# 119-hr-1026: Primary Care Enhancement Act of 2025

119-hr-1026, Primary Care Enhancement Act of 2025, is a 119th Congress bill sponsored by Rep. Smucker, Lloyd [R-PA-11] (R-PA); status introduced; PRIA reads it as touching household money (as of 2026-10-09).

- Canonical: https://policyrisk.com/legislation/119-hr-1026
- As of: 2026-10-09
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1026
- Congress: 119
- Title: Primary Care Enhancement Act of 2025
- Status: introduced
- Introduced: 2025-02-05
- Sponsor: Rep. Smucker, Lloyd [R-PA-11] (R-PA)
- Cosponsors: 8
- Policy area: Taxation
- Touches household money: yes
- Last recorded action: 2026-10-09

## Summary

**This bill would make direct primary care fees eligible for Health Savings Account (HSA) medical expenses and remove them as a disqualifying health plan.** It would also add employer reporting and tweak HSA inflation indexing rules. - Families and HSA holders: Would be able to pay direct primary care service arrangement fees with HSA funds. The law would cap aggregate fees at $150 per person per month, doubled if the arrangement covers more than one person. - Primary care practitioners: Establishes a clear definition of direct primary care service arrangements as fixed periodic fees for primary care only. It excludes certain services like procedures needing general anesthesia, prescription drugs other than vaccines, and some lab services and directs Treasury to issue guidance after consulting HHS. - Employers and employees: Requires employers to report aggregate employee direct primary care fees on Form W-2 when the arrangement is provided in connection with employment. The changes become effective for months beginning after December 31, 2025. - Tax rules and indexing: Adjusts the HSA inflation baseline to calendar year 2025 for indexation in taxable years after 2026.

## Cosponsors (8)

- Rep. Tenney, Claudia [R-NY-24] (R-NY), 2025-02-05T00:00:00.000Z
- Rep. Schneider, Bradley Scott [D-IL-10] (D-IL), 2025-02-05T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-02-05T00:00:00.000Z
- Rep. Crenshaw, Dan [R-TX-2] (R-TX), 2025-02-05T00:00:00.000Z
- Rep. Schrier, Kim [D-WA-8] (D-WA), 2025-02-05T00:00:00.000Z
- Rep. Kelly, Mike [R-PA-16] (R-PA), 2025-03-10T00:00:00.000Z
- Rep. LaHood, Darin [R-IL-16] (R-IL), 2025-03-11T00:00:00.000Z
- Rep. Onder, Robert F. [R-MO-3] (R-MO), 2025-03-14T00:00:00.000Z

## Provisions PRIA read

- HSA help for direct primary care fees: benefit, high. If enacted, you could keep HSA eligibility while using a direct primary care membership. You could use HSA money to pay these fees, up to $150 per month for one person, or $300 if the arrangement covers more than one person. Some services would not count, like procedures needing general anesthesia,…
- W-2 reporting of direct primary care fees: mixed, low. If enacted, employers would have to list the total direct primary care fees tied to your job on your Form W-2. This would apply only when the arrangement is provided in connection with employment. It would start for months beginning after December 31, 2025. This is a reporting rule and would not by…

## Related bills

- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-979: AM Radio for Every Vehicle Act of 2025
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-1422: Enhanced Iran Sanctions Act of 2025
- 119-hr-5401: Pay Our Troops Act of 2026

## Sources
- [119-hr-1026 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1026)

## Related
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-979: AM Radio for Every Vehicle Act of 2025](https://policyrisk.com/legislation/119-hr-979)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-1422: Enhanced Iran Sanctions Act of 2025](https://policyrisk.com/legislation/119-hr-1422)
- [119-hr-5401: Pay Our Troops Act of 2026](https://policyrisk.com/legislation/119-hr-5401)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1026 (as of 2026-10-09).