Bills · HR 1026
IN COMMITTEE· 119TH CONGRESS
House BillHR 1026Taxation
Primary Care Enhancement Act of 2025
INTRO FEB 5· LAST ACTION FEB 5
READING
4MIN
COSPONSORS
8BIPARTISAN
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenVoters should care about this bill because it expands options for how people pay for and access their primary care. If passed, it would allow greater financial flexibility for individuals who prefer the Direct Primary Care model, which often emphasizes more personalized care and direct relationships with doctors without the complexities of insurance claims for routine visits. Currently, a DPC arrangement can disqualify someone from contributing to a Health Savings Account (HSA), which many use for tax-advantaged savings for healthcare costs.
By allowing DPC fees to be paid with HSA funds and ensuring DPC doesn't block HSA contributions, this bill could encourage more people to explore DPC as a way to manage their everyday health needs. It aims to make healthcare more accessible and affordable by giving individuals more control over how they spend their healthcare dollars, potentially leading to better primary care engagement and preventative health without needing to choose between two different healthcare savings and access methods.
KEY PROVISIONS
5AI-extractedPROVISION 01
A Direct Primary Care (DPC) arrangement will no longer prevent someone from being eligible to contribute to a Health Savings Account (HSA).
This allows individuals to combine the benefits of direct primary care with the tax advantages of an HSA, offering more healthcare financing flexibility.
PROVISION 02
Fees for a Direct Primary Care (DPC) arrangement are now considered a qualified medical expense that can be paid for with funds from a Health Savings Account (HSA).
This makes DPC more financially accessible by allowing individuals to use their tax-advantaged HSA savings for their primary care.
PROVISION 03
The bill defines a DPC arrangement and sets a monthly fee limit of $150 for individuals ($300 for families) for it to be compatible with HSAs, and excludes certain specialized services like general anesthesia, most prescription drugs, and complex lab tests from counting as primary care under these arrangements.
This establishes clear rules for what types of DPC arrangements qualify, preventing abuse and ensuring focus on basic primary care.
PROVISION 04
The monthly fee limits for DPC arrangements will be adjusted annually for inflation starting in 2026, using 2025 as the base year.
This ensures the DPC fee limits remain relevant and reflective of rising healthcare costs over time.
PROVISION 05
If a DPC arrangement is provided through an employer, the aggregate fees paid for it must be reported on the employee's W-2 form.
This provision provides transparency and helps the IRS track compliance with the new rules for DPC and HSAs.
SPONSORSHIP
1 + 8
R· Pennsylvania
YRS IN OFFICE
9
BILLS LED
32
COSPONSOR BREAKDOWNBIPARTISAN · 75%
DEM 3 REP 5 IND 0
ACTION TIMELINE
2 EVENTSFEB 5
Introduced in House
FEB 5
Referred to the House Committee on Ways and Means.
BILL INFO
TypeHouse Bill
NumberHR 1026
Congress119th
StatusIn Committee
IntroducedFeb 5, 2025
Last actionFeb 5, 2025
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IN COMMITTEE· 119TH CONGRESS · WAYS AND MEANS COMMITTEE · INTRODUCED FEB 5, 2025
House BillHR 1026Taxation
Primary Care Enhancement Act of 2025
INTRODUCED FEB 5, 2025· LAST ACTION FEB 5, 2025
PASSAGE CHANCES
—%
READING
4 min
COSPONSORS
8
COMPLEXITY
Moderate
