TX HB3015

Direct primary care fees paid by state employees and public school employees must be applied toward their health insurance deductibles under the state group benefits programs (Chapters 1551, 1575, and 1579 of the Insurance Code)

"Direct fees" include monthly retainers, membership fees, subscription fees, medical service agreement payments, and per-visit fees charged by physicians for primary care services, including telemedicine and telehealth

If the board of trustees or trustee believes applying these fees would disqualify a high deductible health plan from health savings account (HSA) eligibility under IRS Section 223, they must seek an attorney general opinion on the matter

High deductible health plans confirmed by the attorney general as at risk of HSA disqualification would be exempt from the direct primary care fee application requirement

The law applies to plan years beginning on or after January 1, 2026, with an effective date of September 1, 2025