Texas 2023 - 88th Regular

Texas House Bill HB1649

Filed
1/25/23  
Out of House Committee
4/27/23  
Voted on by House
5/7/23  
Out of Senate Committee
5/21/23  
Voted on by Senate
5/23/23  
Governor Action
6/13/23  

Caption

Relating to health benefit coverage for certain fertility preservation services and notice regarding certain risks of impaired fertility.

Impact

If enacted, HB 1649 would significantly change the landscape of health insurance coverage for fertility preservation services in Texas. It would require insurance companies to cover the costs associated with procedures like the collection and preservation of sperm and eggs for patients undergoing cancer therapies. Currently, many insurance plans do not cover these essential services, leaving patients to deal with both the physical and emotional toll of their condition without the hope of future family planning. The bill would directly impact the lives of approximately 7,800 young Texans annually diagnosed with cancer who may struggle with infertility due to their treatments.

Summary

House Bill 1649 relates to health benefit coverage for fertility preservation services for individuals receiving medically necessary cancer treatments that may impair fertility. The bill mandates that insurance plans must provide coverage for fertility preservation procedures, ensuring that patients can take steps to preserve their reproductive options during treatment for cancer, such as surgery, chemotherapy, or radiation. Specifically, the legislation aims to address the needs of young adults diagnosed with cancer who face high risks of infertility, thus promoting their future family planning options following treatment.

Sentiment

The sentiment around HB 1649 appears largely supportive among cancer survivors, medical professionals, and advocates who emphasize the importance of fertility preservation. Testimonies during discussions reflect a deep need for such coverage, with many expressing the emotional difficulties of facing infertility in their recovery journey. However, there were also points of contention, primarily focused on potential prohibitive costs for insurance companies and the practicality of implementing such coverage. Nonetheless, the advocacy for patient rights and future family options remains a strong driving force behind this legislation.

Contention

Notably, some discussions around HB 1649 have raised concerns regarding the specifics of coverage related to fertility storage. An amendment proposed during discussions aimed to modify the bill's provisions regarding who is responsible for costs associated with the storage of preserved reproductive cells. While the bill aims to support individuals facing life-altering diagnoses, some stakeholders worried about the implications of insurance companies having to cover extensive procedures without clear financial guidelines, potentially affecting overall insurance rates.

Companion Bills

TX SB447

Identical Relating to health benefit coverage for certain fertility preservation services under certain health benefit plans.

TX HB389

Same As Relating to health benefit coverage for certain fertility preservation services under certain health benefit plans.

TX HB389

Same As Relating to health benefit coverage for certain fertility preservation services under certain health benefit plans.

TX SB1277

Similar To Relating to health benefit coverage for certain fertility preservation services under certain health benefit plans.

TX SB1277

Similar To Relating to health benefit coverage for certain fertility preservation services under certain health benefit plans.

Previously Filed As

TX AB428

Requires certain health plans to include coverage for fertility preservation services. (BDR 57-915)

TX S0924

Coverage for Fertility Preservation Services

TX HB95

Coverage For Fertility Preservation Services

TX H0818

Adds to existing law to establish provisions regarding fertility preservation services.

TX SB2031

Health Insurance Coverage for Fertility Preservation Services Act; enact.

TX SB2121

Health Insurance Coverage for Fertility Preservation Services Act; enact.

TX SB1347

health insurance; fertility preservation; coverage

TX A2191

Requires health insurance coverage of standard fertility preservation services for individuals with certain menstrual disorders resulting in infertility.

TX SF1961

Infertility treatment and standard fertility preservation services coverage by health plans requirement, MinnesotaCare and medical assistance coverage of infertility treatment and standard fertility preservation services requirement, and appropriation

TX HB618

Relating to health benefit plan coverage of certain in vitro fertilization procedures for certain governmental employees and retirees.

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