07/04/2025
Dear Friends,
Today is a BIG day—not just because it’s July 4th, Independence Day, but because it’s also a powerful week to reflect on the freedom of independent physicians like myself.
As we recently celebrated National Doctors Day, it’s a reminder that choosing to practice outside the bounds of hospital systems and insurance companies is a different kind of independence—one rooted in patient-first care.
And now, there’s even more reason to celebrate: Congress has officially passed legislation that recognizes and supports Direct Primary Care (DPC)! For years, a confusing IRS rule blocked many employees with HSAs from accessing DPC memberships (though thousands of people have used HSAs doe DPC). But that roadblock has finally offically been removed—and the change is about to reshape the future of DPC.
Here’s what the new law means:
🎉 Starting January 1, 2026, patients will be able to use their HSA funds to pay for DPC memberships without worrying about IRS rule ambiguity.
🏢 Employers can now offer DPC as an employee benefit alongside HSAs.
✅ DPC is formally clarified as not being insurance or a health plan.
📉 There may even be new opportunities for DPC fees to count toward high-deductible health plan deductibles (details pending).
And here's a fun secret - Congress has been using Direct Primary Care for a long time. This was the Office of the Attending Physician, where a Physician designated is located on-site (on-site DPC) in the Capitol to care for Congress members. It is NOT billed to insurance, but they pay a flat fee/membership instead of a per-visit fee. Now, your Congress has expanded DPC to so many more people.
This is a huge win for patients, physicians, and employers alike—and for the entire movement toward transparent, relationship-driven, preventive care. If you know a business that might be ready to offer DPC for their team, or a physician looking to join our growing vision at 4 Elements®, send them our way.
In Good Health,
Dr. V/K Founder, 4 Elements® Direct Primary Care & Wellness Space
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