The Medicaid Primary Care Improvement Act aims to enhance access to primary care services for individuals enrolled in Medicaid by allowing states to use direct primary care arrangements. This approach is designed to simplify the way primary care is provided and compensated, potentially improving the quality of care and reducing costs. The key provisions of the Act clarify that states can offer primary care services through direct primary care arrangements. In these arrangements, patients pay a fixed periodic fee to receive primary care services from their healthcare providers.