CONTACT Your Representatives and Senators Today
to Cosponsor H.R. 4301 & S. 128
The primary care enhancement Act
The Primary Care Enhancement Act is a bipartisan bill which clarifies outdated provisions of the U.S. Internal Revenue Code (tax code) that make Health Savings Accounts (HSAs) tied to High Deductible Health Plans (HDHP) incompatible with direct primary care (DPC) arrangements. The bill creates a specific exception in the tax code which clarifies that a DPC arrangement will not be treated as a health plan or insurance, and individuals with HSAs may also have a DPC arrangement, and that pre-tax HSA funds may be used to pay for DPC fees.
The Problem:
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Current HSA Eligibility Rules: Individuals eligible for HSAs must be covered by a high deductible health plan and no other health plan that (1) is not a high deductible health plan or (2) provides coverage for any benefit which is covered under the high deductible health plan.
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Treatment of DPC Arrangements: Under present law the IRS views DPC arrangements as “other” coverage or health insurance. As such, a person with a DPC arrangement is not eligible to contribute to an HSA. This is the most significan Federal policy hurdle preventing many employers from using DPC and it bars individuals with HSAs from recieveing high quality primary care services from the DPC doctor of their choice.
The Solution: Pass the Primary Care Enhancement Act
Bipartisan Bills – S. 128 Introduced by Sen. Bill Cassidy, MD (R-LA), and H.R. 4301 by Rep. Earl Blumenauer (D-OR):
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Create a specific exception for DPC arrangments in the tax code that permits HSA holders to participate in a DPC Arrangment:
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Clarifies that DPC is not a health plan or insurance, and;
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DPC is a qualified health expense
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Allows individuals with HSAs to pay for DPC services with HSAs
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Covers all agreements - both virtual services and in-person visits
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Applies only to affordable DPC agreeements costing under $150 per month individual, $300 for family plans. (indexed for inflation)
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Services covered in DPC agreements shall be limited to primary care* and shall not include:
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procedures that require the use of general anesthesia,
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laboratory services not typically administered in an ambulatory primary care setting.
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These limitations are only applied to HSA holders.
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Please call your Elected Officials' offices or click their names below to write an email
ALABAMA:
(202) 224-5744
(202) 224-4124
(202) 225-4931
(202) 225-2901
(202) 225-3261
Representative Robert Aderholt
(202) 225-4876
(202) 225-4801
(202) 225-4921
Representative Terri A. Sewell
(202) 225-2665
ALASKA:
(202) 224-6665
(202) 224-3004
(202) 225-5765
ARIZONA:
(202) 224-4521
(202) 224-2235
(202) 225-3361
Representative Ann Kirkpatrick
(202) 225-2542
Representative Raul M. Grijalva
(202) 225-2435
(202) 225-2315
(202) 225-2635
Representative David Schweikert
(202) 225-2190
(202) 225-4065
(202) 225-4576
(202) 225-9888
ARKANSAS:
(202) 224-4843
(202) 224-2353
(202) 225-4076
(202) 225-2506
(202) 225-4301
Representative Bruce Westerman
(202) 225-3772
CALIFORNIA:
(202) 224-3841
(202) 224-3553
(202) 225-3076
(202) 225-5161
(202) 225-1880
(202) 225-2511
(202) 225-3311
Representative Doris O. Matsui
(202) 225-7163
(202) 225-5716
(202) 225-5861
(202) 225-1947
(202) 225-4540
Representative Mark DeSaulnier
(202) 225-2095
(202) 225-4965
(202) 225-2661
(202) 225-3531
(202) 225-5065
(202) 225-3341
(202) 225-2631
(202) 225-8104
(202) 225-3072
(202) 225-2861
Representative David G. Valadao
(202) 225-4695
(202) 225-2523
(202) 225-2915
Representative Salud O. Carbajal
(202) 225-3601
(202) 225-1956
(202) 225-5811
(202) 225-5464
(202) 225-4176
(202) 225-6131
(202) 225-5911
(202) 225-3201
Representative Grace F. Napolitano
(202) 225-5256
(202) 225-3976
(202) 225-6235
Representative Norma J. Torres
(202) 225-6161
(202) 225-5330
(202) 225-7084
Representative Linda T. Sánchez
(202) 225-6676
(202) 225-4111
Representative Lucille Roybal-Allard
(202) 225-1766
(202) 225-2305
(202) 225-1986
(202) 225-2201
Representative Nanette Diaz Barragan
(202) 225-8220
(202) 225-5611
(202) 225-2965
Representative Alan S. Lowenthal
(202) 225-7924
(202) 225-2415
(202) 225-3906
Representative Darrell E. Issa
(202) 225-5672
(202) 225-8045
Representative Scott H. Peters
(202) 225-0508
(202) 225-2040
COLORADO:
(202) 224-5852
(202) 224-5941
(202) 225-4431
(202) 225-2161
(202) 225-476
(202) 225-4676
(202) 225-4422
(202) 225-7882
(202) 225-2645
CONNECTICUT:
(202) 224-4041
(202) 224-2823
(202) 225-2265
(202) 225-2076
Representative Rosa L. DeLauro
(202) 225-3661
(202) 225-5541
(202) 225-4476
DELAWARE:
(202) 224-2441
(202) 224-5042
Representative Lisa Blunt Rochester
(202) 225-4165
DISTRICT OF COLUMBIA:
Delegate Eleanor Holmes Norton
(202) 225-8050
FLORIDA:
(202) 224-3041
(202) 224-5274
(202) 225-4136
(202) 225-5235
(202) 225-5744
Representative John H. Rutherford
(202) 225-2501
(202) 225-0123
(202) 225-2706
Representative Stephanie N. Murphy
(202) 225-4035
(202) 225-3671
(202) 225-9889
Representative Val Butler Deming
(202) 225-2176
(202) 225-1002
Representative Gus M. Bilirakis
(202) 225-5755
(202) 225-5961
(202) 225-3376
Representative C. Scott Franklin
(202) 225-1252
(202) 225-5015
Representative W. Gregory Steube
(202) 225-5792
(202) 225-3026
(202) 225-2536
(202) 225-9890
Representative Theodore E. Deutch
(202) 225-3001
Representative Debbie Wasserman Schultz
(202) 225-7931
Representative Frederica S. Wilson
(202) 225-4506
Representative Mario Diaz-Balart
(202) 225-4211
Representative Carlos A. Gimenez
(202) 225-2778
Representative Maria Elvira Salazar
(202) 225-3931
GEORGIA:
(202) 224-3521
(202) 224-3643
Representative Earl L. "Buddy" Carter
(202) 225-5831
Representative Sanford D. Bishop, Jr.
(202) 225-3631
Representative A. Drew Ferguson IV
(202) 225-5901
Representative Henry C. "Hank" Johnson, Jr.
(202) 225-1605
Representative Nikema Williams
(202) 225-3801
(202) 225-4501
Representative Carolyn Bourdeaux
(202) 225-4272
(202) 225-6531
Representative Andrew S. Clyde
(202) 225-9893
(202) 225-4101
(202) 225-2823
(202) 225-2939
Representative Marjorie Taylor Greene
(202) 225-5211
HAWAII:
(202) 224-3934
(202) 224-6361
(202) 225-2726
Representative Kaiali'I Kahele
(202) 225-4906
IDAHO:
(202) 224-6142
(202) 224-2752
(202) 225-6611
Representative Michael K. Simpson
(202) 225-5531
ILLINOIS:
(202) 224-2152
(202) 224-2854
(202) 225-4372
(202) 225-0773
(202) 225-5701
Representative Jesus G. "Chuy" Garcia
(202) 225-8203
(202) 225-4061
(202) 225-4561
(202) 225-5006
Representative Raja Krishnamoorthi
(202) 225-3711
Representative Janice D. Schakowsky
(202) 225-2111
Representative Bradley Scott Schneider
(202) 225-4835
(202) 225-3515
(202) 225-5661
(202) 225-2371
Representative Lauren Underwood
(202) 225-2976
(202) 225-5271
(202) 225-3635
(202) 225-5905
(202) 225-6201
INDIANA:
(202) 224-5623
(202) 224-4814
(202) 225-2461
Representative Jackie Walorski
(202) 225-3915
(202) 225-4436
(202) 225-5037
Representative Victoria Spartz
(202) 225-2276
(202) 225-3021
(202) 225-4011
(202) 225-4636
Representative Trey Hollingsworth
(202) 225-5315
IOWA:
(202) 224-3744
(202) 224-3254
(202) 225-2911
Representative Mariannette Miller-Meeks
(202) 225-6576
(202) 225-5476
(202) 225-4426
KANSAS:
(202) 224-6521
(202) 224-4774
(202) 225-2715
(202) 225-6601
(202) 225-2865
(202) 225-6216
KENTUCKY:
(202) 224-2541
(202) 224-4343
(202) 225-3115
(202) 225-3501
Representative John A. Yarmuth
(202) 225-5401
(202) 225-3465
(202) 225-4601
(202) 225-4706
LOUISIANA:
(202) 224-5824
(202) 224-4623
(202) 225-3015
(202) 225-6636
(202) 225-2031
(202) 225-2777
(202) 225-8490
(202) 225-3901
MAINE:
(202) 224-2523
(202) 224-5344
Representative Chellie Pingree
(202) 225-6116
Representative Jared F. Golden
(202) 225-6306
MARYLAND:
(202) 224-4524
(202) 224-4654
(202) 225-5311
Representative C. A. Dutch Ruppersberger
(202) 225-3061
Representative John P. Sarbanes
(202) 225-4016
Representative Anthony G. Brown
(202) 225-8699
(202) 225-4131
(202) 225-2721
(202) 225-4741
(202) 225-5341
MASSACHUSETTS:
(202) 224-2742
(202) 224-4543
Representative Richard E. Neal
(202) 225-5601
Representative James P. McGovern
(202) 225-6101
(202) 225-3411
Representative Jake Auchincloss
(202) 225-5931
Representative Katherine M. Clark
(202) 225-2836
(202) 225-8020
Representative Ayanna Pressley
(202) 225-5111
Representative Stephen F. Lynch
(202) 225-8273
Representative William R. Keating
(202) 225-3111
MICHIGAN:
(202) 224-4822
(202) 224-6221
(202) 225-4735
(202) 225-4401
(202) 225-3831
(202) 225-3561
(202) 225- 3611
(202) 225-3761
(202) 225-6276
(202) 225-4872
(202) 225-4961
(202) 225-2106
(202) 225-8171
(202) 225-4071
(202) 225-5126
Representative Brenda Lawrence
(202) 225-5802
MINNESOTA:
(202) 224-3244
(202) 224-5641
(202) 225-2472
(202) 225-2271
(202) 225-2871
(202) 225-6631
(202) 225-4755
(202) 225-2331
Representative Michelle Fischbach
(202) 225-2165
(202) 225-6211
MISSISSIPPI:
(202) 224-6253
(202) 224-5641
(202) 225-4306
Representative Bennie Thompson
(202) 225-5876
(202) 225-5031
(202) 225-5772
MISSOURI:
(202) 224-5721
(202) 224-6154
(202) 225-2406
(202) 225-1621
Representative Blaine Luetkemeyer
(202) 225-2956
(202) 225-2876
Representative Emanuel Cleaver
(202) 225-4535
(202) 225-7041
(202) 225-6536
(202) 225-4404
MONTANA:
(202) 224-2651
(202) 224-2644
(202) 225-3211
NEBRASKA:
(202) 224-4224
(202) 224-6551
Representative Jeff Fortenberry
(202) 225-4806
(202) 225-4155
(202) 225-6435
NEVADA:
Senator Catherine Cortez Masto
(202) 224-3542
(202) 224-6244
(202) 225-5965
(202) 225-6155
(202) 225-3252
Representative Steven Horsford
(202) 225-9894
NEW HAMPSHIRE:
(202) 224-3324
(202) 224-2841
(202) 225-5456
(202) 225-5206
NEW JERSEY:
(202) 224-4744
(202) 224-3224
Representative Donald Norcross
(202) 225-6501
(202) 225-6572
(202) 225-4765
(202) 225-3765
Representative Josh Gottheimer
(202) 225-4465
(202) 225-4671
(202) 225-5361
(202) 225-7919
(202) 225-5751
(202) 225-3436
(202) 225-5034
Representative Bonnie Watson Coleman
(202) 225-5801
NEW MEXICO:
(202) 224-6621
(202) 224-5521
Representative Melanie Stansbury
(202) 225-6316
(202) 225-2365
Representative Teresa Leger Fernandez
(202) 225-6190
NEW YORK:
(202) 224-3232
(202) 224-4451
(202) 225-3826
Representative Andrew Garbarino
(202) 225-7896
(202) 225-3335
(202) 225-5516
(202) 225-3461
(202) 225-2601
Representative Nydia Velázquez
(202) 225-2361
Representative Hakeem Jeffries
(202) 225-5936
(202) 225-6231
(202) 225-5635
Representative Nicole Malliotakis
(202) 225-3371
Representative Carolyn Maloney
(202) 225-7944
Representative Adriano Espaillat
(202) 225-4365
Representative Alexandria Ocasio-Cortez
(202) 225-3965
(202) 225-4361
(202) 225-2464
(202) 225-6506
(202) 225-5441
Representative Antonio Delgado
(202) 225-5614
(202) 225-5076
(202) 225-5107
(202) 225-3665
(202) 225-3161
(202) 225-3701
(202) 225-3615
(202) 225-3306
(202) 225-5265
NORTH CAROLINA:
(202) 224-3154
(202) 224-6342
Representative G.K. Butterfield
(202) 225-3101
(202) 225-3032
(202) 225-3415
(202) 225-1784
(202) 225-2071
(202) 225-3065
(202) 225-2731
(202) 225-3715
(202) 225-1976
Representative Patrick McHenry
(202) 225-2576
Representative Madison Cawthorn
(202) 225-6401
(202) 225-1510
(202) 225-4531
NORTH DAKOTA:
(202) 224-2551
(202) 224-2043
Representative Kelly Armstrong
(202) 225-2611
OHIO:
(202) 224-2315
(202) 224-3353
(202) 225-2216
(202) 225-3164
(202) 225-4324
(202) 225-2676
(202) 225-6405
(202) 225-5705
(202) 225-6265
Representative Warren Davidson
(202) 225-6205
(202) 225-4146
(202) 225-6465
(202) 225-5355
(202) 225-5261
(202) 225-5731
Representative Anthony Gonzalez
(202) 225-3876
OKLAHOMA:
(202) 224-5754
(202) 224-4721
(202) 225-2211
Representative Markwayne Mullin
(202) 225-2701
(202) 225-5565
(202) 225-6165
(202) 225-2132
OREGON:
(202) 224-5244
(202 224-3753
Representative Suzanne Bonamici
(202) 225-0855
(202) 225-6730
Representative Earl Blumenauer
(202) 225-4811
(202) 225-6416
(202) 225-5711
PENNSYLVANIA:
(202) 224-6324
(202) 224-4254
Representative Brian Fitzpatrick
(202) 225-4276
(202) 225-6111
(202) 225-4001
(202) 225-4731
Representative Mary Gay Scanlon
(202) 225-2011
Representative Chrissy Houlahan
(202) 225-4315
(202) 225-6411
Representative Matt Cartwright
(202) 225-5546
(202) 225-6511
(202) 225-5836
(202) 225-2411
(202) 225-3731
(202) 225-2431
Representative Guy Reschenthaler
(202) 225-2065
(202) 225-5121
(202) 225-5406
(202) 225-2301
(202) 225-2135
RHODE ISLAND:
(202) 224-2921
(202)224-4642
Representative David Cicilline
(202) 225-4911
(202) 225-2735
SOUTH CAROLINA:
Senator Tim Scott is already a cosponsor.
(202) 224-5972
(202) 225-3176
(202) 225-2452
(202) 225-5301
Representative William Timmons
(202) 225-6030
(202) 225-5501
(202) 225-3315
(202) 225-9895
SOUTH DAKOTA:
(202) 224-2321
(202) 224-5842
(202) 225-2801
TENNESSEE:
(202) 224-4944
(202) 224-3344
Representative Diana Harshbarger
(202) 225-6356
(202) 225-5435
Representative Charles Fleischmann
(202) 225-3271
Representative Scott DesJarlais
(202) 225-6831
(202) 225-4311
(202) 225-4231
(202) 225-2811
(202) 225-4714
(202) 225-3265
TEXAS:
(202) 224-2934
(202) 224-5922
(202) 225-3035
(202) 225-6565
(202) 225-4201
(202) 225-5573
(202) 225-3484
Representative Lizzie Fletcher
(202) 225-2571
(202) 225-4901
(202) 225-7508
(202) 225-2401
(202) 225-3605
(202) 225-5071
(202) 225-3706
(202) 225-2831
Representative Vincente Gonzalez
(202) 225-2531
Representative Veronica Escobar
(202) 225-4831
(202) 225-6105
Representative Sheila Jackson Lee
(202) 225-3816
Representative Jodey Arrington
(202) 225-4005
(202) 225-3236
(202) 225-4236
(202) 225-5951
(202) 225-4511
(202) 225-6605
(202) 225-9896
Representative Michael Burgess
(202) 225-7772
(202) 225-7742
(202) 225-1640
(202) 225-1688
Representative Eddie Bernice Johnson
(202) 225-8885
(202) 225-3864
(202) 225-2231
(202) 225-9897
(202) 225-9901
(202) 225-4865
(202) 225-1555
UTAH:
(202) 224-5444
(202) 224-5251
(202) 225-0453
(202) 225-9730
(202) 225-7751
(202) 225-3011
VERMONT:
(202) 224-5141
(202) 224-4242
(202) 225-4115
VIRGINIA:
(202) 224-2023
(202) 224-4024
(202) 225-4261
(202) 225-4215
(202) 225-8351
Representative Donald McEachin
(202) 225-6365
(202) 225-4711
(202) 225-5431
Representative Abigail Spanberger
(202) 225-2815
(202) 225-4376
Representative Morgan Griffith
(202) 225-3861
Representative Jennifer Wexton
(202) 225-5136
(202) 225-1492
WASHINGTON:
(202) 224-3441
(202) 224-2621
(202) 225-6311
(202) 225-2605
Representative Jaime Herrera Beutler
(202) 225-3536
(202) 225-5816
Representative Cathy McMorris Rodgers
(202) 225-2006
(202) 225-5916
Representative Pramila Jayapal
(202) 225-3106
(202) 225-7761
(202) 225-8901
Representative Marilyn Strickland
(202) 225-9740
WEST VIRGINIA:
(202) 224-6472
(202) 224-3954
(202) 225-4172
(202) 225-2711
(202) 225-3452
WISCONSIN:
(202) 224-5653
(202 224-5323
(202) 225-3031
(202) 225-2906
(202) 225-5506
(202) 225-4572
Representative Scott Fitzgerald
(202) 225-5101
(202) 225-2476
(202) 225-3365
(202) 225-5665
WYOMING:
(202) 224-6441
(202) 224-3424
(202) 225-2311