H.B. No. 1207 amends Section 1366.005 of the Insurance Code to update the conditions under which health benefit plans must cover in vitro fertilization (IVF) procedures. The bill removes the requirement that fertilization must only occur with the sperm of the patient's spouse and instead allows either the patient or their spouse to have a history of infertility lasting at least three continuous years. Additionally, the bill specifies that infertility can be associated with certain medical conditions, such as endometriosis or blockage of fallopian tubes. It also maintains the requirement that patients must have attempted less costly infertility treatments before qualifying for IVF coverage and that procedures must be performed at accredited medical facilities.

The changes outlined in the bill will take effect for health benefit plans delivered, issued for delivery, or renewed on or after January 1, 2026. Plans that are delivered or renewed before this date will continue to be governed by the previous law. The bill is set to take effect on September 1, 2025.

Statutes affected:
Introduced: Insurance Code 1366.005 (Insurance Code 1366)