Implementation Of Fertility Coverage

With respect to mandatory coverage for fertility diagnosis and treatment and fertility preservation services (fertility services) under health benefit plans, the act requires large employer health benefit plans issued or renewed in this state on or after January 1, 2023, to cover fertility services and requires the division of insurance to implement the coverage requirement.

In addition, for individual and small group policies and contracts, the act requires coverage for fertility services under individual and small group policies and contracts issued or renewed in this state 12 months after the federal department of health and human services determines that coverage for fertility services does not require defrayal by the state, and requires the division to implement the fertility services coverage requirement once effective.

(Note: This summary applies to this bill as enacted.)