summary
Introduced
09/03/2021
09/03/2021
In Committee
09/03/2021
09/03/2021
Crossed Over
Passed
Dead
01/03/2023
01/03/2023
Introduced Session
117th Congress
Bill Summary
A BILL To facilitate direct primary care arrangements.
AI Summary
This bill aims to facilitate the use of direct primary care arrangements. It does this by:
1) Clarifying that direct primary care service arrangements, where individuals pay a fixed periodic fee for primary care services, are not considered health plans for the purposes of Health Savings Accounts (HSAs). This allows individuals with HSAs to use them to pay for direct primary care.
2) Allowing states to implement Medicaid waivers to enable Medicaid beneficiaries to participate in direct primary care arrangements.
3) Giving the same legal force and effect to a 2019 federal rule regarding Health Reimbursement Arrangements and other account-based group health plans as if it had been enacted by Congress.
4) Encouraging Medicare Advantage plans to offer Medical Savings Account (MSA) plans, which allow enrollees to pay for services with a personal medical savings account.
5) Making entities that offer direct primary care service arrangements eligible for the National Health Service Corps programs, which help place healthcare providers in underserved areas.
The overall intent is to promote the use and accessibility of direct primary care as an alternative healthcare model that can potentially reduce costs and improve outcomes.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (1)
Last Action
Referred to the Subcommittee on Health. (on 09/03/2021)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/117th-congress/house-bill/5157/all-info |
| BillText | https://www.congress.gov/117/bills/hr5157/BILLS-117hr5157ih.pdf |
| Bill | https://www.congress.gov/117/bills/hr5157/BILLS-117hr5157ih.pdf.pdf |
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