A bill to amend title XIX of the Social Security Act to provide that the existing requirement that all medicaid patients be given free choice (in the selection of the doctors and health facilities by which they are to be treated) shall not apply (except in the case of individuals with severe chronic disability) in cities or other political subdivisions where the services involved are being effectively provided through locally operated public health centers.

Provides that the existing requirement under title XIX of the Social Security Act (Grants to States for Medical Assistance Programs) that all medicaid patients be given free choice in the selection of the doctors and health facilities by which they are to be treated shall not apply (except in the case of individuals with severe chronic disability) in cities or other political subdivisions where the services involved are being effectively provided through locally operated public health centers. (Amends 42 U.S.C. 1397)