Monitoring the Session

HB 244

Howard Bill Adds Birth Control To The Child Health Plan

Filed

Verdict: No flags

No flagsInitial review
Rep. Donna HowardDHouse 48

Initial review · graded Nov 9, 2026 · How we grade

Caption

relating to covered benefits under the child health plan.

Caption from analyzed text · version I.

Summary

CHIP covers prescription birth control. Under 18? A parent or guardian signs off in writing.

This bill requires the state's child health plan (CHIP) to cover prescription birth control drugs, supplies, and devices approved by the FDA, while barring coverage of any drug or device that ends a pregnancy. It affects children and teens enrolled in CHIP, their parents, and the doctors and pharmacists who prescribe or dispense to them. For enrollees under 18, birth control can be covered only if the provider gets written consent from a parent, guardian, or another person allowed under the Family Code, and the agency may wait for federal approval before starting.

Labels

Labels: ZOMBIE BILL. Died 2 times: 88R HB 141 (Died in committee) and 89R HB 536 (Died in committee). Checked against 88R and 89R only.BACK FROM THE DEAD. Same text as a bill filed before that died: 89R HB 536 (Died in committee). Filed in 3 sessions, counting this one. Checked against 88R and 89R only.TRY NO. 3. Filed in 3 sessions: 88R, 89R and 90R. Checked against 88R and 89R only.

Receipt

The receipt

90R-HB244 · 2026-11-09

SOLD BY

ITEM

relating to covered benefits under the child health plan.

WHAT IT DOES

CHIP covers prescription birth control. Under 18? A parent or guardian signs off in writing.

This bill requires the state's child health plan (CHIP) to cover prescription birth control drugs, supplies, and devices approved by the FDA, while barring coverage of any drug or device that ends a pregnancy. It affects children and teens enrolled in CHIP, their parents, and the doctors and pharmacists who prescribe or dispense to them. For enrollees under 18, birth control can be covered only if the provider gets written consent from a parent, guardian, or another person allowed under the Family Code, and the agency may wait for federal approval before starting.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
FILED UNDER

MEDICAID EXPANSION

THE TEXT

…“provide coverage for prescription contraceptive drugs, supplies,”…

Bill text, introduced version (I)

The bill adds a new covered benefit, prescription contraceptives, to the state-funded child health plan.

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 · Oct 28, 2024 to Oct 24, 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.

Texas Trial Lawyers Association PAC$15,000.00

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

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 10, 2024 to Oct 2, 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: 100985297, 101031291, 101059636, 101070104.

Texas Association of Nurse Anesthetists Political Action Committee$7,500.00

Texas Association of Nurse Anesthetists Political Action Committee

$7,500.00

Cash
$7,500.00
Paid by others
$0.00
Total
$7,500.00

Also funds 38 other sitting lawmakers.

Derived recipient stock · Nov 19, 2024 to Oct 5, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 11, 2024 to Sep 12, 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: 100985297, 101069647.

HDCC Incumbent Protection Fund$7,000.00

HDCC Incumbent Protection Fund

$7,000.00

Cash
$7,000.00
Paid by others
$0.00
Total
$7,000.00

Also funds 8 other sitting lawmakers.

Derived recipient stock · Aug 22, 2025 to May 21, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · on May 21, 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: 101059636.

Money

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

×

Texas Trial Lawyers Association PAC

$15,000.00

Cash
$15,000.00
Paid by others
$0.00
Total
$15,000.00

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 10, 2024 to Oct 2, 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: 100985297, 101031291, 101059636, 101070104.

×

Texas Association of Nurse Anesthetists Political Action Committee

$7,500.00

Cash
$7,500.00
Paid by others
$0.00
Total
$7,500.00

Also funds 38 other sitting lawmakers.

Derived recipient stock · Nov 19, 2024 to Oct 5, 2026. State data as of Nov 4, 2026.

TEC account match.

Team
Sources

Derived itemized flow · Dec 11, 2024 to Sep 12, 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: 100985297, 101069647.

×

HDCC Incumbent Protection Fund

$7,000.00

Cash
$7,000.00
Paid by others
$0.00
Total
$7,000.00

Also funds 8 other sitting lawmakers.

Derived recipient stock · Aug 22, 2025 to May 21, 2026. State data as of Nov 4, 2026.

TEC account match.

Sources

Derived itemized flow · on May 21, 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: 101059636.

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 a super-expensive superintelligence, Nov 9, 2026, against the published rubric.

FILED BEFORE

Filed 3 times: 88R, 89R and now. Checked against 88R and 89R only.

88R HB 141

by Rep. Howard, same lead author · Died in committee · reworked

Introduced text

Last action, Feb 23, 2023: Referred to Public Health

Relating to covered benefits under the child health plan.

Caption, 88R bill history

89R HB 536

by Rep. Howard, same lead author · Died in committee · same text

Introduced text

Last action, Mar 3, 2025: Referred to Public Health

Relating to covered benefits under the child health plan.

Caption, 89R bill history

Sources

Texas House · Filed Nov 9, 2026

11/09/2026 H Filed

Texas Legislature Online · Introduced

Data snapshot Nov 10, 2026 at 2:32 AM CST. Grades, charges, quotes and corrections follow the published record.

Subjects

Health--Children's Insurance

Human Services--Child Services

MEDICINE & PRESCRIPTION DRUGS

Text

The text as introduced · 346 words

90R871 SCF-F

By: Howard
H.B. No. 244

A BILL TO BE ENTITLED

AN ACT

relating to covered benefits under the child health plan.

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

SECTION 1. Section 62.151, Health and Safety Code, is

amended by amending Subsection (c) and adding Subsections (h) and

(i) to read as follows:

(c) In modifying the plan, the executive commissioner ,

except as provided by Subsection (h), shall ensure that primary and

preventive health benefits do not include reproductive services,

other than prenatal care and care related to diseases, illnesses,

or abnormalities related to the reproductive system.

(h) Subject to Subsection (i), the child health plan must

provide coverage for prescription contraceptive drugs, supplies,

or devices approved by the United States Food and Drug

Administration. The child health plan may not provide coverage for

abortifacients or any other drug or device that terminates a

pregnancy.

(i) The child health plan may provide coverage for

prescription contraceptive drugs, supplies, or devices for an

enrolled child younger than 18 years of age for the purpose of

primary and preventive reproductive health care only if the

prescribing or dispensing health care provider receives written

consent from the enrolled child's parent, guardian, or managing

conservator, from another adult if authorized under Section 32.001,

Family Code, or from the enrolled child if authorized under Section

32.003, Family Code, for the prescription or dispensing of the

contraceptive drug, supply, or device.

SECTION 2. If before implementing any provision of this Act

a state agency determines that a waiver or authorization from a

federal agency is necessary for implementation of that provision,

the agency affected by the provision shall request the waiver or

authorization and may delay implementing that provision until the

waiver or authorization is granted.

SECTION 3. This Act takes effect immediately if it receives

a vote of two-thirds of all the members elected to each house, as

provided by Section 39, Article III, Texas Constitution. If this

Act does not receive the vote necessary for immediate effect, this

Act takes effect September 1, 2027.