Bill > HB3814

This bill requires health benefit plans in Texas to provide coverage for prescription medications used to treat perimenopause and menopause, applying to a wide range of health insurance providers including insurance companies, group hospital service corporations, health maintenance organizations, and state programs like Medicaid. The bill adds a new subchapter to the Texas Insurance Code mandating that any health benefit plan offering prescription drug benefits must include coverage for perimenopause and menopause medications. The new requirements will apply to health benefit plans delivered, issued, or renewed on or after January 1, 2026, with the act taking effect on September 1, 2025. If any state agency determines that federal waivers or authorizations are needed to implement the bill, they are permitted to request such waivers and may delay implementation until approval is granted. This legislation aims to improve healthcare access and affordability for individuals experiencing perimenopause and menopause by ensuring insurance coverage for related prescription medications.

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https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB3814