The House Ways and Means Committee met today (07/11/18) to discuss several health savings account reforms, and the Primary Care Enhancement Act (PCEA) was among them.  You can hear a recording of their discussion from 1:30 to 1:45 using this link.  Fortunately the PCEA passed (on a bipartisan basis) by a vote of 26 to 12.  As written the PCEA solves the HSA debate for the majority of DPC practices charging less than $150 per member per month.  I expect that the vote in the full House of Representatives will be favorable also.  This is the good news.  

Now for the frustrating news:

State Update: (in no particular order)

Nebraska - LB 1119
Maryland - HB0718 and SB0531
Florida - SB 80 and HB 37 
South Carolina - House Bill 4643 
Pennsylvania - HB 1739 and SB 926 
Wisconsin - Senate Bill 670 

Federal Update:

The Primary Care Enhancement Act (HR 365) and (SB 1358)
Health Savings Account Act (HR 1280)
The Health Savings Act of 2017 (SB 403) 
The Chronic Disease Management Act of 2018 (SB # TBD) 
The American Health Care Reform Act of 2017 (HR 277)

Hopefully most of you received my most recent DPC Frontier Newsletter.  There are few additional updates worth mentioning.  Check out the states page for a summary (click on each respective state for details). Twenty three states have DPC laws on the books, two more (MT and MA) have friendly insurance commissioner guidance, three others have formal proposed legislation under current consideration (PA, WI, FL) and groups in many other states are organizing official efforts.  I think it is fair to say that we have reached a tipping point!