This legislation aims to facilitate the use of direct primary care arrangements within State Medicaid programs. It explicitly clarifies that nothing in current law prohibits a State from providing primary care services through such arrangements, including as part of a value-based care model or through a Medicaid managed care organization. A direct primary care arrangement is defined as one where an individual receives solely primary care services from practitioners, with the only compensation being a fixed periodic fee . To support implementation, the Secretary of Health and Human Services is mandated to convene an open door meeting with stakeholders, including primary care providers and State Medicaid agencies, within one year of enactment. Following this input, the Secretary must issue guidance to States on how to implement these arrangements. Furthermore, within two years, the Secretary must submit a report to Congress analyzing the extent of State contracting with independent primary care providers through DPC arrangements and evaluating the quality and cost of care furnished under these models. Importantly, the bill specifies that it does not alter existing statutory requirements for State Medicaid plans regarding cost-sharing or the amount, duration, and scope of medical assistance.