Bill > HB618

This bill mandates that certain governmental health benefit plans, specifically those under Chapters 1551, 1575, 1579, and 1601 (which cover state employees, public school employees, and certain other public sector workers), must provide coverage for in vitro fertilization (IVF) procedures when the plan already offers pregnancy-related benefits. The coverage must be provided to the same extent as other pregnancy-related procedures, subject to specific conditions: the patient must be covered under the plan, IVF fertilization must use the spouse's sperm, the patient must have a documented history of infertility for at least five continuous years or have specific medical conditions like endometriosis or fallopian tube issues, the patient must have been unable to achieve pregnancy through less costly infertility treatments, and the procedures must be performed at a medical facility meeting the American Society for Reproductive Medicine's standards. The bill will apply only to health benefit plans delivered, issued, or renewed on or after January 1, 2026, with the act taking effect on September 1, 2025, thereby giving health plans time to adjust their coverage policies.

Labor and Employment

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB618