Medicaid Primary Care Spending Target

Current understanding

A proposed amendment to Michigan’s Social Welfare Act (1939 PA 280) would require the Medicaid program to establish a target for the share of medical-services spending directed to primary care. The measure would add sec. 105k and amend sec. 105d (MCL 400.105d). It has been introduced in the House and has not yet advanced beyond committee.

Evidence log

• 2026-08-27 — Health: other; office of primary care transformation; establish. Creates new act. TIE BAR WITH: HB 6289’26: cross-connection with office-of-primary-care-transformation: A new Office of Primary Care Transformation would plausibly oversee or coordinate primary care spending targets in Medicaid. (novelty: 3)
• 2026-08-27 — Health: other; primary care access, improvement, and transformation commission; establish. Creates new act. TIE BAR WITH: HB 6288’26: cross-connection with primary-care-access-transformation-commission: Both proposals target primary care system reform in Michigan — one via a commission structure, the other via a Medicaid spending target — and could operate as complementary policy levers. (novelty: 2)
• 2026-08-27 — Human services: medical services; primary care spending target; establish. Amends sec. 105d of 1939 PA 280 (MCL 400.105d) & adds sec. 105k.: cross-connection with medicaid-managed-care-regulations: Both bills amend sec. 105d of 1939 PA 280, touching how Medicaid dollars are allocated and managed within the medical services program. (novelty: 2)

Open questions

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