Relating to the application of direct primary care fees to insurance deductibles in certain state health benefit plans.
HB 3015 requires that fees paid directly to primary care physicians (such as monthly retainers or membership fees) count toward the insurance deductibles for participants in two specific Texas state health benefit plans: the Employees Retirement System of Texas and the Teacher Retirement System of Texas. This means patients using direct primary care services can apply those fees toward their annual insurance deductible, reducing out-of-pocket costs for care. The law applies to health plans delivered, issued, or renewed on or after January 1, 2026, and takes effect September 1, 2025. It does not affect general health insurance plans outside these two retirement systems.
Bill status
passed
3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
Governor
Introduced Mar 20, 2025
Last action May 14, 2025
Maddy AI version diff · 1 comparison
What changed between versions
Introduced
→
Engrossed
·
4 edits
·
May 13, 2025
MODERATE
The bill was amended to add new subchapters to three different sections of the Texas Insurance Code, creating consistent definitions and rules for applying direct primary care fees to health insurance deductibles across multiple benefit plans. The changes standardize language and add a safeguard provision ensuring that applying these fees does not cause high deductible health plans to lose their tax-advantaged status.
Scope change
The bill now applies to three separate chapters of the Insurance Code (1551, 1575, and 1579) rather than just two, expanding coverage to additional health benefit plans including those under the Teacher Retirement System.
SCOPE
Added a third subchapter to Chapter 1579 of the Insurance Code, extending direct primary care fee rules to additional health benefit plans.
REQUIREMENT
Added a new provision requiring trustees to seek an attorney general opinion if applying direct primary care fees would cause a high deductible health plan to no longer qualify for a health savings account.
DEFINITION
Standardized the definition of 'direct fee' and 'direct primary care' across all three subchapters to include telemedicine and telehealth services.
TIMELINE
Changed the effective date from January 1, 2026 for application to plans to September 1, 2025 for the Act's general effectiveness.
Floor votes · House May 13, 2025
How they voted
139–0
Passed · 5 other
Total votes 144
May 13, 2025
D
Democratic59
96% Yea
R
Republican85
96% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
25
Key actions
8
Committee
7
Amendments
2
May 14, 2025
Committee
Referred to Finance
upper
May 14, 2025
Introduced
Read first time
upper
May 14, 2025
Introduced
Received from the House
upper
May 13, 2025
Lower · Passed
Passed
lower
May 12, 2025
Lower · Passed
Passed to engrossment as amended
lower
May 12, 2025
Lower · Passed
Amended
lower
May 5, 2025
Lower · Passed
Committee report sent to Calendars
lower
May 5, 2025
Lower · Passed
Committee report distributed
lower
Apr 30, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Apr 28, 2025
Lower · Passed
Left pending in committee
lower
Apr 28, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Mar 20, 2025
Committee
Referred to Pensions, Investments & Financial Services
lower
Mar 20, 2025
Introduced
Read first time
lower
2 primary · 5 co-sponsors
Sponsors
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