The Primary Care Enhancement Act, a bipartisan bill by Rep. Eric Paulsen (R-MN) and Earl Blumenauer (D-OR), passed the House Ways & Means committee by a roll call vote of 26-12 on Wednesday, July 11th. There were also 10 other pieces of tax/health legislation considered. The markup is the first step in passing the Primary Care Enhancement Act and as usual, there have been some compromises to the bill to keep the score down. The language has been reintroduced as H.R. 6317, and contains a $150 per member per month ($300 for family plans) limitation to keep the pre-tax amount down. While not perfect this will allow almost all DPC practices to see patients with HSAs and allow their fees to be paid from the HSA. These changes were added to the bill to bring the revenue score down, and even with them the Joint Committee on Tax has scored the package at a cost of $1.8 billion over ten years. We will continue to work on perfecting the language as the process moves forward but this is a huge first step and we are excited about its momentum!