Direct primary care fees must count toward health deductibles

Relating to the application of direct primary care fees to insurance deductibles in certain state health benefit plans.

Engrossed· 2025-05-13

Who's it for

Who's it for: Everyday People

What it means for you

7/10Helps you

Good for everyday people ·

Draft summary, still being checked against the official bill text. Read the source to confirm.

If passed, any fee you pay a direct primary care doctor would count toward your insurance deductible, helping you reach coverage faster.

Our take

What we think, in plain words.

If the bill passes, you could pay less out of pocket before your insurance kicks in, but some high‑deductible plans might lose savings account benefits, so the trade‑off matters now.

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The facts

What the bill actually says, no spin.

Direct primary care fees must be applied to a participant's deductible.
Applies to group health benefit plans, including basic and health coverage plans.
If applying fees would disqualify a high‑deductible plan from HSA status, the board must seek attorney general opinion and may exempt that plan.