2023 Virginia Code 54.1-2997: Direct primary care agreements
A. 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.
B. The provisions of this article shall not apply to contracts entered into prior to March 1, 2017.