republic-os/legislation/us/states/va/2017/hb-2053.md

---
type: "Bill"
title: "Direct primary care agreements; the Commonwealth's insurance laws do not apply."
description: "Provides that 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 is not health insurance or a health maintenance organization, if patients are not required to pay monthly periodic fees prior to initiation of the direct agreement coverage period. The measure also provides that 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. The measure establishes requirements for disclosures regarding direct primary care agreements, including a list of the services covered under the agreement. This bill is identical to"
jurisdiction: "us/states/va"
legislature: "Virginia General Assembly"
session: "2017"
identifier: "HB 2053"
citation: "Virginia HB 2053 (2017)"
classification: ["bill"]
subjects: ["Insurance", "Professions and Occupations"]
status: "enacted"
primary_sponsors: ["R. Steven Landes"]
version_count: 7
action_count: 41
vote_count: 12
first_action: "2017-01-10"
last_action: "2017-04-26"
source: "openstates"
source_identifier: "ocd-bill/aeaff710-9453-43bd-abaa-7a273d35e2d1"
source_url: "http://lis.virginia.gov/cgi-bin/legp604.exe?171+sum+HB2053"
source_hash: "9100ac621b3d4bb501c53d3630bd0fccba28fd65d33248ee56e9b8534c5c514e"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-va"]
---

# Virginia HB 2053 (2017) — Direct primary care agreements; the Commonwealth's insurance laws do not apply.

Provides that 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 is not health insurance or a health maintenance organization, if patients are not required to pay monthly periodic fees prior to initiation of the direct agreement coverage period. The measure also provides that 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. The measure establishes requirements for disclosures regarding direct primary care agreements, including a list of the services covered under the agreement. This bill is identical to

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Governor: Acts of Assembly Chapter text (CHAP0830)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+CHAP0830)
2. **House: Bill text as passed House and Senate (HB2053ER)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB2053ER)
3. **House: Committee substitute printed 17104598D-H1** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB2053H1)
4. **House: Floor substitute printed 17105005D-H2 (Landes)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB2053H2)
5. **House: Prefiled and ordered printed; offered 01/11/17 17102438D** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB2053)
6. **House: Reenrolled bill text (HB2053ER2)** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB2053ER2)
7. **Senate: Committee substitute printed 17105281D-S1** (committee substitute) — [source](http://lis.virginia.gov/cgi-bin/legp604.exe?171+ful+HB2053S1)

## Votes

- Reported from Commerce and Labor with substitute — **21–0** (pass) · legislature
- Passed Senate with substitute — **39–0** (pass) · legislature
- Reported from Commerce and Labor with substitute — **12–0** (pass) · legislature
- House concurred in Governor's recommendation to Amendments 1, 2 and 3 — **97–1** (pass) · legislature
- Conference report agreed to by House — **73–22** (pass) · legislature
- Conference report agreed to by Senate — **39–0** (pass) · legislature
- Senate substitute rejected by House 17105281D-S1 — **1–94** (fail) · legislature
- Senate concurred in Governor's recommendations #1, 2 and 3 — **39–0** (pass) · legislature
- Constitutional reading dispensed — **40–0** (pass) · legislature
- Read third time and passed House — **83–12** (pass) · legislature
- House rejected Governor's recommendation to Amendment #4 — **31–67** (fail) · legislature
- Senate insisted on substitute — **39–0** (pass) · legislature

## Sponsors

- R. Steven Landes — primary (person)
- Barry D. Knight — cosponsor (person)
- Benjamin L. Cline — cosponsor (person)
- Brenda L. Pogge — cosponsor (person)
- C. Matthew Fariss — cosponsor (person)
- Charles D. Poindexter — cosponsor (person)
- Christopher K. Peace — cosponsor (person)
- Christopher P. Stolle — cosponsor (person)
- Christopher T. Head — cosponsor (person)
- Daniel W. Marshall, III — cosponsor (person)
- Dave A. LaRock — cosponsor (person)
- Gordon C. Helsel, Jr. — cosponsor (person)
- Hyland F. "Buddy" Fowler, Jr. — cosponsor (person)
- Israel D. O'Quinn — cosponsor (person)
- J. Randall Minchew — cosponsor (person)
- James A. "Jay" Leftwich — cosponsor (person)
- James P. "Jimmie" Massie, III — cosponsor (person)
- Jeffrey L. Campbell — cosponsor (person)
- John M. O'Bannon, III — cosponsor (person)
- Joseph R. Yost — cosponsor (person)
- Kathy J. Byron — cosponsor (person)
- L. Mark Dudenhefer — cosponsor (person)
- L. Scott Lingamfelter — cosponsor (person)
- M. Keith Hodges — cosponsor (person)
- M. Kirkland Cox — cosponsor (person)
- Margaret B. Ransone — cosponsor (person)
- Mark L. Cole — cosponsor (person)
- Michael J. Webert — cosponsor (person)
- N.D. "Rocky" Holcomb III — cosponsor (person)
- Nick Rush — cosponsor (person)
- Peter F. Farrell — cosponsor (person)
- R. Lee Ware — cosponsor (person)
- Richard L. Anderson — cosponsor (person)
- Richard P. Bell — cosponsor (person)
- Rick L. Morris — cosponsor (person)
- Riley E. Ingram — cosponsor (person)
- Robert B. Bell — cosponsor (person)
- Robert D. Orrock, Sr. — cosponsor (person)
- Robert S. Bloxom, Jr. — cosponsor (person)
- Ronald A. Villanueva — cosponsor (person)
- Roxann L. Robinson — cosponsor (person)
- S. Chris Jones — cosponsor (person)
- T. Scott Garrett — cosponsor (person)
- Terry G. Kilgore — cosponsor (person)
- Thomas C. Wright, Jr. — cosponsor (person)
- Timothy D. Hugo — cosponsor (person)
- Tony O. Wilt — cosponsor (person)
- William J. Howell — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2017-01-10** Prefiled and ordered printed; offered 01/11/17 17102438D `introduction`
- **2017-01-10** Referred to Committee on Commerce and Labor `referral-committee`
- **2017-01-30** Read first time `reading-1`
- **2017-01-31** Floor substitute printed 17105005D-H2 (Landes)
- **2017-01-31** Passed by for the day
- **2017-02-01** Read second time `reading-2`
- **2017-02-01** Committee substitute rejected 17104598D-H1
- **2017-02-01** Substitute by Delegate Landes agreed to 17105005D-H2
- **2017-02-01** Engrossed by House - floor substitute HB2053H2
- **2017-02-02** Read third time and passed House (83-Y 12-N) `passage, reading-3`
- **2017-02-03** Constitutional reading dispensed
- **2017-02-03** Referred to Committee on Commerce and Labor `referral-committee`
- **2017-02-16** Read third time `reading-3`
- **2017-02-16** Reading of substitute waived
- **2017-02-16** Committee substitute agreed to 17105281D-S1
- **2017-02-16** Engrossed by Senate - committee substitute HB2053S1
- **2017-02-20** Placed on Calendar
- **2017-02-20** Senate substitute rejected by House 17105281D-S1 (1-Y 94-N)
- **2017-02-21** Senate requested conference committee
- **2017-02-22** House acceded to request
- **2017-02-23** Conferees appointed by House
- **2017-02-23** Conferees appointed by Senate
- **2017-02-24** Amended by conference committee
- **2017-02-24** Conference report agreed to by House (73-Y 22-N)
- **2017-03-07** Enrolled
- **2017-03-07** Signed by Speaker
- **2017-03-10** Signed by President
- **2017-03-13** Enrolled Bill communicated to Governor on 3/13/17
- **2017-03-13** Governor's Action Deadline Midnight, March 27, 2017
- **2017-03-24** Governor's recommendation received by House
- **2017-04-05** Placed on Calendar
- **2017-04-05** House concurred in Governor's recommendation to Amendments 1, 2 and 3 (97-Y 1-N)
- **2017-04-05** House rejected Governor's recommendation to Amendment #4 (31-Y 67-N)
- **2017-04-05** Governor's recommendation adopted in-part
- **2017-04-05** Reenrolled
- **2017-04-05** Reenrolled bill text (HB2053ER2)
- **2017-04-05** Signed by Speaker as reenrolled
- **2017-04-05** Signed by President as reenrolled
- **2017-04-05** Communicated to Governor
- **2017-04-05** Governor's Action Deadline Midnight, May 5, 2017
- **2017-04-26** Approved by Governor-Chapter 830 (effective 7/1/17) `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/aeaff710-9453-43bd-abaa-7a273d35e2d1`. Confidence: reported (aggregated from official Virginia legislature records).