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Bill

SB 359

Relating to the coverage and provision of abortion, contraception, and sterilization under Medicaid and certain health benefit plans.

89th Legislature (2025) Introduced by Carol Alvarado and 3 co-sponsors

SB 359 would expand Texas Medicaid and health plan coverage to include abortion, contraception, and sterilization services, broadening reproductive healthcare access for low-income residents.

Referred to Health & Human Services
#abortion(i0005) #health&humanservicescommission(v0177) #humanservices--medicalassistance(i0905) #insurance--health&accident(i0422)
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Bill Summary · SB 359

Legislative bill overview

SB 359 would expand Medicaid and health benefit plan coverage to include abortion services, contraception, and sterilization procedures in Texas. The bill addresses current coverage restrictions that limit access to these reproductive health services under state-administered health plans.

Why is this important

Texas has among the most restrictive abortion laws in the nation, and Medicaid currently covers abortion only in limited circumstances (life endangerment, rape, incest). This bill would significantly broaden reproductive healthcare access for low-income Texans enrolled in Medicaid and participants in state health benefit plans, affecting healthcare costs and coverage availability.

Potential points of contention

  • Ideological conflict: The bill directly contradicts Texas's existing restrictive abortion stance and would face substantial opposition from anti-abortion lawmakers and advocacy groups
  • Federal-state funding tensions: Medicaid expansion of abortion coverage may conflict with federal restrictions (Hyde Amendment) on using federal funds for abortion, creating implementation and funding questions
  • Fiscal impact: Opponents will likely raise concerns about increased healthcare costs, while supporters argue preventive contraception reduces overall healthcare expenses

Compiled from official sources — confirm details with the bill’s official record.

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