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Texas HB 1207 eases health insurance coverage rules for in vitro fertilization by removing spousal sperm requirement and shortening infertility duration

Original title: Relating to conditions applicable to health benefit plan coverage of in vitro fertilization procedures.

Last action · March 10, 2025: Referred to InsuranceSponsors: Jessica González and 3 others

Companion · SB 833same policy, Senate version
Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Texas health benefit plans are required to cover in vitro fertilization only if the patient has a history of infertility of at least three continuous years instead of five, or has specified medical conditions, and removes the requirement that fertilization use only the patient's spouse's sperm. These changes apply to health benefit plans delivered, issued for delivery, or renewed on or after January 1, 2026.

Why it matters

Enrollees seeking fertility treatments face modified eligibility criteria that shorten the required duration of documented infertility and alter medical and spousal criteria required for insurance coverage of in vitro fertilization procedures starting September 1, 2025.

Background
  • State insurance laws can mandate that certain health benefit plans include coverage for specific medical procedures such as in vitro fertilization under defined conditions. context

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Individuals covered under group health benefit plans

Enrollees face altered eligibility thresholds, including a shorter required duration of infertility and the removal of spousal sperm restrictions, to qualify for health plan coverage of in vitro fertilization.

Directly affected

Health benefit plan issuers

Insurers must update policy terms and coverage determinations to reflect the revised conditions for in vitro fertilization procedures for plans issued or renewed on or after January 1, 2026.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What changes are made to the infertility history requirement for insurance coverage of IVF?
The bill reduces the required history of continuous infertility from five years down to three years.
Is the restriction regarding whose sperm must be used still in effect under the bill?
No, the bill strikes the requirement that fertilization of the patient's be made only with the sperm of the patient's spouse.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · in House committee.

Procedural history

3 actions
  1. Mar 10, 2025HouseCommittee
    Referred to Insurance
  2. Mar 10, 2025HouseIntroduced
    Read first time
  3. Nov 12, 2024HouseIntroduced
    Filed

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Relaxation of IVF Coverage Restrictions

The bill replaces a five-year infertility duration requirement with a three-year requirement and eliminates the spousal sperm limitation for health benefit plan coverage.

Connected Entities

American Society for Reproductive Medicine, Texas
OrganizationAmerican Society for Reproductive Medicine“Adopts minimal standards for programs of in vitro fertilization where procedures”Map →
locationTexas“Jurisdiction of the state legislature and Insurance Code.”Map →

Sources

Open source document

capitol.texas.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 60)
  • Controversy50
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz35
    Current news / social attention level

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