Relating to the inclusion of direct primary care fees as qualified medical expenses applied toward insurance deductibles in certain state health benefit plans.

SB 2108 requires that fees paid directly to physicians for direct primary care services - including monthly retainers, membership fees, or subscription fees - count toward the deductible for participants in the basic health coverage under Texas' Employees Retirement System (ERS) and Teacher Retirement System (TRS) plans. The bill defines "direct primary care" to include telemedicine services and mandates that these fees be treated as qualified medical expenses, reducing out-of-pocket costs for enrollees. Implementation rules will be adopted by the respective retirement system boards, and the law applies to health plans delivered, issued, or renewed on or after January 1, 2026, taking effect September 1, 2025. This change specifically affects ERS and TRS enrollees using direct primary care models, not general health insurance plans.