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  89R513 SCL-D     By: González of Dallas H.B. No. 1207       A BILL TO BE ENTITLED   AN ACT   relating to conditions applicable to health benefit plan coverage   of in vitro fertilization procedures.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 1366.005, Insurance Code, is amended to   read as follows:          Sec. 1366.005.  CONDITIONS APPLICABLE TO COVERAGE. The   coverage offered under Section 1366.003 is required only if:                (1)  the patient for the in vitro fertilization   procedure is an individual covered under the group health benefit   plan;                (2)  [ the fertilization or attempted fertilization of   the patient's oocytes is made only with the sperm of the patient's   spouse;                [ (3) ]  the patient or  [ and ] the patient's spouse has   [ have ] a history of infertility of at least three  [ five ] continuous   years' duration or the infertility is associated with:                      (A)  endometriosis;                      (B)  exposure in utero to diethylstilbestrol   (DES);                      (C)  blockage of or surgical removal of one or   both fallopian tubes; or                      (D)  oligospermia;                 (3)  [ (4) ]  the patient has been unable to attain a   successful pregnancy through any less costly applicable   infertility treatments for which coverage is available under the   group health benefit plan; and                 (4)  [ (5) ]  the in vitro fertilization procedures are   performed at a medical facility that conforms to the minimal   standards for programs of in vitro fertilization adopted by the   American Society for Reproductive Medicine.          SECTION 2.  Section 1366.005, Insurance Code, as amended by   this Act, applies only to a health benefit plan delivered, issued   for delivery, or renewed on or after January 1, 2026. A health   benefit plan delivered, issued for delivery, or renewed before   January 1, 2026, is governed by the law as it existed immediately   before the effective date of this Act, and that law is continued in   effect for that purpose.          SECTION 3.  This Act takes effect September 1, 2025.