We recently learned that Arkansas passed a "concierge" law in February of this year. It was an effort to protect DPC-ish physicians from "business of insurance" concerns. Unfortunately the authors of the legislation failed miserably in their drafting efforts.
In brief, the definition of concierge services is too vague to be useful, and other than a mandatory non-insurance disclosure the law is missing many important pieces of information that would be needed to survive judicial scrutiny.
Multiple DPC Summit attendees have asked about whether continuing OB is possible within the DPC arena.
Including OB can be tricky. I do not know a lot about Cottontree Family Practice (in Utah), but according to their website their medical services include "complete obstetrical care including delivery."
When it comes to negotiating cash prices for obstetrical care, keep in mind that most hospitals are capable of doing this, but it would probably require persistence on your part. Every once in a while you run across refreshing examples like Good Sheppard Health System where you know up front that the cost of a delivery will be $2,750.
I'm happy to report that Governor Nixon (of Missouri) finally decided to sign DPC legislation on July 2 (after sitting on it for over a month)! See the Missouri page for my general thoughts about the legislation.
Florida's House passed DPC legislation in a special June 2015 session, but the Senate decided not to hear any additional legislation when debates about other Medicaid legislation stalled.
I am not aware of any other states with pending legislation at this time, but I am aware that discussions have been started in Wyoming, Pennsylvania, Massachusetts, Nebraska, New Jersey, New York and likely many others. Please send me a message if you have any legislative updates to report.
Hopefully each of you are planning to attend the DPC Summit in Kansas City (see the events page) later this week - if so I will see you there!