shattered pieces of pink piggy bank The current regulation is drafted in a way that would notallow an individual covered by a direct primary care arrangement toparticipate in a health savings account (or HSA). (Photo:iStock)

On June 10, 2020, the IRS issued proposed regulations to "treatexpenses related to certain types of arrangements, potentiallyincluding direct primary care arrangements . . . as eligibleexpensed under Section 213(d) [of the Internal Revenue Code]" inaccordance with an Executive Order issued by President Trump lastsummer.

In layman's terms, the President directed the IRS to update itsrules to allow for direct primary care, often called conciergemedicine, to be treated as a medical expense for tax purposes. Iffinalized, the new rules will allow individuals to claim retainerspaid to a primary care physician for guaranteed as a medicalexpense. They would also allow employers to help pay for a directprimary care doctor on behalf of their employees through the use ofa health reimbursement arrangement. More details on how this worksare available here.

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