Title: Primary Care Patient Protection Act of 2019
Policy area: Taxation

Summary:
Primary Care Patient Protection Act of 2019
This bill modifies the requirements for the high deductible health plans that are required for tax-preferred health savings accounts. The bill requires the plans to offer coverage with no deductible for primary care services provided during the first two visits during a year to an individual's designated primary care provider. The primary care provider must be a general practitioner, family physician, general internist, obstetrician, gynecologist, pediatrician, geriatric physician, or advanced practice registered nurse acting in accordance with state laws.

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 2793 Introduced in Senate (IS)]

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116th CONGRESS
  1st Session
                                S. 2793

To amend the Internal Revenue Code of 1986 to require coverage without 
a deductible of certain primary care services by high deductible health 
                                 plans.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            November 6, 2019

   Mr. King introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
To amend the Internal Revenue Code of 1986 to require coverage without 
a deductible of certain primary care services by high deductible health 
                                 plans.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Primary Care Patient Protection Act 
of 2019''.

SEC. 2. REQUIREMENT OF COVERAGE WITHOUT DEDUCTIBLE OF CERTAIN PRIMARY 
              CARE SERVICES BY HIGH DEDUCTIBLE HEALTH PLANS.

    (a) In General.--Section 223(c)(2)(B) of the Internal Revenue Code 
of 1986 is amended by striking ``if substantially all of its coverage 
is coverage described in paragraph (1)(B).'' and inserting the 
following: ``if--
                            ``(i) substantially all of its coverage is 
                        coverage described in paragraph (1)(B), or
                            ``(ii) such plan has a deductible for 
                        primary care services provided by a qualified 
                        provider as part of a qualified visit.''.
    (b) Qualified Primary Care Services Defined.--Section 223(c) of the 
Internal Revenue Code of 1986 is amended by adding at the end the 
following new paragraph:
            ``(6) Primary care services.--The term `primary care 
        services' has the meaning given such term by section 
        1833(x)(2)(B) of the Social Security Act, without regard to 
        clauses (ii) and (iii) of such section.
            ``(7) Qualified provider.--The term `qualified provider' 
        means a general practitioner, family physician, general 
        internist, obstetrician, gynecologist, pediatrician, geriatric 
        physician, or advanced practice registered nurse acting in 
        accordance with State laws.
            ``(8) Qualified visit.--The term `qualified visit' means, 
        with respect to an individual for a plan year, either of the 
        first 2 visits by the individual during the year with a 
        qualified provider who is designated by such individual as the 
        primary care provider for such individual.''.
    (c) Effective Date.--The amendments made by this section shall 
apply to plan years beginning after the date of the enactment of this 
Act.
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