Guidelines Regarding Direct Primary Care Agreements

On April 26, 2017, Gov. McAuliffe signed H.B. 2053 into law. The new law establishes guidelines for direct primary care agreements, which are agreements between a patient or a patient’s employer and a health care provider for ongoing primary care services in exchange for a monthly fee. If an employer offers such an arrangement, they should be aware that the arrangement is not health insurance and does not satisfy ACA requirements including minimum essential coverage or essential health benefits. It would not satisfy either the individual or employer mandates. Participants of a direct primary care agreement must receive a notification of the arrangement’s limitations.

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