This is a quick member update regarding one of the ongoing lobbying efforts to change the Internal Revenue Code of 1986 (“US Code”) to clarify the use of HSAs for DPC fees.
In preparing an update regarding HR3708, the DPC Alliance Board found itself split, both in our interpretation of the bill and in determining the appropriate response to best represent the interests of our members. Given the value our community places on transparency, and to resolve our internal impasse, the Board decided to share our disparate positions, as each reflects the varied opinions of our membership. Our Vice President-Elect, Dr. Vance Lassey offered that our DPC tribe is uniquely able to disagree agreeably and keep this movement growing forward.
The Primary Care Enhancement Act of 2019 (HR3708) was introduced to the House Committee on Ways and Means on July 11, 2019. This is a bipartisan bill that was co-sponsored by 2 Democratic and 2 Republican members of the House. The stated objective of this prospective legislation is: “To amend the Internal Revenue Code of 1986 to allow individuals with direct primary care service arrangements to remain eligible individuals for purposes of health savings accounts, and for other purposes.”
Under the current regulatory environment, patients cannot use HSA dollars to pay for the periodic membership fees of DPC practices. This is why HR3708, and other efforts to change the US Code, are a primary focus of the DPC movement.