,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #bgic  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #f1 #bjai,mr4 
,k+ introduc$ ! foll[+ bill2 :i* 0 read 
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d ! ,int]nal 
,rev5ue ,code ( #aihf to require cov]age
 )\t a d$uctible ( c]ta9 prim>y c>e     
s]vices by high d$uctible heal? plans4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,prim>y ,c>e ,pati5t ,protection ,act 
( #bjai4  #b4 ,requirem5t ( cov]age )\t 
d$uctible ( c]ta9 prim>y c>e s]vices by 
high d$uctible heal? plans  7a7 ,9 g5]al
 ,section #bbc7;c77#b77;,b7 ( ! ,int]nal
 ,rev5ue ,code ( #aihf is am5d$ by /rik+
 if sub/antially all ( its cov]age is   
cov]age describ$ 9 p>agraph 7#a77;,b74 &
 ins]t+ ! foll[+3  if-- 7i7 sub/antially
 all ( its cov]age is cov]age describ$ 9
 p>agraph 7#a77;,b71 or  7ii7 su* plan  
has a d$uctible = prim>y c>e s]vices    
provid$ by a qualifi$ provid] z "p ( a  
qualifi$ visit4  4  7b7 ,qualifi$ prim>y
 c>e s]vices def9$ ,section #bbc7;c7 ( !

 ,int]nal ,rev5ue ,code ( #aihf is am5d$
 by add+ at ! end ! foll[+ new p>agraph3
  7#f7 ,prim>y c>e s]vices ,! t]m prim>y
 c>e s]vices has ! mean+ giv5 su* t]m by
 section #ahcc7x77#b77;,b7 ( ! ,social  
,security ,act1 )\t reg>d to clauses    
7ii7 & 7iii7 ( su* section4  7#g7       
,qualifi$ provid] ,! t]m qualifi$       
provid] means a g5]al practition]1      
family physician1 g5]al int]ni/1        
ob/etrician1 gynecologi/1 p$iatrician1  
g]iatric physician1 or advanc$ practice 
regi/]$ nurse act+ 9 accordance ) ,/ate 
laws4  7#h7 ,qualifi$ visit ,! t]m      
qualifi$ visit means1 ) respect to an   
individual = a plan ye>1 ei!r ( ! fir/  
#b visits by ! individual dur+ ! ye> ) a
 qualifi$ provid] :o is designat$ by su*
 individual z ! prim>y c>e provid] = su*
 individual4  4  7c7 ,effective date ,! 
am5dm5ts made by ?is section %all apply 
to plan ye>s beg9n+ aft] ! date ( !     
enactm5t ( ?is ,act4