident limit for additional positions in family medicine.
Prohibits health care providers accepting payments under Medicare or Medicaid from charging uninsured individuals a higher rate for a medical service than the provider would receive under Medicare for the same service.
Source last updated: Aug 12, 2025. Consult Congress.gov for the current record.
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