such Code is amended by adding at the end the following: The term qualified medical expenses shall include the payment of a monthly or other prepaid amount for the furnishing (or access to the furnishing) by a physician or group of physicians of physician professional services (and ancillary services). . (b) Not treated as health insurance coverage (1) In general For purposes of title XXVII of the Public Health Service Act ( 42 U.S.C. 300gg ), subtitle B of title I of the Employee Retirement and Income Security Act of 1974 ( 29 U.S.C. 1021 et seq. ), Public Law 111–148 , and this Act, the offering of direct patient care arrangements shall not be treated as the offering of health insurance coverage and shall not be subject to regulations as such coverage under such Acts. (2) Direct patient care arrangement defined In this subsection, the term direct patient care arrangement means the furnishing (or access to the furnishing) by a physician or group of physicians of physician professional services (and ancillary services) in return for payment of a monthly or other prepaid amount. III State flexibility in regulation of health insurance coverage 301. State flexibility in regulation of health insurance coverage (a) In general States are given the flexibility under section 122(b) to revise their regulations of the health insurance marketplace, without regard to many of the requirements imposed under Public Law 111–148 , in order to promote freedom of choice of affordable health insurance coverage options offered outside of an Exchange. (b) Construction Nothing in the Employee Retirement and Income Security Act of 1974 ( 29 U.S.C. 1001 et seq. ) or of any amendments made by the Health Insurance Portability and Accountability Act of 1996 ( Public Law 104–191 ) shall be interpreted as preventing an employer from offering, or making an employer contribution towards, individual health insurance coverage for employees and dependent family members. (c) Association health plans Nothing in this Act shall be construed as