By: Martinez Fischer H.B. No. 1254 A BILL TO BE ENTITLED AN ACT related to expanding the exemptions of abortions and Texas women's access to reproductive healthcare including in vitro fertilization. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. 170A.001 of the Health and Safety code is amended by adding Subsection (4)(5)(6) to section (b) to read as follows: (4) applied to instances where in vitro fertilization or fertility treatments of any type are used; (5) The use, prescription, administration, procuring, or selling of Plan B, morning-after pills, intrauterine devices, or any other type of contraception or emergency contraception; (6) An act performed with the purpose to: (A) Save the life or preserve the health of the unborn child; (B) Remove a dead unborn child caused by spontaneous abortion; or (C) Remove or treat an ectopic pregnancy, the implantation of a fertilized egg or embryo outside of the uterus. SECTION 2. Section 170.002, Health and Safety Code, is amended by adding Subsection (b-1) to read as follows: (b-1) Subsection (a) does not prohibit a physician from performing an abortion if: (1) the pregnant woman is 35 years of age or older or has a high-risk condition, as determined by the physician; or (2) the pregnancy resulted from in vitro fertilization. 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, 2025.