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© 2014-2019  Direct Primary Care Coalition.

An Open Letter to Congress from Garrison Bliss, MD,

Chairman,Direct Primary Care  Coalition 

Founder of the First DPC Practice

Congress:  Act on H.R. 3708 Today. 

23 Million American Patients Are Waiting

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What is Direct Primary Care?

Direct Primary Care (DPC) is an innovative alternative payment model improving access to high functioning healthcare with a simple, flat, affordable membership fee.  No fee-for-service payments.  No third party billing.  The defining element of DPC is an enduring and trusting relationship between a patient and his or her primary care provider.  Patients have extraordinary access to a physician of their choice, often for as little as $70 per month, and physicians are accountable first and foremost their patients.  DPC is embraced by health policymakers on the left and right and creates happy patients and happy doctors all over the country!

Better Health Outcomes

Patients achieve superior health outcomes with Direct Primary Care's innovative service delivery.  DPCs provide better access to physicians, empower an authentic therapeutic relationship, and comprehensive patient care.  

Lower Costs

Affordable, transparent costs based on a periodic overall flat rate (i.e. membership or subscription).  Patients pay for their care directly to the physician.  No third parties or Fee for Service billing ("FFS") to inflate costs. Most DPC memberships/subscriptions cost less than the average cell phone bill.

Enhanced Patient Experience

Patients receive unrestrictive access to their healthcare provider, report little to no wait time, and longer appointments (in person, virtually, or phone). In turn, creating a real therapeutic relationship between patient and provider.

Find a Direct Primary Care Practice

There are over 1,000 Direct Primary Care practices in the nation. Click on a location for practice information.

DPC Mapper is updated by Phil Eskew, DO, JD, MBA, (DPCC Steering Committee Member)

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H.R. 3708 The Primary Care Enhancement Act Advances to the House Floor


The Primary Care Enhancement Act, a bipartisan bill by Reps. Earl Blumenauer (D-OR), Devin Nunes (R-CA), Brad Schneider (D-IL), and Jason Smith (R-MO) passed the House Ways & Means committee unanimously by voice vote on Wednesday, October 23rd. This is a good step forward in passing the Primary Care Enhancement Act and we are excited about its momentum!​ We will keep you posted on developments, and we still anticipate our Senate champion Dr. Bill Cassidy (R-LA) will introduce the bill in the Senate shortly. 

Please consider contacting your Representative in supporting the Primary Care Enhancement Act.

DPC Frontier Mapper


Green = Pure

Yellow = Unknown

Red = Hybrid


We Need Your Help To maKE a difference in Healthcare 

Calling all:      

  • Physicians

  • Students/Residents

  • Administrators

  • Employers

  • Patients

  • Supporters of DPC

Become part of the  Solution 

Bipartisan legislation that will definitively make DPC arrangements compatible with HSA has passed the House Ways and Means Committee.  Representative Earl Blumenauer (D-OR) has been joined by Devin Nunes, (R-CA), ranking member of the Ways and Means Health Subcommittee, Reps. Brad Schneider (D-IL) and. Jason Smith (R-MO) as original co-sponsors of the Primary Care Enhancement Act of 2019.  This bill passed the House of Representatives one year ago with strong bipartisan support.  We urge the House of Representatives to pass the bill.
Momentum is building in support of DPC.  The bill comes on the heels of a Presidential Executive order urging the Treasury Department to consider guidance or rulemaking that might address one of the two issues that need to be clarified in the Tax Code by potentially defining DPC Arrangements as qualified health expenses under Sec. 213 (d) of the Internal Revenue Code.  This bipartisan bill will finish the job by clarifying in statute that DPC arrangements are excepted from definitions under Sec. 223 (c) as insurance or “other coverage” that disqualifies an individual from funding an HSA.   A bipartisan Senate companion will be introduced soon. 

Act Now!  Be a part of the solution:  Please contact your Representatives today and ask them to co-sponsor and pass the Primary Care Enhancement Act (H.R. 3708). Representatives need to hear from their constituents about the importance of bringing high-quality affordable primary care to more Americans with DPC. The Primary Care Enhancement Act will ensure that millions of Americans with HSAs are allowed access to the best primary care available with the DPC doc of their choice. Instructions, talking points and staff contact information can be found on our Call to Action page here

Please visit with your Members of Congress and share your personal story about how bringing better care at lower costs can help improve care for Americans of all ages and incomes.

Action Alert: Support H.R. 3708

The Primary Care Enhancement Act Today!

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Contact Us

The Direct Primary Care Coalition's mission is to support DPC, an innovative, non-partisan approach to better primary care.

We advance State and Federal Policies making affordable access

to the best primary care an option for every American.

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