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PA HB2096

Bill

Status

Introduced

12/9/2025

Primary Sponsor

Seth Grove

Click for details

Origin

House of Representatives

2025-2026 Regular Session

AI Summary

  • Establishes that physicians providing direct primary care through medical service agreements are not considered insurers or health maintenance organizations and are exempt from Insurance Department regulation

  • Defines medical service agreements as written contracts where physicians provide primary care services for a direct fee (monthly retainer, membership fee, or per-visit charge) for a specified time period

  • Requires medical service agreements to be signed by both parties, specify covered services and fees, allow termination by either party, and include a disclaimer stating the agreement is not comprehensive health insurance

  • Permits patients to pay medical service agreement fees using health savings accounts (HSAs) or flexible spending accounts (FSAs), subject to applicable federal and state law

  • Allows physicians in collaborative practices to use other licensed health care practitioners to provide primary care services under these agreements if within their scope of practice

Legislative Description

Providing for direct primary care, medical service agreements and insurance, for medical service agreement requirements, for use of health savings accounts or flexible spending accounts and for use of other health care practitioners.

Last Action

Referred to Insurance

12/9/2025

Committee Referrals

Insurance12/9/2025

Full Bill Text

No bill text available