; and (ii) such individuals who elect to so participate are furnished with primary care services (as described in section 223(c)(1)(D)(ii)(I) of the Internal Revenue Code of 1986) through a direct primary care service arrangement (as defined in such section). (C) For purposes of a State’s approval or renewal of an experimental, pilot, or demonstration project under subparagraph (A), each reference to the Secretary in subsection (a) shall be deemed to be a reference to the State . ; and (2) in subsection (e), by inserting (other than such a project that is described in paragraph (4)(B)) before the period at the end. 5. Health reimbursement arrangements and other account-based group health plans The final rule of the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health and Human Services, titled Health Reimbursement Arrangements and Other Account-Based Group Health Plans and published in the Federal Register on June 20, 2019 (84 Fed. Reg. 28888), shall have the same force and effect of law as if such rule had been enacted by an Act of Congress. 6. Sense of Congress It is the sense of Congress that organizations offering Medicare Advantage plans under part C of title XVIII of the Social Security Act ( 42 U.S.C. 1395w–21 et seq.) should expand the offering of MSA plans (as defined in section 1859(b)(3) of the Social Security Act ( 42 U.S.C. 1395w–28(b)(3) )) under such part. 7. Eligibility of entities that offer direct primary care service arrangements in certain National Health Service Corps programs Notwithstanding subpart II or III of part D of title III of the Public Health Service Act ( 42 U.S.C. 254d et seq.), an entity shall be eligible for assignment of one or more individuals performing a period of obligated service pursuant to the National Health Service Corps Scholarship Program or National Health Service Corps Loan Repayment Program if such entity— (1) offers direct primary care service arrangements (as defined in section 223(c)(1)(D) of the Internal Revenue Code of 1986)