Business & Policy

DPC COALITION: (Updates) S. 2999, The Primary Care Enhancement Act of 2019

Jay Keese, Executive Director, DPCC
Direct Primary Care Coalition

Washington, DC

The founder of Capitol Advocates, a Washington, DC government relations firm, Jay has over two decades of experience as a health policy professional working with providers, employers, payers, healthcare technology firms, and states on critical delivery system reforms and advanced primary care models.

By The DPC Coalition | DECEMBER 10, 2019 | DPC Coalition Office (202) 624-1450 |

Senators Bill Cassidy, MD (R-LA), Doug Jones (D-AL), Jerry Moran (R-KS) and Jeanne Shaheen (D-NH) today introduced S. 2999, The Primary Care Enhancement Act of 2019.  This bipartisan bill is the Senate companion to H.R. 3708, Introduced by Representatives Blumenauer, Nunes, Smith (MO) and Schneider, which passed out of the House Ways and Means Committee in October with a unanimous vote.  A draft copy of the bill as filed is attached.

The Primary Care Enhancement Act: Separating Fact from Fiction (open letter; DPC Coalition)

These bills, which after almost a decade, are moving through the legislative process with strong bipartisan support, will clear the way for 23 million Americans with high deductible health plans (HDHPs) to be eligible for Direct Primary Care (DPC) if they fund an HSA. The bill creates a simple exception to the dated definition of DPC as a health plan in the tax code for affordable DPC arrangements that cost less than $150 per month.

EP. 204 | Employed Vs. Independent Doctors: Which Path Is Right For You? Exclusive with Marni Jameson Carey, MA, of

According to the Bipartisan Join Committee on Taxation (JCT), the bill says:

  • A DPC arrangement will not be treated as a health plan making individuals ineligible to contribute to an HSA.
  • Fees paid for DPC will be treated as medical expenses and not insurance.
  • The sole compensation in a DPC agreement must be a fixed periodic fee for primary care.

S. 2999 FACT SHEET – Download …

S.2999 contains the same language that recently passed the House Ways and Means Committee, with a one-sentence change.  The provision in Sec. 2 of the House bill which would have restricted the inclusion of prescription drugs as a part of the services offered in a DPC agreement for patients with HSAs has been removed.  Senators agreed that, while the House provision didn’t have much of a practical impact on DPC practices, if this minor change could play even a small part in helping alleviate the high cost of prescriptions for patients, then we should explore the opportunity to allow docs to roll prescription drugs into a DPC arrangement if they see fit.  The house bill does not restrict DPC practices from dispensing, it simply said an eligible HSA holder could not have a DPC agreement that included drugs in the agreement.

Cassidy, Jones, Moran, Shaheen Introduce Bill to Allow Health Savings Accounts to Be Spent on Direct Primary Care

We are grateful to Senators Cassidy, Jones, Moran and Shaheen for their support and look forward to moving this important bill through the Senate Finance Committee and ultimately on to the President’s Desk.

Jay Keese
Executive Director
Direct Primary Care Coalition
400 North Capitol Street, NW
Suite 585
Washington, DC 20001
Office (202) 624-1450

Categories: Business & Policy

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s