The bill, S.B. No. 359, aims to expand the coverage and provision of abortion, contraception, and sterilization services under Medicaid and certain health benefit plans in Texas. It amends Section 32.024(e) of the Human Resources Code to specify that the commission may not authorize services unless federal matching funds are available, except as provided by the new Section 32.03118. This new section mandates that medical assistance reimbursement must be provided for abortion services, FDA-approved contraception, and voluntary sterilization, regardless of federal funding availability. Additionally, it prohibits cost-sharing requirements, utilization reviews, prior authorization, and any restrictions or delays in coverage for these services.

The bill also revises the Insurance Code, specifically Chapter 1218, to require health benefit plans to cover the same reproductive health services without imposing additional costs or restrictions. It repeals several existing provisions that previously limited coverage for elective abortions and related services. The changes will take effect on September 1, 2025, and will apply to health benefit plans delivered or renewed on or after January 1, 2026. If a state agency determines that federal authorization is needed for implementation, it may delay the provision until such authorization is granted.

Statutes affected:
Introduced: Human Resources Code 32.024, Insurance Code 1218.001 (Human Resources Code 32, Insurance Code 1218)