Bill > HB2096

This bill establishes a legal framework for direct primary care agreements in Pennsylvania, creating a new way for patients to access medical services outside traditional health insurance models. The legislation defines key terms like "direct primary care" as a service provided by a physician in exchange for a direct fee, which can include monthly retainers, membership fees, or per-service charges. The bill stipulates that these medical service agreements must be in writing, signed by both the patient and physician, specify the services and fees, and include a disclaimer that the agreement is not comprehensive health insurance. Importantly, the bill exempts these agreements and physicians from insurance department regulations, allowing more flexibility in healthcare delivery. Patients can use health savings accounts or flexible spending accounts to pay for these services, and physicians are permitted to collaborate with other healthcare practitioners within their scope of practice. The bill aims to provide an alternative, potentially more affordable and personalized healthcare option by removing some of the regulatory barriers associated with traditional health insurance, with the new law set to take effect 60 days after passage.

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https://www.palegis.us/legislation/bills/2025/hb2096