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Bill 197 would set a primary‑care investment target and retool payments, proponents say
Summary
Proponents told the committee Bill 197 would strengthen primary care through a per‑person per‑month investment target, payment reform to move toward capitated PMPM payments, and workforce supports; the bill asks AHS for reports by Jan. 2027 and an operational plan by Jan. 1, 2028.
Presenter Jessa told the committee that Bill 197 is intended to increase sustainability and access to primary care by using three main levers: setting a primary‑care investment target, implementing primary‑care payment reform, and strengthening the primary‑care workforce.
“This bill both moves the needle on investing more in primary care and paying differently,” the presenter said, outlining how the measure would expand the Blueprint model so more insurers contribute to an add‑on payment for patient‑centered medical homes, require AHS to set a per‑member‑per‑month (PMPM) investment target, and direct work on transitioning from add‑on fee‑for‑service payments toward a capitated PMPM for core primary‑care services. She said the bill asks…
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