Primary Care Patient Protection Act of 2019

II 116TH CONGRESS 1ST SESSION S. 2793 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 SENATE OF THE UNITED STATES NOVEMBER 6, 2019 Mr. KING introduced the following bill; which was read twice and referred to the Committee on Finance 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- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Primary Care Patient 4 Protection Act of 2019’’. 5 SEC. 2. REQUIREMENT OF COVERAGE WITHOUT DEDUCT- 6 IBLE OF CERTAIN PRIMARY CARE SERVICES 7 BY HIGH DEDUCTIBLE HEALTH PLANS. 8 (a) IN GENERAL.—Section 223(c)(2)(B) of the Inter- 9 nal Revenue Code of 1986 is amended by striking ‘‘if sub- 10 VerDate Sep 11 2014 03:17 Nov 13, 2019 Jkt 099200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S2793.IS S2793 kjohnson on DSK79L0C42 with BILLS 2 •S 2793 IS stantially all of its coverage is coverage described in para- 1 graph (1)(B).’’ and inserting the following: ‘‘if— 2 ‘‘(i) substantially all of its coverage is 3 coverage described in paragraph (1)(B), or 4 ‘‘(ii) such plan has a deductible for 5 primary care services provided by a quali- 6 fied provider as part of a qualified visit.’’. 7 (b) QUALIFIED PRIMARY CARE SERVICES DE- 8 FINED.—Section 223(c) of the Internal Revenue Code of 9 1986 is amended by adding at the end the following new 10 paragraph: 11 ‘‘(6) PRIMARY CARE SERVICES.—The term ‘pri- 12 mary care services’ has the meaning given such term 13 by section 1833(x)(2)(B) of the Social Security Act, 14 without regard to clauses (ii) and (iii) of such sec- 15 tion. 16 ‘‘(7) QUALIFIED PROVIDER.—The term ‘quali- 17 fied provider’ means a general practitioner, family 18 physician, general internist, obstetrician, gyne- 19 cologist, pediatrician, geriatric physician, or ad- 20 vanced practice registered nurse acting in accord- 21 ance with State laws. 22 ‘‘(8) QUALIFIED VISIT.—The term ‘qualified 23 visit’ means, with respect to an individual for a plan 24 year, either of the first 2 visits by the individual 25 VerDate Sep 11 2014 03:17 Nov 13, 2019 Jkt 099200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S2793.IS S2793 kjohnson on DSK79L0C42 with BILLS 3 •S 2793 IS during the year with a qualified provider who is des- 1 ignated by such individual as the primary care pro- 2 vider for such individual.’’. 3 (c) EFFECTIVE DATE.—The amendments made by 4 this section shall apply to plan years beginning after the 5 date of the enactment of this Act. 6 Æ VerDate Sep 11 2014 03:17 Nov 13, 2019 Jkt 099200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\S2793.IS S2793 kjohnson on DSK79L0C42 with BILLS