Bill Text: TX HB838 | 2023-2024 | 88th Legislature | Introduced


Bill Title: Relating to conditions applicable to health benefit plan coverage of in vitro fertilization procedures.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Introduced - Dead) 2023-04-18 - Left pending in committee [HB838 Detail]

Download: Texas-2023-HB838-Introduced.html
  88R205 SCL-D
 
  By: González of Dallas H.B. No. 838
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to conditions applicable to health benefit plan coverage
  of in vitro fertilization procedures.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 1366.005, Insurance Code, is amended to
  read as follows:
         Sec. 1366.005.  CONDITIONS APPLICABLE TO COVERAGE. The
  coverage offered under Section 1366.003 is required only if:
               (1)  the patient for the in vitro fertilization
  procedure is an individual covered under the group health benefit
  plan;
               (2)  [the fertilization or attempted fertilization of
  the patient's oocytes is made only with the sperm of the patient's
  spouse;
               [(3)]  the patient or [and] the patient's spouse has
  [have] a history of infertility of at least three [five] continuous
  years' duration or the infertility is associated with:
                     (A)  endometriosis;
                     (B)  exposure in utero to diethylstilbestrol
  (DES);
                     (C)  blockage of or surgical removal of one or
  both fallopian tubes; or
                     (D)  oligospermia;
               (3) [(4)]  the patient has been unable to attain a
  successful pregnancy through any less costly applicable
  infertility treatments for which coverage is available under the
  group health benefit plan; and
               (4) [(5)]  the in vitro fertilization procedures are
  performed at a medical facility that conforms to the minimal
  standards for programs of in vitro fertilization adopted by the
  American Society for Reproductive Medicine.
         SECTION 2.  Section 1366.005, Insurance Code, as amended by
  this Act, applies only to a health benefit plan delivered, issued
  for delivery, or renewed on or after January 1, 2024. A health
  benefit plan delivered, issued for delivery, or renewed before
  January 1, 2024, is governed by the law as it existed immediately
  before the effective date of this Act, and that law is continued in
  effect for that purpose.
         SECTION 3.  This Act takes effect September 1, 2023.
feedback