The bill establishes the "Primary Care Access, Improvement, and Transformation Commission" within the Department of Health and Human Services in Michigan. The commission will consist of 20 members appointed by the governor, including various health professionals, community health workers, and representatives from health organizations. Its primary responsibilities include making recommendations to increase primary care spending by at least 12%, improving access to high-quality primary care, guiding state primary care policies, and advising on Medicaid state plans. The commission is also tasked with publishing an annual report on primary care spending, workforce trends, and other relevant insights.

Additionally, the bill outlines the commission's operational structure, including meeting requirements, quorum rules, and the process for appointing members. It mandates that the commission review its bylaws and goals annually and provides for public transparency through the publication of reports and dashboards. The commission is set to be evaluated for its ongoing need within eight years, and the act will be repealed ten years after its effective date unless further legislative action is taken.