HR1140-119

Introduced

To amend the Internal Revenue Code of 1986 to allow individuals with direct medical care service arrangement to remain eligible individuals for purposes of health savings accounts, and for other purposes.

119th Congress Introduced Feb 7, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

The bill requires allows individuals with direct primary care (DPC) arrangements to remain eligible for Health Savings Accounts by excluding DPC fees from disqualifying health coverage. Also requires employer reporting of DPC. It relies on exemptions and reporting requirements. The main policy areas are Healthcare and Finance.

Who Benefits and How

Direct primary care practices and physicians offering membership-based medical services could gain revenue opportunities and Patients/consumers who want to use both DPC arrangements and HSAs simultaneously could see lower costs.

Who Bears the Burden and How

Employers offering DPC arrangements as employee benefits would take on compliance duties.

Key Provisions

  • Requires allows individuals with direct primary care (DPC) arrangements to remain eligible for Health Savings Accounts by excluding DPC fees from disqualifying health coverage. Also requires employer reporting of DPC...

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill requires allows individuals with direct primary care (DPC) arrangements to remain eligible for Health Savings Accounts by excluding DPC fees from disqualifying health coverage. Also requires employer reporting of DPC.

Key Policy Areas

Healthcare, Finance

Primary Purpose

The bill requires allows individuals with direct primary care (DPC) arrangements to remain eligible for Health Savings Accounts by excluding DPC fees from disqualifying health coverage. Also requires employer reporting of DPC.

Policy Domains

Healthcare Finance

Section 1 - Short Title

Identified Gains
  • Direct primary care practices and physicians offering membership-based medical services
  • Patients/consumers who want to use both DPC arrangements and HSAs simultaneously
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Patients/consumers who want to use both DPC arrangements and HSAs simultaneously:
Direct primary care practices and physicians offering membership-based medical services:
Identified Costs
  • Employers offering DPC arrangements as employee benefits
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Employers offering DPC arrangements as employee benefits:

Legislative Progress

Introduced
Introduced Committee Passed
Feb 7, 2025

Mr. Roy (for himself, Mr. Biggs of Arizona, and Mr. …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Offices Of Physicians
1 mention across 1 clause
+1 positive

Direct primary care practices and physicians offering membership-based medical services

Consumers
1 mention across 1 clause
+1 positive

Patients/consumers who want to use both DPC arrangements and HSAs simultaneously

Business
1 mention across 1 clause
-1 negative

Employers offering DPC arrangements as employee benefits

1/2
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Finance
Domains
Healthcare Taxation Health Insurance
Actor Mappings
"the_secretary"
→ Secretary of the Treasury (implied by IRC amendments)

Key Definitions

Terms defined in this bill

3 terms
"direct medical care service arrangement" §2(a)(E)(ii)

An arrangement under which an individual is provided medical care by medical care practitioners where the sole compensation is a fixed periodic fee. Can be restricted to any subset of medical care or practitioners (e.g., primary care only).

"medical care" §2(a)(E)(iv)

Has the meaning given in IRC section 213(d) (generally: diagnosis, cure, mitigation, treatment, or prevention of disease)

"medical care practitioner" §2(a)(E)(iii)

A physician (as defined in Social Security Act section 1861(r)(1)), or a nurse practitioner, clinical nurse specialist, or physician assistant (as defined in Social Security Act section 1861(aa)(5)).

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology