HB 471 – Exempt Direct Primary Care from DOI Regs.

HB 471 – Exempt Direct Primary Care from DOI Regs.


This bill would exempt medical direct primary care from regulation by the Department of Insurance.

The bill states that a medical direct primary care agreement is not insurance.

A medical direct primary care agreement would require the following:

  • Be in writing
  • Be signed by the primary care provider, the provider’s agent, and the patient, an adult member of the family, or the patient’s legal representative
  • Allow either party to terminate the agreement with written notice to the other party
  • Specify the periodic fee and period of time for the agreement
  • Specify services that are included in the agreement
  • Predominantly state in writing that the agreement is not health insurance


This bill was passed in the House as a bill requiring DHHS to create a workgroup to examine administrative duplication for mental health providers.

However, this current bill language was originally introduced as a proposed committee substitute in the Senate Health Care Committee on 5/28/2020.

This bill passed in the Senate Rules Committee on June 2, 2020.

This bill was amended on the Senate floor and passed on June 3, 2020.

The bill will now move to the House.

This bill was referred to the House Rules Committee on June 9, 2020.

This bill was calendared to be heard on the House on June 17, 2o20.

This bill was withdrawn from the calendar and re-referred to the House Rules Committee.

The House concurred with this bill on June 25, 2020.

This bill will now be sent to Governor Cooper.


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