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

HB 1098 requires Texas Medicaid and certain private health insurance plans to cover abortion services, FDA-approved contraception (including device insertion/removal), and voluntary sterilization (like vasectomies) without cost-sharing or pre-approval. The bill mandates that Medicaid reimbursement must be provided regardless of federal funding availability and prohibits deductibles, copays, prior authorization, or delays in coverage for these services. It directly affects Medicaid recipients and individuals enrolled in health benefit plans governed by Texas Insurance Code Chapter 1218. The law overrides prior restrictions, ensuring these reproductive health services are covered consistently under state and federal law.