The House passed HR 6199 Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018, which included language from the Primary Care Enhancement Act sponsored by Rep. Eric Paulsen (R-MN) and Earl Blumenauer (D-OR), by a vote of 277-142. The language still contains a $150 per member per month ($300 for family plans) limitation to keep the pre-tax amount down. These changes were added to the bill to bring the revenue score down, and even with them the Joint Committee on Tax has scored the package at a cost of $1.8 billion over ten years. CPT codes,however, were eliminated from its passage. This clears the way for millions of Americans with HSAs to have great access to affordable primary care from a DPC doctor of their choice. While not perfect this will allow almost all DPC practices to see patients with HSAs and allow their fees to be paid from the HSA. We will continue to work on perfecting the language as the process moves forward in the Senate. Thanks to all who contributed to this important effort. It’s a great step forward for patients and America’s health care system.