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Medicaid Payment Parity: Hospital Input Needed

Section 1202 of the Affordable Care Act (known as the primary care bump) requires state Medicaid programs to reimburse family, internal medicine, and pediatric physicians at rates at least equal to what Medicare would pay for primary care services. The provision went into effect in 2013 and expires at the end of this calendar year. The association has advocated for a continuation of this provision, which is designed to improve access to primary care for Medicaid beneficiaries. To best calibrate our advocacy on this issue, America’s Essential Hospitals would like to know what direct or indirect impact Section 1202 has had on your hospital.

Contact Shawn Gremminger, director of legislative affairs, at or 202.585.0112 with feedback or questions.



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