2019 Efforts So Far
Here are the NOT INSURANCE efforts:
Arizona (HB 2113) (SB 1105).
Georgia SB 18
Hawaii SB 232
Maryland HB 0315 and SB 0315
Minnesota’s SF 277
New Hampshire HB 508
South Carolina SB 0445
Wisconsin
Here are the PILOT PROGRAM efforts (Medicaid and state employees):
Indiana SB 470
Missouri HB 233
Minnesota HF 718
Oklahoma SB 386
Tennessee HB 0894 and SB 0696
Virginia HB 2456
Here are the FEDERAL TAX CORRECTION efforts:
Gordon Chen, MD and others at ChenMed have done the DPC movement (and primary care in general) a data favor with their new study entitled High-Touch Care Leads to Better Outcomes and Lower Costs in a Senior Population. While ChenMed uses a Medicare Advantage model (similar to Iora Health) that is not common for stand alone DPC practices, there are lots of similarities that are worth observing. Their data reviewed care for 17,711 patients receiving care between 01/02/2014 and 03/27/2015.
The House Ways and Means Committee met today (07/11/18) to discuss several health savings account reforms, and the Primary Care Enhancement Act (PCEA) was among them. You can hear a recording of their discussion from 1:30 to 1:45 using this link. Fortunately the PCEA passed (on a bipartisan basis) by a vote of 26 to 12. As written the PCEA solves the HSA debate for the majority of DPC practices charging less than $150 per member per month. I expect that the vote in the full House of Representatives will be favorable also. This is the good news.
Now for the frustrating news:
