Senate Bill No. 2108 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 two new subchapters, K and L, which define "direct fee" and "direct primary care," outlining that direct fees can take various forms such as monthly retainers, membership fees, or fees for specific services. It specifies that these direct fees paid to primary care providers will count towards the deductibles for participants enrolled in the Employees Retirement System of Texas and the Teacher Retirement System of Texas, respectively.

Additionally, the bill mandates that the board of trustees for the Employees Retirement System and the trustee for the Teacher Retirement System adopt necessary rules to implement these provisions. The changes will apply to health benefit plans that are delivered, issued for delivery, or renewed on or after January 1, 2026, and the act is set to take effect on September 1, 2025.

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