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116TH CONGRESS
1ST SESSION H. R. 2774
To amend the Internal Revenue Code of 1986 to require coverage without
a deductible of certain primary care services by high deductible health plans.
IN THE HOUSE OF REPRESENTATIVES
MAY 15, 2019
Mr. SCHNEIDER (for himself and Ms. STEFANIK) introduced the following bill;
which was referred to the Committee on Ways and Means
A BILL
To amend the Internal Revenue Code of 1986 to require
coverage without a deductible of certain primary care
services by high deductible health plans.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Primary Care Patient
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Protection Act of 2019’’.
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SEC. 2. REQUIREMENT OF COVERAGE WITHOUT DEDUCT-
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IBLE OF CERTAIN PRIMARY CARE SERVICES
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BY HIGH DEDUCTIBLE HEALTH PLANS.
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(a) IN GENERAL.—Section 223(c)(2)(B) of the Inter-
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nal Revenue Code of 1986 is amended by striking ‘‘if sub-
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•HR 2774 IH
stantially all of its coverage is coverage described in para-
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graph (1)(B).’’ and inserting the following: ‘‘if—
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‘‘(i) substantially all of its coverage is
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coverage described in paragraph (1)(B), or
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‘‘(ii) such plan has a deductible for
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primary care services provided by a quali-
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fied provider as part of a qualified visit.’’.
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(b) QUALIFIED
PRIMARY
CARE
SERVICES
DE-
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FINED.—Section 223(c) of the Internal Revenue Code of
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1986 is amended by adding at the end the following new
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paragraph:
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‘‘(6) PRIMARY CARE SERVICES.—The term ‘pri-
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mary care services’ has the meaning given such term
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by section 1833(x)(2)(B) of the Social Security Act,
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without regard to clauses (ii) and (iii) of such sec-
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tion.
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‘‘(7) QUALIFIED PROVIDER.—The term ‘quali-
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fied provider’ means a general practitioner, family
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physician, general internist, obstetrician, gyne-
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cologist, pediatrician, geriatric physician, or ad-
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vanced practice registered nurse acting in accord-
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ance with State laws.
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‘‘(8) QUALIFIED
VISIT.—The term ‘qualified
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visit’ means, with respect to an individual for a plan
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year, either of the first 2 visits by the individual
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during the year with a qualified provider who is des-
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ignated by such individual as the primary care pro-
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vider for such individual.’’.
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(c) EFFECTIVE DATE.—The amendment made by
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this section shall apply to plan years beginning after the
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date of the enactment of this Act.
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