Hizmedia logoHIZMEDIA

Laws & regulations

The rules for concierge & direct primary care practices.

Membership practices answer to state laws on direct primary care, federal rules on Medicare, telehealth, and controlled substances, and the information blocking rules on results.

5 specific rules · plus 12 for every clinic · Last reviewed 10 November 2026

How we build for concierge & direct primary care practices
01State lawState legislatures

State direct primary care laws

What it says

Many states have laws saying a direct primary care agreement is not insurance, often with required terms and disclosures in the membership agreement.

Your website
Membership pages that explain the model and its limits plainly, including that it is not insurance.
Your systems
E-signed membership agreements stored per member, with the version they signed.
How we work
Your attorney reviews the agreement; we build it into enrollment.
02RegulationCMS · HHS OIG

Medicare patients and membership fees

What it says

If you see Medicare patients, membership fees must not be charged for services Medicare already covers, which is why many membership practices opt out of Medicare or structure fees carefully.

Your website
Clear wording for Medicare patients about how the membership works for them.
Your systems
Membership plans that can be set up differently for Medicare patients.
How we work
No direct impact.
03State lawState medical boards

Telehealth and state licensure

What it says

For telehealth, doctors generally need a license in the state where the patient is located at the time of the visit.

Your website
The states you can see patients in, stated clearly.
Your systems
Video visits that check the patient's location against your doctors' licenses.
How we work
No direct impact.
04RegulationDEA

Prescribing controlled substances by telemedicine

Read the source (opens in a new tab): Federal Register, Fourth temporary extension of telemedicine flexibilities

What it says

The Ryan Haight Act generally requires an in person evaluation before prescribing controlled substances remotely. Temporary flexibilities currently run through December 31, 2026, and a permanent rule is pending.

Your website
No direct impact.
Your systems
Flags on telehealth visits where controlled substance rules apply.
How we work
No direct impact.
05RegulationHHS · ASTP/ONC

Information blocking

Read the source (opens in a new tab): HealthIT.gov, Information blocking

What it says

Under the 21st Century Cures Act, providers must not unreasonably delay or block patients' access to their electronic health information, including test results.

Your website
No direct impact.
Your systems
Results released to the patient portal promptly, with the doctor's note to follow.
How we work
No direct impact.

Built in, not bolted on

A site that follows the rules.

We build every rule on this page into the websites and systems we make for concierge & direct primary care practices. This is a plain English summary, not legal advice, so check each source and check with your healthcare attorney, compliance lead, or state board.