State-by-State DPC Guides¶
State-specific information for Direct Primary Care practices, including DPC legislation, medication dispensing rules, and key regulatory requirements.
Subject to change
This page depends on law, regulation or market pricing that changes. Check the "last updated" date at the bottom of the page and the Reviewed date in the review status file, and confirm against the cited primary source before acting.
State Categories¶
Tier 1: DPC Friendly¶
States with explicit DPC-enabling legislation and favorable medication dispensing rules.
| State | DPC Law | Dispensing | Guide |
|---|---|---|---|
| Colorado | Yes (HB 17-1115) | No registration | Colorado |
| Florida | Yes (F.S. § 624.27) | Simple registration | Florida |
| Georgia | Yes (O.C.G.A. § 33-1-19) | Simple notification | Georgia |
| Kentucky | Yes (KRS 304.17A-527) | Permitted | Kentucky |
| Maine | Yes | No registration | Maine |
| Tennessee | Yes (T.C.A. § 56-7-1801) | No registration | Tennessee |
| Wyoming | Yes (Wyo. Stat. § 26-1-104) | No registration | Wyoming |
Tier 2: Moderate¶
States with DPC legislation but some restrictions on dispensing or other operational requirements.
| State | DPC Law | Dispensing | Guide |
|---|---|---|---|
| Arizona | Yes (A.R.S. § 20-123) | Registration required | Arizona |
| Arkansas | Yes (A.C.A. § 23-60-107) | Registration required | Arkansas |
| Indiana | Yes (I.C. § 27-1-45) | Registration required | Indiana |
| Kansas | Yes (K.S.A. § 40-2,203) | Registration required | Kansas |
| Louisiana | Yes (La. R.S. § 22:1821) | Registration required | Louisiana |
| Michigan | Yes (M.C.L. § 550.1401) | Registration required | Michigan |
| Mississippi | Yes (Miss. Code § 83-9-353) | Registration required | Mississippi |
| Missouri | Yes (Mo. Rev. Stat. § 376.1800) | Registration required | Missouri |
| North Carolina | Yes (N.C.G.S. § 90-21.90) | Registration required | North Carolina |
| Ohio | Yes (O.R.C. § 3901.80) | TDDD license required | Ohio |
| Oklahoma | Yes (36 O.S. § 6060) | Registration required | Oklahoma |
| Oregon | Yes (O.R.S. § 735.500) | Registration required | Oregon |
| Texas | Yes (Tex. Ins. Code § 1452) | Registration required | Texas |
| Utah | Yes (Utah Code § 31A-4-106.5) | Registration required | Utah |
| Virginia | Yes (Va. Code § 38.2-4601) | Registration required | Virginia |
| Washington | Yes (RCW 48.150) | Registration required | Washington |
| West Virginia | Yes (W. Va. Code § 33-59) | Registration required | West Virginia |
Tier 3: Challenging¶
States without explicit DPC legislation or with significant restrictions. Legal consultation recommended.
States with DPC legislation but classified Tier 3 due to other factors:
| State | DPC Law | Dispensing | Guide |
|---|---|---|---|
| Idaho | Yes (Idaho Code § 41-6501) | Registration required | Idaho |
| Iowa | Yes (Iowa Code § 514K) | Registration required | Iowa |
| Minnesota | Yes (Minn. Stat. § 62Q.735) | Registration required | Minnesota |
| Montana | Yes (Mont. Code § 33-1-212) | Registration required | Montana |
| Nebraska | Yes (Neb. Rev. Stat. § 44-513.02) | Registration required | Nebraska |
| Nevada | Yes (NRS 689C) | Registration required | Nevada |
| New Hampshire | Yes (RSA 420-O) | Registration required | New Hampshire |
| New Mexico | Yes (NMSA § 59A-23E) | Registration required | New Mexico |
| North Dakota | Yes (N.D.C.C. § 26.1-04-24) | Registration required | North Dakota |
| South Carolina | Yes (S.C. Code § 38-71-2010) | Registration required | South Carolina |
| South Dakota | Yes (SDCL § 58-17-139) | Registration required | South Dakota |
| Wisconsin | Yes (Wis. Stat. § 609.035) | Registration required | Wisconsin |
States without explicit DPC legislation (consult healthcare attorney):
| State | DPC Law | Dispensing | Guide |
|---|---|---|---|
| Alabama | No | Registration required | Alabama |
| Alaska | No | Registration required | Alaska |
| California | No | Restricted | California |
| Connecticut | No | Restricted | Connecticut |
| Delaware | No | Registration required | Delaware |
| Hawaii | No | Registration required | Hawaii |
| Illinois | No | Restricted | Illinois |
| Maryland | No | Registration required | Maryland |
| Massachusetts | No | Restricted | Massachusetts |
| New Jersey | No | Restricted | New Jersey |
| New York | No | Restricted | New York |
| Pennsylvania | No | Registration required | Pennsylvania |
| Rhode Island | No | Restricted | Rhode Island |
| Vermont | No | Restricted | Vermont |
How to Use These Guides¶
Each state guide includes: - DPC law status and statutory references - Medication dispensing regulations - Licensing and registration requirements - Key resources and contacts - State-specific considerations
Caution
Laws and regulations change. Always verify current requirements with your state medical board, pharmacy board, and a healthcare attorney licensed in your state.
Federal Updates (2026)¶
HSA Eligibility for DPC: As of January 2026, Health Savings Account funds can be used for DPC membership fees (up to $150/month individual, $300/month family) per H.R. 1/Public Law 119-21.
Contributing¶
If you practice in a state and can provide updated information, contributions are welcome. See CONTRIBUTING.md.
Resources¶
- DPC Frontier State Laws — Comprehensive state profiles
- DPC Coalition — Advocacy and legislation tracking
- State Medical Board Directory — FSMB directory
Talk to a mentor about this
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