,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #bggd  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ae1 #bjai,mr4  
,schneider 7for himself and ,ms4        
,stefanik7 introduced the following     
bill2 which was referred to the         
,committee on ,ways and ,means  ,a      
,,bill  ,to amend the ,internal ,revenue
 ,code of #aihf to require coverage     
without a deductible of certain primary 
care services by high deductible health 
plans4  #a4 ,short title ,this ,act may 
be cited as the ,primary ,care ,patient 
,protection ,act of #bjai4  #b4         
,requirement of coverage without        
deductible of certain primary care      
services by high deductible health plans
  7a7 ,in general ,section              
#bbc7;c77#b77;,b7 of the ,internal      
,revenue ,code of #aihf is amended by   
striking if substantially all of its    
coverage is coverage described in       
paragraph 7#a77;,b74 and inserting the  
following3  if-- 7i7 substantially all  
of its coverage is coverage described in

 paragraph 7#a77;,b71 or  7ii7 such plan
 has a deductible for primary care      
services provided by a qualified        
provider as part of a qualified visit4  
4  7b7 ,qualified primary care services 
defined ,section #bbc7;c7 of the        
,internal ,revenue ,code of #aihf is    
amended by adding at the end the        
following new paragraph3  7#f7 ,primary 
care services ,the term primary care    
services has the meaning given such term
 by section #ahcc7x77#b77;,b7 of the    
,social ,security ,act1 without regard  
to clauses 7ii7 and 7iii7 of such       
section4  7#g7 ,qualified provider ,the 
term qualified provider means a general 
practitioner1 family physician1 general 
internist1 obstetrician1 gynecologist1  
pediatrician1 geriatric physician1 or   
advanced practice registered nurse      
acting in accordance with ,state laws4  
7#h7 ,qualified visit ,the term         
qualified visit means1 with respect to  
an individual for a plan year1 either of
 the first #b visits by the individual  

during the year with a qualified        
provider who is designated by such      
individual as the primary care provider 
for such individual4  4  7c7 ,effective 
date ,the amendment made by this section
 shall apply to plan years beginning    
after the date of the enactment of this 
,act4