This bill mandates that Medicaid reimbursement rates for primary care and mental health services align with those under Medicare, specifically requiring that, starting July 1, 2023, the Medicaid reimbursement rate for these services be no less than 100 percent of the payment rate applicable under Medicare Part B. The bill defines primary care services to include those provided by physicians in specific specialties, healthcare professionals such as nurse practitioners and physician assistants, and midwives. Mental health services are further defined to encompass a range of providers, including licensed social workers, psychologists, and psychiatrists. Importantly, the bill stipulates that it should not result in any decrease in reimbursement rates from previous fiscal years.

Additionally, the bill outlines that these provisions will apply to services reimbursed through both the Medicaid fee-for-service and managed care systems, provided they are delivered by approved Medicaid providers. The Commissioner of Human Services is tasked with submitting a report within one year of the bill's enactment to assess the implementation of these changes, including their impact on access and quality of care for Medicaid beneficiaries. The report will also include recommendations for further improvements to Medicaid rates to enhance access and quality of care in underserved areas.