LEGISLATIVE BUDGET BOARD Austin, Texas FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION April 25, 2025 TO: Honorable Stan Lambert, Chair, House Committee on Pensions, Investments & Financial Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB3015 by Alders (Relating to the inclusion of direct primary care fees as qualified medical expenses applied toward insurance deductibles in certain state health benefit plans.), As Introduced The fiscal implication to the Teacher Retirement System could not be determined.No other significant fiscal implication to the State is anticipated. The bill would allow fees for ongoing access to health care services to count toward deductibles. The Teacher Retirement System (TRS) indicates that implementation of the provisions could direct ineligible expenses to be counted toward the deductible of TRS-Care, the public education employee retiree health insurance program, which could potentially jeopardize the plan's tax qualified status and potentially disrupt member services; therefore, the fiscal implication to TRS cannot be determined. Costs to other state agencies or institutions of higher education could be absorbed with existing resources. Local Government ImpactNo fiscal implication to units of local government is anticipated. Source Agencies: b > td > 323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 529 Health and Human Services Commission, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration LBB Staff: b > td > JMc, FV, ASA, ENA
LEGISLATIVE BUDGET BOARD
Austin, Texas
FISCAL NOTE, 89TH LEGISLATIVE REGULAR SESSION
April 25, 2025
TO: Honorable Stan Lambert, Chair, House Committee on Pensions, Investments & Financial Services FROM: Jerry McGinty, Director, Legislative Budget Board IN RE: HB3015 by Alders (Relating to the inclusion of direct primary care fees as qualified medical expenses applied toward insurance deductibles in certain state health benefit plans.), As Introduced
TO: Honorable Stan Lambert, Chair, House Committee on Pensions, Investments & Financial Services
FROM: Jerry McGinty, Director, Legislative Budget Board
IN RE: HB3015 by Alders (Relating to the inclusion of direct primary care fees as qualified medical expenses applied toward insurance deductibles in certain state health benefit plans.), As Introduced
Honorable Stan Lambert, Chair, House Committee on Pensions, Investments & Financial Services
Honorable Stan Lambert, Chair, House Committee on Pensions, Investments & Financial Services
Jerry McGinty, Director, Legislative Budget Board
Jerry McGinty, Director, Legislative Budget Board
HB3015 by Alders (Relating to the inclusion of direct primary care fees as qualified medical expenses applied toward insurance deductibles in certain state health benefit plans.), As Introduced
HB3015 by Alders (Relating to the inclusion of direct primary care fees as qualified medical expenses applied toward insurance deductibles in certain state health benefit plans.), As Introduced
The fiscal implication to the Teacher Retirement System could not be determined.No other significant fiscal implication to the State is anticipated.
The fiscal implication to the Teacher Retirement System could not be determined.No other significant fiscal implication to the State is anticipated.
The fiscal implication to the Teacher Retirement System could not be determined.
The bill would allow fees for ongoing access to health care services to count toward deductibles. The Teacher Retirement System (TRS) indicates that implementation of the provisions could direct ineligible expenses to be counted toward the deductible of TRS-Care, the public education employee retiree health insurance program, which could potentially jeopardize the plan's tax qualified status and potentially disrupt member services; therefore, the fiscal implication to TRS cannot be determined. Costs to other state agencies or institutions of higher education could be absorbed with existing resources.
The bill would allow fees for ongoing access to health care services to count toward deductibles. The Teacher Retirement System (TRS) indicates that implementation of the provisions could direct ineligible expenses to be counted toward the deductible of TRS-Care, the public education employee retiree health insurance program, which could potentially jeopardize the plan's tax qualified status and potentially disrupt member services; therefore, the fiscal implication to TRS cannot be determined.
Costs to other state agencies or institutions of higher education could be absorbed with existing resources.
Local Government Impact
No fiscal implication to units of local government is anticipated.
Source Agencies: b > td > 323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 529 Health and Human Services Commission, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration
323 Teacher Retirement System, 327 Employees Retirement System, 454 Department of Insurance, 529 Health and Human Services Commission, 710 Texas A&M University System Administrative and General Offices, 720 The University of Texas System Administration
LBB Staff: b > td > JMc, FV, ASA, ENA
JMc, FV, ASA, ENA