Despite a promise from the U.S. Department of Health and Human Services (HHS) that primary care physicians participating in the Medicaid program would receive a pay raise as part of the Affordable Care Act, practitioners in most states have yet to receive it, according to Kaiser Health News. The pay raises were designed to kick in at the start of 2013, but HHS has yet to approve many state applications for the increase,. Those states waiting for approval include California, which has one of the lowest rates of reimbursement in the United States. A spokeswoman with the Centers for Medicare & Medicaid Services said the pay raises would likely be implemented later this summer. Article