TX SB2108

Direct primary care fees paid by state employees and teachers would count toward their insurance deductibles under the Employees Retirement System of Texas and Teacher Retirement System of Texas health plans

"Direct fees" are defined broadly to include monthly retainers, membership fees, subscription fees, medical service agreement fees, and per-visit or per-episode charges paid directly to physicians for primary care

Direct primary care services include telemedicine and telehealth services delivered via technology platforms

The ERS board of trustees and TRS trustee are required to adopt rules to implement the new provisions

The law applies to health benefit plans delivered, issued, or renewed on or after January 1, 2026, with an effective date of September 1, 2025