Implement Fertility Coverage for Health Plans

Under current law, individual and small group health benefit plans (plans) are required to cover fertility diagnosis and treatment and fertility preservation services (fertility services) in the state 12 months after the federal department of health and human services determines that coverage for fertility services does not require defrayal of costs by the state.

The bill removes the language relating to state defrayal of costs and requires the division of insurance to implement the coverage for plans issued or renewed on and after January 1, 2025.

In addition, the bill:

• Prohibits a health benefit plan from imposing any exclusions, limitations, or other restrictions on coverage of any fertility services based on a covered individual's participation in fertility services provided by or to a third party; and
• Amends the definition of "infertility" to include a "status" as well as a disease or condition.
  (Note: This summary applies to this bill as introduced.)