Primary Care Enhancement Act

Summary#

The bill would let people with qualifying direct primary care arrangements remain eligible for health savings accounts (HSAs). It would also allow arrangement fees to count as medical expenses for HSA purposes and require employers to report fees for arrangements provided through employment. The bill would apply to months beginning after December 31, 2025.

What it means for you#

A direct primary care arrangement would need to cover only primary care services provided for a fixed periodic fee. Fees for one person could not exceed $150 per month; the limit would be $300 for an arrangement covering more than one person. Procedures requiring general anesthesia, most prescription drugs, and certain laboratory services would not count as primary care services under the bill. The bill would also allow qualifying arrangement fees to be paid from an HSA.

Expenses#

The bill sets monthly fee limits for qualifying arrangements. No publicly available information on government costs is provided in the bill text.

Proponents' View#

No publicly available information.

Opponents' View#

No publicly available information.