Tex. Ins. Code § 1369.1031 · Subchapter C. COVERAGE OF PRESCRIPTION CONTRACEPTIVE DRUGS AND DEVICES AND RELATED SERVICES
CERTAIN COVERAGE REQUIRED.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) This section applies to a health benefit plan described by Section 1369.102.
(b) Notwithstanding any other law, this section applies to:
(1) a standard health benefit plan issued under Chapter 1507;
(2) a basic coverage plan under Chapter 1551;
(3) a basic plan under Chapter 1575;
(4) a primary care coverage plan under Chapter 1579;
(5) a plan providing basic coverage under Chapter 1601;
(6) group health coverage made available by a school district in accordance with Section 22.004, Education Code; and
(7) the state Medicaid program, including the Medicaid managed care program operated under Chapters 540 and 540A, Government Code.
(c) A health benefit plan that provides benefits for a prescription contraceptive drug must provide for an enrollee to obtain up to:
(1) a three-month supply of the covered prescription contraceptive drug at one time the first time the enrollee obtains the drug; and
(2) a 12-month supply of the covered prescription contraceptive drug at one time each subsequent time the enrollee obtains the same drug, regardless of whether the enrollee was enrolled in the health benefit plan the first time the enrollee obtained the drug.
(d) An enrollee may obtain only one 12-month supply of a covered prescription contraceptive drug during each 12-month period.
Notes and commentary — not statutory text
History
Added by Acts 2023, 88th Leg., R.S., Ch. 395 (H.B. 916), Sec. 2, eff. September 1, 2023.
Amended by:
Acts 2025, 89th Leg., R.S., Ch. 204 (H.B. 1620), Sec. 11.005, eff. September 1, 2025.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1369.htm
- Text hash
- sha256 45a32dfc2f6c6f1b6cc24365ee8f3371eb7e8e795b3b99a91f89d10efc4ee520
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
This section cites
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Education Code
Insurance Code
- Tex. Ins. Code § 1369.102APPLICABILITY OF SUBCHAPTER.Printed as Section 1369.102
- Tex. Ins. Code ch. 1507CONSUMER CHOICE OF BENEFITS PLANSPrinted as Chapter 1507
- Tex. Ins. Code ch. 1551TEXAS EMPLOYEES GROUP BENEFITS ACTPrinted as Chapter 1551
- Tex. Ins. Code ch. 1575TEXAS PUBLIC SCHOOL EMPLOYEES GROUP BENEFITS PROGRAMPrinted as Chapter 1575
- Tex. Ins. Code ch. 1579TEXAS SCHOOL EMPLOYEES UNIFORM GROUP HEALTH COVERAGEPrinted as Chapter 1579
- Tex. Ins. Code ch. 1601UNIFORM INSURANCE BENEFITS ACT FOR EMPLOYEES OF THE UNIVERSITY OF TEXAS SYSTEM AND THE TEXAS A&M UNIVERSITY SYSTEMPrinted as Chapter 1601
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.