Utah

Quick Facts

Key Provisions

• A direct primary care agreement is explicitly defined as not being an insurance product and is therefore exempt from regulation under the Utah Insurance Code.
• The law, enacted as HB 148, applies to primary care practices, establishing a legal framework for physicians and other qualified providers to offer DPC services.
• Nurse practitioners are permitted to own and operate Direct Primary Care practices independently, without a requirement for physician supervision, expanding access to the DPC model.
• The DPC agreement must be a written contract between the provider and the patient or their legal representative.
• The agreement must clearly describe the specific scope of primary care services that are included in exchange for the periodic fee.
• The contract must conspicuously state that the agreement is not a health insurance policy and does not satisfy any legal requirement to obtain health insurance.
• All financial terms, including the periodic fee amount, payment schedule, and any potential charges outside the fee, must be clearly outlined in the patient agreement.
• The agreement must include terms for termination, allowing either the patient or the provider to end the contractual relationship, though specific notice periods are not defined in the statute.