TX HB618

Requires health benefit plans for Texas governmental employees and retirees to cover outpatient expenses for in vitro fertilization (IVF) procedures if the plan already provides pregnancy-related benefits

Applies to basic coverage plans under the Texas Employees Group Benefits Act (Chapter 1551), Texas Public School Employees Group Insurance Program (Chapter 1575), Texas School Employees Uniform Group Health Coverage Program (Chapter 1579), and state university employees coverage (Chapter 1601)

IVF coverage must be provided at the same level as other pregnancy-related procedures under the plan

Coverage conditions include: patient must be covered under the plan, fertilization must use spouse's sperm, couple must have 5+ years of infertility history or specific medical conditions (endometriosis, DES exposure, blocked/removed fallopian tubes, or oligospermia), and procedures must be performed at facilities meeting American Society for Reproductive Medicine standards

Applies to health benefit plans delivered, issued, or renewed on or after January 1, 2026, with an effective date of September 1, 2025