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OBJECTIVE This paper examines whether Australian regional primary health care organisations - in this case, Medicare Locals (MLs) and Primary Health Networks (PHNs) - have engaged with migrant and refugee health, and what factors encourage work in this area. METHODS The study used mixed methods with surveys of ML (N=21 and PHN staff (N=66), interviews with ML (N=5 and PHN (N=55) staff, national consultations with migrant and refugee organisations (N=8 groups with 62 participants), and analysis of ML and PHN documents. RESULTS Need