{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2026\/code-json\/54.1-2998.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2026\/code-text\/54.1-2998.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2026\/code-xml\/54.1-2998.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2026\/code-html\/54.1-2998.html"}],"law_id":368538,"edition_id":2,"section_id":368538,"structure_id":52513,"section_number":"54.1-2998","catch_line":"Direct primary care agreement requirements; disclosures; disclaimer","history":"2017, cc. 830, 831.","full_text":"A\n\nEvery direct primary care agreement shall include the following disclaimer: “This agreement does not provide comprehensive health insurance coverage. It provides only the provision of primary care as specifically described in this agreement.”\n\nB\n\nA 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:\n\n1\n\nThe direct primary care agreement is not insurance;\n\n2\n\nThe 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;\n\n3\n\nA 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\n\n4\n\nThe 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.\n\nC\n\nA 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.\n\nD\n\nA 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.\n\n","order_by":null,"text":{"0":{"id":1372879,"text":"Every direct primary care agreement shall include the following disclaimer: “This agreement does not provide comprehensive health insurance coverage. It provides only the provision of primary care as specifically described in this agreement.”","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":1372880,"text":"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:","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A","next_prefix":"B1"},"2":{"id":1372881,"text":"The direct primary care agreement is not insurance;","type":"section","prefixes":["B","1"],"prefix":"1","entire_prefix":"B1","prefix_anchor":"B1","level":2,"prior_prefix":"B","next_prefix":"B2"},"3":{"id":1372882,"text":"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;","type":"section","prefixes":["B","2"],"prefix":"2","entire_prefix":"B2","prefix_anchor":"B2","level":2,"prior_prefix":"B1","next_prefix":"B3"},"4":{"id":1372883,"text":"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","type":"section","prefixes":["B","3"],"prefix":"3","entire_prefix":"B3","prefix_anchor":"B3","level":2,"prior_prefix":"B2","next_prefix":"B4"},"5":{"id":1372884,"text":"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.","type":"section","prefixes":["B","4"],"prefix":"4","entire_prefix":"B4","prefix_anchor":"B4","level":2,"prior_prefix":"B3","next_prefix":"C"},"6":{"id":1372885,"text":"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.","type":"section","prefixes":["C"],"prefix":"C","entire_prefix":"C","prefix_anchor":"C","level":1,"prior_prefix":"B4","next_prefix":"D"},"7":{"id":1372886,"text":"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.","type":"section","prefixes":["D"],"prefix":"D","entire_prefix":"D","prefix_anchor":"D","level":1,"prior_prefix":"C"}},"ancestry":[{"id":52513,"edition_id":2,"name":"Direct Primary Care Agreements","identifier":"10","label":"article","depth":4,"order_by":10,"parent_id":52503,"metadata":{"child_laws":2,"child_structures":0},"date_created":"2026-08-02 03:00:18","date_modified":"2026-08-02 12:35:07","permalink":{"id":1469007,"object_type":"structure","relational_id":52513,"identifier":"10","token":"54.1\/III\/29\/10","url":"\/54.1\/III\/29\/10\/","edition_id":2,"permalink":0,"preferred":1}},{"id":52503,"edition_id":2,"name":"Medicine and Other Healing Arts","identifier":"29","label":"chapter","depth":3,"order_by":10,"parent_id":52479,"metadata":{"child_laws":183,"child_structures":10},"date_created":"2026-08-02 02:59:48","date_modified":"2026-08-02 12:35:05","permalink":{"id":1468935,"object_type":"structure","relational_id":52503,"identifier":"29","token":"54.1\/III\/29","url":"\/54.1\/III\/29\/","edition_id":2,"permalink":0,"preferred":1}},{"id":52479,"edition_id":2,"name":"Professions and Occupations Regulated by Boards Within the Department of Health Professions","identifier":"III","label":"subtitle","depth":2,"order_by":3,"parent_id":52436,"metadata":{"child_laws":738,"child_structures":83},"date_created":"2026-08-02 02:59:23","date_modified":"2026-08-02 12:35:00","permalink":{"id":1468107,"object_type":"structure","relational_id":52479,"identifier":"III","token":"54.1\/III","url":"\/54.1\/III\/","edition_id":2,"permalink":0,"preferred":1}},{"id":52436,"edition_id":2,"name":"Professions and Occupations","identifier":"54.1","label":"title","depth":1,"order_by":118,"parent_id":null,"metadata":{"child_laws":1282,"child_structures":163},"date_created":"2026-08-02 02:58:52","date_modified":"2026-08-02 12:34:51","permalink":{"id":1466315,"object_type":"structure","relational_id":52436,"identifier":"54.1","token":"54.1","url":"\/54.1\/","edition_id":2,"permalink":0,"preferred":1}}],"structure_contents":[{"id":368537,"structure_id":52513,"section_number":"54.1-2997","catch_line":"Direct primary care agreements","url":"\/54.1-2997\/","token":"54.1\/III\/29\/10\/54.1-2997","metadata":false},{"id":368538,"structure_id":52513,"section_number":"54.1-2998","catch_line":"Direct primary care agreement requirements; disclosures; disclaimer","url":"\/54.1-2998\/","token":"54.1\/III\/29\/10\/54.1-2998","metadata":false}],"previous_section":{"id":368537,"structure_id":52513,"section_number":"54.1-2997","catch_line":"Direct primary care agreements","url":"\/54.1-2997\/","token":"54.1\/III\/29\/10\/54.1-2997","metadata":false},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/54.1-2998\/","history_text":"

This law was first created in 2017. The record of its establishment is cataloged in chapters 830<\/a> and 831<\/a> of that year\u2019s edition of \u201cActs of Assembly,\u201d the annual state publication listing all changes made to the Code of Virginia in that year.<\/p>","references":false,"refers_to":false,"permalink":{"id":1469013,"object_type":"law","relational_id":368538,"identifier":"54.1-2998","token":"54.1\/III\/29\/10\/54.1-2998","url":"\/54.1-2998\/","edition_id":2,"permalink":0,"preferred":1},"url":"\/54.1-2998\/","token":"54.1\/III\/29\/10\/54.1-2998","dublin_core":{"Title":"Direct primary care agreement requirements; disclosures; disclaimer","Type":"Text","Format":"text\/html","Identifier":"\u00a7 54.1-2998","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> Every direct primary care agreement shall include the following disclaimer: “This agreement does not provide comprehensive health insurance coverage. It provides only the provision of primary care as specifically described in this agreement.” <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> 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<\/span> and retainer medical agreements that: <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

1.<\/span> The direct primary care agreement is not insurance; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

2.<\/span> The direct primary care practice provides only the limited scope of primary care specified in the direct primary care agreement, which marketing materials<\/span> and retainer medical agreements shall include a clear listing of the services provided under the direct primary care agreement; <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

3.<\/span> 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 <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

4.<\/span> 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. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

C.<\/span> A direct primary care agreement shall be signed by the individual direct patient who is a party<\/span> to the direct primary care agreement. Nothing in this subsection prohibits the presentation of marketing materials<\/span> to groups of potential direct primary care patients. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

D.<\/span> A comprehensive disclosure statement<\/span> 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. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nDIRECT PRIMARY CARE AGREEMENT REQUIREMENTS; DISCLOSURES; DISCLAIMER (\u00a7\n54.1-2998)\n\nA. Every direct primary care agreement shall include the following disclaimer:\n“This agreement does not provide comprehensive health insurance coverage.\nIt provides only the provision of primary care as specifically described in this\nagreement.”\n\nB. A direct primary care practice and any employer with a direct primary care\nagreement for its employees shall make the following written information\navailable to prospective direct primary care patients or employees by\nprominently disclosing in marketing materials and retainer medical agreements\nthat:\n\n 1. The direct primary care agreement is not insurance;\n\n 2. The direct primary care practice provides only the limited scope of primary\n care specified in the direct primary care agreement, which marketing materials\n and retainer medical agreements shall include a clear listing of the services\n provided under the direct primary care agreement;\n\n 3. A patient is required to pay for all services provided by the direct\n primary care practice that are not specified in the direct primary care\n agreement; and\n\n 4. The agreement standing alone does not satisfy the health benefit\n requirements as established in the federal Patient Protection and Affordable\n Care Act (P.L. 111-148), as amended.\n\nC. A direct primary care agreement shall be signed by the individual direct\npatient who is a party to the direct primary care agreement. Nothing in this\nsubsection prohibits the presentation of marketing materials to groups of\npotential direct primary care patients.\n\nD. A comprehensive disclosure statement shall be distributed to all direct\nprimary care patients with their participation forms. Such disclosure shall (i)\ninform the direct primary care patients of their financial rights and\nresponsibilities to the direct primary care practice as provided for in this\narticle, (ii) encourage direct primary care patients to obtain and maintain\ninsurance for services not provided by the direct primary care practice, and\n(iii) state that the direct primary care practice will not bill a health carrier\nfor services covered under the direct primary care agreement.\n\nHISTORY: 2017, cc. 830, 831.","edition":{"id":2,"name":"2026","slug":"2026","date_created":"2026-07-16 18:40:23","date_modified":"2026-08-02 15:14:36","current":1,"order_by":2,"last_import":"2026-08-02 12:37:30"}}