With respect to coverage for fertility diagnosis and treatment and fertility preservation services (fertility services) under health benefit plans, the bill
clarifies that coverage for fertility services under large employer policies and contracts is not subject to a determination as to whether federal law requires the state to defray the costs of the coverage, and, therefore requires large employer plans issued or renewed in this state must on or after January 1, 2023, to cover fertility services, and the division of insurance in the department of regulatory agencies (division) must implement the coverage requirement.
In addition, for individual and small group policies and contracts, the bill:
- Requires coverage for fertility services under individual and small group policies and contracts issued
on or after the January 1 following the calendar year in which the division receives confirmation from the federal department of health and human services (federal department), or the federal department otherwise determines,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: Italicized words indicate new material added to the original summary; dashes through words indicate deletions from the original summary.)
(Note: This summary applies to the reengrossed version of this bill as introduced in the second house.)