Monitoring the SessionHB 647
Filed
Initial review · graded Nov 9, 2026 · How we grade
relating to health benefit plan coverage for perimenopause and menopause medications.
Caption from analyzed text · version I.
Plans that cover prescriptions must cover perimenopause and menopause drugs too. Starts January 1, 2028.
This bill requires health plans that cover prescription drugs to also cover prescription drugs that treat perimenopause or menopause. It reaches private insurers, HMOs and similar plans, plus state employee, retiree, school employee and university plans and the state Medicaid program. Plans issued or renewed on or after January 1, 2028 must pay for these drugs, and state agencies may delay if they need federal approval first.
Labels: BACK FROM THE DEAD. Same text as a bill filed before that died: 89R HB 3814 (Died in committee). Filed in 2 sessions, counting this one. Checked against 88R and 89R only.TRY NO. 2. Filed in 2 sessions: 89R and 90R. Checked against 88R and 89R only.
90R-HB647 · 2026-11-09
relating to health benefit plan coverage for perimenopause and menopause medications.
Plans that cover prescriptions must cover perimenopause and menopause drugs too. Starts January 1, 2028.
This bill requires health plans that cover prescription drugs to also cover prescription drugs that treat perimenopause or menopause. It reaches private insurers, HMOs and similar plans, plus state employee, retiree, school employee and university plans and the state Medicaid program. Plans issued or renewed on or after January 1, 2028 must pay for these drugs, and state agencies may delay if they need federal approval first.
[ ] NONE FOUND
No fiscal note in the loaded record.
THE TEXT
“the state Medicaid program, including the Medicaid managed care program operated under Chapter 540, Government Code.”
Bill text, introduced version (I)
The bill applies the new required drug benefit to Medicaid and Medicaid managed care, which adds a benefit to a state-funded health program.
THE TEXT
…“must provide coverage for a prescription drug to treat perimenopause or menopause”
Bill text, introduced version (I)
The bill requires plans to pay for prescription drugs in this category, which sets a coverage rule tied to the prescription channel.
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CAMPAIGN PAID FOR BY
Not tied to this bill.
The author's campaign account only. Own money and internal transfers are separate on the member page.
Derived itemized flow · Jul 6, 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.
$90,000.00
Also funds 44 other sitting lawmakers.
Derived recipient stock · Jun 24, 2025 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Jun 25, 2025 to Oct 23, 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: 101006727, 101058404, 101071824.
$32,500.00
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.
TeamDerived itemized flow · Sep 23, 2024 to Oct 13, 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: 100983941, 101006727, 101028341, 101058404, 101071824.
$30,000.00
Also funds 124 other sitting lawmakers.
Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Jul 29, 2024 to Sep 7, 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: 100983941, 101068368.
Missing data does not establish zero giving. Display amounts are rounded.
$90,000.00
Also funds 44 other sitting lawmakers.
Derived recipient stock · Jun 24, 2025 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Jun 25, 2025 to Oct 23, 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: 101006727, 101058404, 101071824.
$32,500.00
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.
TeamDerived itemized flow · Sep 23, 2024 to Oct 13, 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: 100983941, 101006727, 101028341, 101058404, 101071824.
$30,000.00
Also funds 124 other sitting lawmakers.
Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamDerived itemized flow · Jul 29, 2024 to Sep 7, 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: 100983941, 101068368.
No floor vote loaded for this bill.
No fiscal note in the loaded record.
Analysis of text version I by a super-expensive superintelligence, Nov 9, 2026, against the published rubric.
Filed 2 times: 89R and now. Checked against 88R and 89R only.
by Rep. Pierson, same lead author · Died in committee · same text
Introduced textLast action, Mar 26, 2025: Referred to Insurance
Relating to health benefit plan coverage for perimenopause and menopause medications.
Caption, 89R bill history
Texas House · Filed Nov 9, 2026
11/09/2026 H Filed
Texas Legislature Online · Introduced
Data snapshot Nov 10, 2026 at 2:35 AM CST. Grades, charges, quotes and corrections follow the published record.
Health--Other Diseases & Medical Conditions
Insurance--Health & Accident
Women
The text as introduced · 399 words
90R563 SCF-D By: Pierson H.B. No. 647 A BILL TO BE ENTITLED AN ACT relating to health benefit plan coverage for perimenopause and menopause medications. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Chapter 1369, Insurance Code, is amended by adding Subchapter O to read as follows: SUBCHAPTER O. COVERAGE OF PERIMENOPAUSE AND MENOPAUSE MEDICATIONS Sec. 1369.701. APPLICABILITY OF SUBCHAPTER. (a) This subchapter applies only to a health benefit plan that provides benefits for medical, surgical, or prescription drug expenses incurred as a result of a health condition, accident, or sickness, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage or similar coverage document that is issued by: (1) an insurance company; (2) a group hospital service corporation operating under Chapter 842; (3) a health maintenance organization operating under Chapter 843; (4) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844; (5) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846; (6) a stipulated premium company operating under Chapter 884; (7) a fraternal benefit society operating under Chapter 885; (8) a Lloyd's plan operating under Chapter 941; or (9) an exchange operating under Chapter 942. (b) Notwithstanding any other law, this subchapter applies to: (1) a basic coverage plan under Chapter 1551; (2) a basic plan under Chapter 1575; (3) a primary care coverage plan under Chapter 1579; (4) a plan providing basic coverage under Chapter 1601; and (5) the state Medicaid program, including the Medicaid managed care program operated under Chapter 540, Government Code. Sec. 1369.702. COVERAGE REQUIRED FOR PERIMENOPAUSE OR MENOPAUSE MEDICATIONS. A health benefit plan that provides prescription drug benefits must provide coverage for a prescription drug to treat perimenopause or menopause. 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. The changes in law made by this Act apply only to a health benefit plan delivered, issued for delivery, or renewed on or after January 1, 2028. SECTION 4. This Act takes effect September 1, 2027.