ChesterCountyMedicine Spring 2018 - 9

www.CHESTERCMS.org

Also, as current PA Dept of Insurance
law stands, a DPC contract between the
doctor and his or her patient, even though
clearly only for primary care services,
may be interpreted as a health insurance
product. Each practice would then need
to abide by all rules and requirements that
apply to a commercial insurance product.
Twenty-nine other states have recently
amended their insurance laws to clarify
and remove the full health insurance rules,
regulations and requirement for large cash
reserves from the realm of DPC practices.

Bringing "Care" Back
Into Health Care -
One Patient At A Time

Our professional organizations
including the American Academy of
Family Physicians, the PAMED and the
PA Academy of Family Physicians are
working to establish that the doctor/
patient DPC primary care contract is
codified in PA law as not constituting the
sale of health insurance.

Some Legislative Solutions
The Pennsylvania House of Representatives unanimously passed HB 1739
last November. The bill is now in the PA
Senate Banking and Insurance Committee
for amendments and perhaps later a vote
on a concurrent measure, SB 926 (a Senate
version of the Direct Primary Care Model
bill).
We encourage our fellow physicians
and patients to rally support and make
calls, send emails and personally contact
our State Senators to encourage passage of
SB 926 (if it stays under this label, after all
the sausage making has occurred).

Federal Proposals
The second and much more meaningful ask, is to support the adoption of the
Primary Care Enhancement Act of 2017
into the Federal Tax Code. This will allow
DPC contracted services to be bundled
with a high deductible plan with a pretax
HSA or similar vehicle. This legislation

Personalized medicine starts with building strong
doctor-patient relationships. It's the cure for
waiting room visits that last longer than your
consult. Replace the scribbled prescription with a
caring explanation that leaves you understanding
the state of your health and wellness.

www.totalaccessmedical.com
1-800-31-TOTAL (318-6825)
Offices in: Bala Cynwyd | St. Davids | West Chester | Wilmington, DE | Mt. Laurel, NJ

would then allow most, or at least some,
of the monthly DPC primary care fees
to be put in pre-tax from the HSA to
cover primary care services.
Phone calls to your congressional
delegation are going to make the biggest
impact at this point in the process, so
please call our Senators and Congressmen. The Congressional Switchboard
at (202) 224-3121 makes it incredibly
easy to get through to the offices of your
members of Congress.
Ask them: to stop blocking patients
from using Health Savings Accounts
(HSAs) to pay for Direct Primary Care
(DPC). This can be easily accomplished
by adding the 1-page HR 365 / S 1358
(Primary Care Enhancement Act) to
upcoming legislation sessions. Please
help protect patients' access to low-cost,
high-quality care from the physicians of
their choice.

If you wish to dial directly or also send
a message through an online contact form,
use these links:
* Contact information for US House
Members:
https://www.house.gov/representatives
* Contact information for US Senators:
https://www.senate.gov/senators/contact
Check the Direct Primary Care
Coalition website for much more
information about advancing DPC -
www.dpcare.org.
Dr. Murdoch, practices concierge
family medicine, modern medicine
with old fashioned care, with Total
Access Medical in West Chester, Pa.

SPRING 2018 | CHESTER COUNT Y Medicine 9


http://chestercms.org/index.html http://www.totalaccessmedical.com https://www.house.gov/representatives https://www.senate.gov/senators/contact http://www.dpcare.org

Table of Contents for the Digital Edition of ChesterCountyMedicine Spring 2018

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