# 119-hr-1140: Direct Medical Care Freedom Act of 2025

119-hr-1140, Direct Medical Care Freedom Act of 2025, is a 119th Congress bill sponsored by Rep. Roy, Chip [R-TX-21] (R-TX); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-hr-1140
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1140
- Congress: 119
- Title: Direct Medical Care Freedom Act of 2025
- Status: introduced
- Introduced: 2025-02-07
- Sponsor: Rep. Roy, Chip [R-TX-21] (R-TX)
- Cosponsors: 3
- Policy area: Taxation
- Touches household money: yes
- Last recorded action: 2025-12-21

## Summary

**Preserve HSA eligibility for people in direct medical care service arrangements.** The bill would carve fixed‑fee direct care contracts out of the tax code's "health plan" definition and add rules on who qualifies and how employers report fees. - Individuals and families: People enrolled in a fixed periodic fee direct medical care arrangement would still be eligible to contribute to Health Savings Accounts. Fees paid under such arrangements would be treated as medical expenses for tax purposes. - Employers and workers: If the arrangement is provided in connection with employment, employers would report the aggregate fees for that arrangement on employees' Form W-2. - Providers and arrangements: The bill specifies qualifying practitioners as physicians, nurse practitioners, clinical nurse specialists, and physician assistants. It also allows arrangements that are limited to a subset of care or practitioners to qualify.

## Cosponsors (3)

- Rep. Biggs, Andy [R-AZ-5] (R-AZ), 2025-02-07T00:00:00.000Z
- Rep. Moore, Barry [R-AL-1] (R-AL), 2025-02-07T00:00:00.000Z
- Rep. Harris, Andy [R-MD-1] (R-MD), 2025-02-27T00:00:00.000Z

## Provisions PRIA read

- Use your HSA with direct care: benefit, high. If enacted, you could keep HSA eligibility while using a qualifying direct medical care arrangement. You could also treat the arrangement’s fixed fees as medical expenses and pay or reimburse them from an HSA. The arrangement must provide care from physicians, nurse practitioners, clinical nurse sp…
- New W-2 reporting of direct care fees: mixed, high. Employers would have to list the total fees for any qualifying direct medical care arrangement on employees’ W-2 forms. This would apply when the arrangement is tied to the job and paid as a fixed periodic fee to covered clinicians. Reporting would start for months after December 31, 2024.

## Related bills

- 119-hr-21: Born-Alive Abortion Survivors Protection Act
- 119-hr-7651: Chloe Cole Act of 2026
- 119-hr-1040: Senior Citizens Tax Elimination Act
- 119-hres-888: Censuring and condemning Delegate Stacey Plaskett and removing her from the House Permanent Select Committee on Intelligence for conduct that reflects discredi…
- 119-hres-303: Recognizing that members and affiliates of Tren de Aragua are alien enemies perpetrating an invasion of the United States and affirming that the President is e…
- 119-hr-318: Border Safety and Security Act of 2025

## Sources
- [119-hr-1140 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1140)

## Related
- [119-hr-21: Born-Alive Abortion Survivors Protection Act](https://policyrisk.com/legislation/119-hr-21)
- [119-hr-7651: Chloe Cole Act of 2026](https://policyrisk.com/legislation/119-hr-7651)
- [119-hr-1040: Senior Citizens Tax Elimination Act](https://policyrisk.com/legislation/119-hr-1040)
- [119-hres-888: Censuring and condemning Delegate Stacey Plaskett and removing her from the Hou…](https://policyrisk.com/legislation/119-hres-888)
- [119-hres-303: Recognizing that members and affiliates of Tren de Aragua are alien enemies per…](https://policyrisk.com/legislation/119-hres-303)
- [119-hr-318: Border Safety and Security Act of 2025](https://policyrisk.com/legislation/119-hr-318)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1140 (as of 2025-12-21).