NC H471

Exempts medical direct primary care agreements from regulation by the North Carolina Department of Insurance and designates them as not constituting the business of insurance.

Defines medical direct primary care as a written contract between a licensed primary care provider and a patient or family where the provider charges a specified periodic fee for primary care services without billing third parties on a fee-for-service basis.

Primary care providers and their agents are not required to obtain insurance licensing or certification to market, sell, or offer direct primary care agreements.

Required elements of valid direct primary care agreements include: written format, signatures, termination rights with written notice, specified periodic fee, description of included services, contract duration, and prominent written statement that the agreement is not health insurance.

The law became effective upon Governor Roy Cooper's approval on July 1, 2020.