{"formats":[{"name":"JSON","format":"json","url":"\/downloads\/2026\/code-json\/54.1-2997.json"},{"name":"Plain Text","format":"text","url":"\/downloads\/2026\/code-text\/54.1-2997.txt"},{"name":"XML","format":"xml","url":"\/downloads\/2026\/code-xml\/54.1-2997.xml"},{"name":"HTML","format":"html","url":"\/downloads\/2026\/code-html\/54.1-2997.html"}],"law_id":368537,"edition_id":2,"section_id":368537,"structure_id":52513,"section_number":"54.1-2997","catch_line":"Direct primary care agreements","history":"2017, cc. 830, 831.","full_text":"A\n\nA direct agreement between a patient, the patient’s legal representative, or the patient’s employer and a health care provider for ongoing primary care services in exchange for the payment of a monthly periodic fee, referred to in this article as a direct primary care agreement, is not health insurance or a health maintenance organization, provided that the health care provider does not require patients to pay monthly periodic fees prior to initiation of the direct agreement coverage period. A health care provider who participates in a direct primary care practice may participate in a health insurance carrier network so long as the provider is willing and able to meet the terms and conditions of network membership set by the health insurance carrier.\n\nB\n\nThe provisions of this article shall not apply to contracts entered into prior to March 1, 2017.\n\n","order_by":null,"text":{"0":{"id":1372877,"text":"A direct agreement between a patient, the patient’s legal representative, or the patient’s employer and a health care provider for ongoing primary care services in exchange for the payment of a monthly periodic fee, referred to in this article as a direct primary care agreement, is not health insurance or a health maintenance organization, provided that the health care provider does not require patients to pay monthly periodic fees prior to initiation of the direct agreement coverage period. A health care provider who participates in a direct primary care practice may participate in a health insurance carrier network so long as the provider is willing and able to meet the terms and conditions of network membership set by the health insurance carrier.","type":"section","prefixes":["A"],"prefix":"A","entire_prefix":"A","prefix_anchor":"A","level":1,"next_prefix":"B"},"1":{"id":1372878,"text":"The provisions of this article shall not apply to contracts entered into prior to March 1, 2017.","type":"section","prefixes":["B"],"prefix":"B","entire_prefix":"B","prefix_anchor":"B","level":1,"prior_prefix":"A"}},"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}],"next_section":{"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},"metadata":false,"official_url":"https:\/\/law.lis.virginia.gov\/vacode\/54.1-2997\/","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":1469009,"object_type":"law","relational_id":368537,"identifier":"54.1-2997","token":"54.1\/III\/29\/10\/54.1-2997","url":"\/54.1-2997\/","edition_id":2,"permalink":0,"preferred":1},"url":"\/54.1-2997\/","token":"54.1\/III\/29\/10\/54.1-2997","dublin_core":{"Title":"Direct primary care agreements","Type":"Text","Format":"text\/html","Identifier":"\u00a7 54.1-2997","Relation":"Code of Virginia"},"html":"\n\t\t\t\t\t\t

A.<\/span> A direct agreement between a patient, the patient’s legal representative, or the patient’s employer and a health care provider for ongoing primary care services in exchange for the payment of a monthly periodic fee, referred to in this article as a direct primary care agreement, is not health insurance or a health maintenance organization, provided that the health care provider does not require patients to pay monthly periodic fees prior to initiation of the direct agreement coverage period. A health care provider who participates in a direct primary care practice may participate in a health insurance carrier network so long as the provider is willing and able to meet the terms and conditions of network membership set by the health insurance carrier. <\/i><\/a><\/p><\/section>\n\t\t\t\t\t\t

B.<\/span> The provisions of this article shall not apply to contracts<\/span> entered into prior to March 1, 2017. <\/i><\/a><\/p><\/section>","plain_text":" CODE OF VIRGINIA\n\nDIRECT PRIMARY CARE AGREEMENTS (\u00a7 54.1-2997)\n\nA. A direct agreement between a patient, the patient’s legal\nrepresentative, or the patient’s employer and a health care provider for\nongoing primary care services in exchange for the payment of a monthly periodic\nfee, referred to in this article as a direct primary care agreement, is not\nhealth insurance or a health maintenance organization, provided that the health\ncare provider does not require patients to pay monthly periodic fees prior to\ninitiation of the direct agreement coverage period. A health care provider who\nparticipates in a direct primary care practice may participate in a health\ninsurance carrier network so long as the provider is willing and able to meet\nthe terms and conditions of network membership set by the health insurance\ncarrier.\n\nB. The provisions of this article shall not apply to contracts entered into\nprior to March 1, 2017.\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"}}