,i  #aahth ,,congress  #ast ,session    
,h4 ,r4 #fcc  ,,in ,,the ,,house ,,of   
,,representatives  ,january #cj1        
#bjbc,mr4 ,rosendale introduced the     
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to amend title ,,xxvii of   
the ,public ,health ,service ,act to    
exempt certain direct primary care      
arrangements from regulation as health  
insurance coverage4  #a4 ,short title   
,this ,act may be cited as the ,direct  
,primary ,care ,accessibility ,act of   
#bjbc4  #b4 ,exempting certain direct   
primary care arrangements from          
regulation as health insurance coverage 
,section #bgia7;b7 of the ,public       
,health ,service ,act 7#db ,u4,s4,c4    
#cjj;gg-#ia7;b77 is amended--  7#a7 in  
paragraph 7#a71 by inserting 1 except   
that such term shall not include a      
direct primary care arrangement 7as     
defined in paragraph 7#f77 before the   
period2 and  7#b7 by adding at the end  
the following new paragraph3  7#f7      

,direct primary care arrangement  7,a7  
,in general ,except as provided in      
subparagraph 7,b71 the term direct      
primary care arrangement means an       
arrangement under which an item or      
service is furnished by a health care   
provider to an individual in return for 
a direct fee4 ,such a fee may include-- 
7i7 a monthly retainer2  7ii7 a         
membership fee2  7iii7 a subscription   
fee2 or  7iv7 a fee for a service1      
visit1 or episode of care4  7,b7        
,exception ,the term direct primary care
 arrangement shall not include any      
arrangement unless--  7i7 a copy of such
 arrangement is provided to the         
individual entering into such agreement 
7or the legal representative of such    
individual72 and  7ii7 such agreement-- 
7,i7 is in writing2  7,,ii7 describes   
the items and services to be provided in
 exchange for payment of a direct fee   
7as described in subparagraph 7,a772    
7,,iii7 specifies the direct fee        
required and any additional fees to be  

paid by a third party2  7,,iv7 specifies
 the individual's payment obligation2   
and  7,v7 prohibits the provider from   
charging or receiving additional        
compensation for items and services     
included in the direct fee4  4