Monitoring the Session

SB 1688

bill to cover pain relief for contraceptive device insertion

Died in committee

Verdict: No flags

No flagsInitial review
Sen. José MenéndezDSenate 26

Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to health benefit plan coverage of anxiety and pain management in connection with prescription contraceptive devices.

Caption from analyzed text · version I.

Summary

Plans that cover contraception also cover the sedation and anesthesia.

The bill requires health plans that cover FDA-approved contraception to also cover anxiety and pain relief for inserting and removing contraceptive devices, such as antianxiety drugs, sedation, local and topical anesthesia, and paracervical blocks. It touches health insurers and the patients on those plans. Starting with plans issued or renewed on or after January 1, 2026, that coverage must come with no deductible, coinsurance, utilization review, step therapy, or other restriction.

Labels

Labels: NEVER GOT A HEARING. Filed Feb 27, 2025 and referred to the Senate Health & Human Services committee. No public hearing. The bill died.

Receipt

The receipt

89R-SB1688 · 2025-02-27

SOLD BY

ITEM

relating to health benefit plan coverage of anxiety and pain management in connection with prescription contraceptive devices.

WHAT IT DOES

Plans that cover contraception also cover the sedation and anesthesia.

The bill requires health plans that cover FDA-approved contraception to also cover anxiety and pain relief for inserting and removing contraceptive devices, such as antianxiety drugs, sedation, local and topical anesthesia, and paracervical blocks. It touches health insurers and the patients on those plans. Starting with plans issued or renewed on or after January 1, 2026, that coverage must come with no deductible, coinsurance, utilization review, step therapy, or other restriction.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Received by the Secretary of the Senate
  2. Filed
  3. Read first time
  4. Referred to Health & Human Services
FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Jul 2, 2024 to Oct 5, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Kickapoo Traditional Tribes of Texas$25,000.00

Kickapoo Traditional Tribes of Texas

$25,000.00

Cash
$25,000.00
Paid by others
$0.00
Total
$25,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Jan 22, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · on Jan 22, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101065471.

Texas Trial Lawyers Association PAC$20,000.00

Texas Trial Lawyers Association PAC

$20,000.00

Cash
$20,000.00
Paid by others
$0.00
Total
$20,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 12, 2024 to Oct 5, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101012370, 101032316, 101072614.

Texas REALTORS Political Action Committee$10,000.00

Texas REALTORS Political Action Committee

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Dec 2, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101032316.

Money

Missing data does not establish zero giving. Display amounts are rounded.

×

Kickapoo Traditional Tribes of Texas

$25,000.00

Cash
$25,000.00
Paid by others
$0.00
Total
$25,000.00

Also funds 0 other sitting lawmakers.

Derived recipient stock · on Jan 22, 2026. State data as of Nov 4, 2026.

Name match, not a verified identity: normalized filed name and state.

Sources

Derived itemized flow · on Jan 22, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101065471.

×

Texas Trial Lawyers Association PAC

$20,000.00

Cash
$20,000.00
Paid by others
$0.00
Total
$20,000.00

Also funds 137 other sitting lawmakers.

Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 12, 2024 to Oct 5, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101012370, 101032316, 101072614.

×

Texas REALTORS Political Action Committee

$10,000.00

Cash
$10,000.00
Paid by others
$0.00
Total
$10,000.00

Also funds 140 other sitting lawmakers.

Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · on Dec 2, 2025. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Report IDs: 101032316.

Votes

No floor vote loaded for this bill.

Fiscal

No fiscal note in the loaded record.

How this was graded

Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

Sources

Texas Senate · Filed Feb 27, 2025

03/11/2025 S Referred to Health & Human Services

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.

Senate committee · Health & Human Services · Final status: Died in committee

Subjects

Insurance--Health & Accident

FAMILY PLANNING & BIRTH CONTROL

Text

The text as introduced · 190 words

89R7809 DNC-D

By: Menéndez
S.B. No. 1688

A BILL TO BE ENTITLED

AN ACT

relating to health benefit plan coverage of anxiety and pain

management in connection with prescription contraceptive devices.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Section 1369.1031, Insurance Code, is amended by

adding Subsections (e) and (f) to read as follows:

(e) A health benefit plan that provides benefits for forms

of contraception approved by the United States Food and Drug

Administration must provide coverage of evidence-based anxiety and

pain management related to the insertion and removal of

contraception, including:

(1) prescription antianxiety medication;

(2) minimal and moderate sedation;

(3) local anesthesia;

(4) topical anesthetics; and

(5) paracervical blocks.

(f) The coverage described by Subsection (e) is not subject

to a cost-sharing requirement, including a deductible or

coinsurance, utilization review, or step therapy, or any other

restriction or delay on coverage.

SECTION 2. The change in law made by this Act applies only

to a health benefit plan that is delivered, issued for delivery, or

renewed on or after January 1, 2026.

SECTION 3. This Act takes effect September 1, 2025.