Direct Primary Care Accessibility Act of 2021

Bill: 117-hr-3436
Sponsor: full_name: Rep. Rosendale Sr., Matthew M. [R-MT-At Large]
Introduced: 2021-05-20
Policy area: Health
Latest action: action_date: 2021-05-21
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2021-05-20
action_desc: Introduced in House
text: <p><strong>Direct Primary Care Accessibility Act of 2021</strong></p> <p>This bill exempts from federal regulation as health insurance coverage direct primary care arrangements under which a health care provider serves an individual in return for a direct fee, such as a membership fee or a fee for each service. These arrangements must include a written agreement that describes the specifics of the arrangement, including the items and services to be provided and the individual's payment obligation.</p>

tv_txt: I 117th CONGRESS 1st Session H. R. 3436 IN THE HOUSE OF REPRESENTATIVES May 20, 2021 Mr. Rosendale introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title XXVII of the Public Health Service Act to exempt certain direct primary care arrangements from regulation as health insurance coverage.

1. Short title This Act may be cited as the Direct Primary Care Accessibility Act of 2021 . 2. Exempting certain direct primary care arrangements from regulation as health insurance coverage Section 2791(b) of the Public Health Service Act ( 42 U.S.C. 300gg–91(b) ) is amended— (1) in paragraph (1), by inserting , except that such term shall not include a direct primary care arrangement (as defined in paragraph (6)) before the period; and (2) by adding at the end the following new paragraph: (6) Direct primary care arrangement (A) In general Except as provided in subparagraph (B), the term direct primary care arrangement means an arrangement under which an item or service is furnished by a health care provider to an individual in return for a direct fee. Such a fee may include— (i) a monthly retainer; (ii) a membership fee; (iii) a subscription fee; or (iv) a fee for a service, visit, or episode of care. (B) Exception The term direct primary care arrangement shall not include any arrangement unless— (i) a copy of such arrangement is provided to the individual entering into such agreement (or the legal representative of such individual); and (ii) such agreement— (I) is in writing; (II) describes the items and services to be provided in exchange for payment of a direct fee (as described in subparagraph (A)); (III) specifies the direct fee required and any additional fees to be paid by a third party; (IV) specifies the individual’s payment obligation; and (V) prohibits the provider from charging or receiving additional compensation for items and services included in the direct fee. .