The One Big Beautiful Bill Act (OBBBA) includes a long-overdue fix to the Internal Revenue Code that could unlock high-quality, affordable health care for millions of Americans. Drawing from the Primary Care Enhancement Act (PCEA), this provision would finally allow individuals with Health Savings Accounts (HSAs) to use those funds for Direct Primary Care (DPC) — and to continue contributing to HSAs while doing so.
DPC is an innovative model that allows patients greater access to their primary care providers, better management of chronic conditions, and more predictable costs. But under current tax rules, DPC arrangements are often treated as a form of insurance, not a health service — blocking many from using their HSA dollars to access it.
The OBBBA removes that antiquated regulatory roadblock and modernizes how HSAs are used. With this change individuals can get the care they need. For employers, this is a long-time priority — enabling more cost-effective care and promoting workforce health and productivity.
The One Big Beautiful Bill Act offers a commonsense, bipartisan opportunity to modernize our tax code and empower people to make smarter health choices.
ERIC President and CEO James Gelfand recently discussed DPC and shared how the provision in the OBBBA could open the door to DPC for millions more saying, “There’s going to be millions of people for whom that calculus has changed,” he said, predicting a major shift as more employers adopt plans that combine DPC with HSAs.
Watch the event and learn more about how DPC provisions in the One Big Beautiful Bill Act are increasing access to health care: https://www.youtube.com/watch?v=VezDpM1QbIQ