H.B. No. 3015 proposes amendments to the Texas Insurance Code to include direct primary care fees as qualified medical expenses that can be applied toward insurance deductibles for participants in certain state health benefit plans. The bill introduces new definitions for "direct fee" and "direct primary care," clarifying that direct fees encompass various forms of payment for primary medical care services, including monthly retainers, membership fees, and fees for specific services. It establishes that these direct fees will apply to the deductibles of participants enrolled in the basic coverage provided under the Employees Retirement System of Texas and the Teacher Retirement System of Texas.

The bill mandates that the respective boards of trustees for these systems adopt necessary rules to implement the inclusion of direct primary care fees. It specifies that the provisions of this Act will only apply to health benefit plans that are delivered, issued for delivery, or renewed on or after January 1, 2026, and it is set to take effect on September 1, 2025.

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