                                 CODE OF VIRGINIA

DIRECT PRIMARY CARE AGREEMENT REQUIREMENTS; DISCLOSURES; DISCLAIMER (§
54.1-2998)

A. Every direct primary care agreement shall include the following disclaimer:
&#8220;This agreement does not provide comprehensive health insurance coverage.
It provides only the provision of primary care as specifically described in this
agreement.&#8221;

B. A direct primary care practice and any employer with a direct primary care
agreement for its employees shall make the following written information
available to prospective direct primary care patients or employees by
prominently disclosing in marketing materials and retainer medical agreements
that:

   1. The direct primary care agreement is not insurance;

   2. The direct primary care practice provides only the limited scope of primary
   care specified in the direct primary care agreement, which marketing materials
   and retainer medical agreements shall include a clear listing of the services
   provided under the direct primary care agreement;

   3. A patient is required to pay for all services provided by the direct
   primary care practice that are not specified in the direct primary care
   agreement; and

   4. The agreement standing alone does not satisfy the health benefit
   requirements as established in the federal Patient Protection and Affordable
   Care Act (P.L. 111-148), as amended.

C. A direct primary care agreement shall be signed by the individual direct
patient who is a party to the direct primary care agreement. Nothing in this
subsection prohibits the presentation of marketing materials to groups of
potential direct primary care patients.

D. A comprehensive disclosure statement shall be distributed to all direct
primary care patients with their participation forms. Such disclosure shall (i)
inform the direct primary care patients of their financial rights and
responsibilities to the direct primary care practice as provided for in this
article, (ii) encourage direct primary care patients to obtain and maintain
insurance for services not provided by the direct primary care practice, and
(iii) state that the direct primary care practice will not bill a health carrier
for services covered under the direct primary care agreement.

HISTORY: 2017, cc. 830, 831.