Primary Care Investment Workgroup

Overview

During the 2022 legislative session, Senate Bill 734, Maryland Health Care Commission – Primary Care Report and Workgroup (Workgroup) passed. Senate Bill 734 requires the Maryland Health Care Commission to convene a Workgroup of select stakeholders and annually report on ways to improve quality and access to primary care services, with special attention to increasing health care equity, reducing health care disparities, and avoiding increased costs to patients and the health care system.  

The Workgroup’s scope of work is broad and encompasses analyzing primary care spending, developing plans to improve quality and access to primary care, identifying strategies to reduce barriers to primary care, and identifying approaches to increase the primary care workforce. In 2023, the Workgroup developed a plan for the annual analysis and drafting of the report.  Annual reporting began in 2024 and is due to the Governor and General Assembly by December 1st.

Membership

A list of Workgroup members is available here.

Reports

2025 Primary Care Investment Analysis and Recommendations Report

This report presents the 2025 annual analysis and provides targeted recommendations to enhance health care access, quality, and equity in Maryland through increased investment in primary care.  Between 2021 and 2023, primary care spending in Maryland remained stagnant.  Several regions across the State continue to be underserved—areas in the northwest, southeast, and Baltimore City areas where expanded access to primary care is especially critical, yet investment remains insufficient. 

Meetings

None at this time.

All posted meeting materials should be considered as draft until the workgroup meeting is held.

Meeting Materials: 

April 28, 2026: Agenda; Recording; Meeting Summary

February 24, 2026:  Recording; Agenda; Meeting Summary

January 27, 2026: Recording; Agenda; Meeting Summary

December 2, 2025: Recording; Agenda; Presentation; Meeting Summary

July 8, 2025: Recording; Agenda; Presentation; Meeting Summary

March 25, 2025: Recording; Agenda; Meeting Summary; Presentation; Hospitals may buckle under 'tsunami of patients; Recent Events Have Made Primary Care More Fragile--Further Challenges Lie Ahead 

Resources

Senate Bill 734, Maryland Health Care Commission – Primary Care Report and Workgroup  

Details the key provisions of the law. 

Freedman HealthCare, LLC Presentation - Increasing Primary Care Investment and Orientation: Experiences from Other States (2022)

Highlights experiences from other states working to increase primary care investment and orientation.

Measuring Non-Claims-Based Primary Care Spending (2021)

This brief proposes a standard definition and measurement methodology to quantify total investment in primary care and enable comparisons of spending across states and within a state by region, payer, and health care system.

Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care (2021)

This report provides an evidence-based plan with actionable objectives and recommendations for implementing high-quality primary care in the United States.

Contact

For more information or questions about the Workgroup, please contact:
Melanie Cavaliere, Division Chief for Innovative Care Delivery
Center for Health Information Technology & Innovative Care Delivery
Phone: 410.764.3282
Fax: 410.358.1236
Email: melanie.cavaliere@maryland.gov 

Archived Meeting Materials

View Past Reports and Meeting Materials