Primary Care Enhancement Act of 2025

HSA Eligibility Maintenance: The bill allows individuals with direct primary care service arrangements to remain eligible individuals for purposes of health savings accounts (Section 2, subsection a). This means a person's specific type of medical arrangement won't disqualify them from using an HSA.

Treatment of Fees as Medical Expenses: Direct primary care service arrangement fees can be treated as medical expenses (Section 2, subsection b). This provides a specific way for these costs to be categorized within the tax code.

Fee Limitations: An arrangement will not qualify if the aggregate monthly fees for all such arrangements exceed $150 for an individual, or $300 for an arrangement covering more than one individual (Section 2, subsection a, clause ii, II). This creates a cap on the amount of money that can be used under these specific terms.

Service Exclusions: Certain services are specifically excluded from the definition of primary care services, including procedures requiring general anesthesia, prescription drugs (except vaccines), and certain laboratory services (Section 2, subsection a, clause iii). This means these specific medical needs would not be covered under the definition of the service arrangement.