I 115th CONGRESS 1st Session H. R. 365 IN THE HOUSE OF REPRESENTATIVES January 6, 2017 Mr. Paulsen (for himself, Mr. Blumenauer , and Mr. Dent ) introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend the Internal Revenue Code of 1986 to provide for the treatment of certain direct primary care service arrangements and periodic provider fees.

1. Short title This Act may be cited as the Primary Care Enhancement Act of 2017 . 2. Treatment of direct primary care service arrangements (a) In general Section 223(c) of the Internal Revenue Code of 1986 is amended by adding at the end the following new paragraph: (6) Treatment of direct primary care service arrangements An arrangement under which an individual is provided coverage restricted to primary care services in exchange for a fixed periodic fee or payment for such services— (A) shall not be treated as a health plan for purposes of paragraph (1)(A)(ii), and (B) shall not be treated as insurance for purposes of subsection (d)(2)(B). . (b) Effective date The amendment made by this section shall apply to taxable years beginning after the date of the enactment of this Act. 3. Certain provider fees to be treated as medical care (a) In general Section 213(d) of the Internal Revenue Code of 1986 is amended by adding at the end the following new paragraph: (12) Periodic provider fees The term medical care shall include periodic fees paid to a primary care physician for a defined set of primary care medical services provided on an as-needed basis. . (b) Effective date The amendment made by this section shall apply to taxable years beginning after the date of the enactment of this Act.