,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #deg  ,,in ,,the ,,house ,,of   
,,representatives  ,january #aj1        
#bjai,mr4 ,fortenberry 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 increase the maximum 
contribution limit for health savings   
accounts1 and for other purposes4  #a4  
,short title ,this ,act may be cited as 
the ,health ,savings ,account ,act4  #b4
 ,maximum contribution limit to ,,hsa   
increased to amount of deductible and   
out-of-pocket limitation  7a7           
,self-,only coverage ,section           
#bbc7;b77#b77;,a7 of the ,internal      
,revenue ,code of #aihf is amended by   
striking #b1bej and inserting the amount
 in effect under subsection             
7c77#b77;,a77ii77,i74  7b7 ,family      
coverage ,section #bbc7;b77#b77;,b7 of  
such ,code is amended by striking #d1ejj
 and inserting the amount in effect     
under subsection 7c77#b77;,a77ii77,,ii74

  7c7 ,effective date ,the amendments   
made by this section shall apply to     
taxable years beginning after the date  
of the enactment of this ,act4  #c4     
,treatment of direct primary care       
service arrangements  7a7 ,in general   
,section #bbc7;c7 of the ,internal      
,revenue ,code of #aihf is amended by   
adding at the end the following new     
paragraph3  7#f7 ,treatment of direct   
primary care service arrangements ,an   
arrangement under which an individual is
 provided coverage restricted to primary
 care services in exchange for a fixed  
periodic fee or payment for such        
services--  7,a7 shall not be treated as
 a health plan described in subclause   
7,i7 or 7,,ii7 of paragraph             
7#a77;,a77ii7 for purposes of such      
paragraph1 and  7,b7 shall not be       
treated as insurance for purposes of    
subsection 7d77#b77;,b74  4  7b7        
,certain provider fees ,to be treated as
 medical care ,section #bac7;d7 of such 
,code is amended by redesignating       

paragraph 7#d7 as paragraph 7#e7 and by 
inserting after paragraph 7#c7 the      
following new paragraph3  7#d7 ,periodic
 provider fees ,the term medical care   
shall include-- 7,a7 periodic fees paid 
to a primary care physician for a       
defined set of medical services or the  
right to receive medical services on an 
as-needed basis1 and  7,b7 pre-paid     
primary care services designed to screen
 for1 diagnose1 cure1 mitigate1 treat1  
or prevent disease and promote wellness4
  4  7c7 ,effective date ,the amendments
 made by this section shall apply to    
taxable years beginning after the date  
of the enactment of this ,act4  #d4     
,fitness center membership as an        
allowable ,,hsa expense  7a7 ,in general
 ,subparagraph 7,a7 of section          
#bbc7;d77#b7 of the ,internal ,revenue  
,code of #aihf is amended by adding at  
the end the following3 ,such term shall 
include amounts paid for membership in a
 fitness center44  7b7 ,effective date  
,the amendments made by this section    

shall apply to taxable years beginning  
after the date of the enactment of this 
,act4