H.B. No. 1207 amends the Insurance Code to update the conditions under which health benefit plans must cover in vitro fertilization (IVF) procedures. The bill specifies that coverage is required if the patient or their spouse has a history of infertility lasting at least three continuous years, rather than the previous five years. Additionally, it removes the requirement that fertilization must only occur with the sperm of the patient's spouse. The bill also maintains that the patient must have been unable to achieve a successful pregnancy through less costly infertility treatments and that the IVF procedures must be performed at a facility meeting the standards set by the American Society for Reproductive Medicine.

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

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