TITLE: Relating to the coverage of emergency contraceptive drugs by health benefit plans.

SUMMARY: Relating to the coverage of emergency contraceptive drugs by health benefit plans.

FULL TEXT:
AN ACT relating to the coverage of emergency contraceptive drugs by health benefit plans. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter C, Chapter 1369, Insurance Code, is amended by adding Section 1369.1035 to read as follows: Sec. 1369.1035. EMERGENCY CONTRACEPTIVE COVERAGE REQUIRED. (a) In this section, "emergency contraceptive" means a drug containing an elevated dose of hormones that: (1) is used postcoitally; (2) prevents pregnancy by preventing fertilization of an egg or preventing implantation of a fertilized egg in a uterus; and (3) is approved by the United States Food and Drug Administration. (b) A health benefit plan that provides coverage for prescription contraceptive drugs must provide coverage for emergency contraceptive drugs at least once per year without a prescription for each enrollee. SECTION 2. Section 1369.1035, Insurance Code, as added by this Act, applies only to a health benefit plan that is delivered, issued for delivery, or renewed on or after January 1, 2026. SECTION 3. This Act takes effect September 1, 2025.