Bill > HB1098

This bill proposes significant changes to how abortion, contraception, and sterilization services are covered under Medicaid and health insurance plans in Texas. Specifically, the bill requires the state's health commission to provide medical assistance reimbursement for abortion services, FDA-approved contraception (including device insertion and removal), and voluntary sterilization, regardless of federal matching funds availability. These services would be provided without cost-sharing requirements, utilization reviews, prior authorization, or coverage delays. The bill also mandates that health benefit plans must provide coverage for these reproductive health services, with provisions for pain and anxiety management during medical procedures. The legislation defines key terms like "effective pain and anxiety management" and expands the definition of abortion. Additionally, the bill repeals several existing provisions that previously restricted reproductive health service coverage. The changes will apply to health benefit plans delivered or renewed on or after January 1, 2026, and the bill is set to take effect on September 1, 2025, with a provision allowing state agencies to seek federal waivers if necessary for implementation.

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https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB1098