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  • NJ A1447
  • Expands infertility coverage under certain health insurance plans.
Introduced
(1/27/2016)
In Committee
(2/13/2017)
Crossed OverPassedSignedDead/Failed/Vetoed
2016-2017 Regular Session
This bill expands the availability of insurance coverage for infertility-related health benefits to certain women that are currently denied coverage for those benefits under certain health insurance plans. Under current law, hospital, medical and health service corporations, commercial group insurers and health maintenance organizations are required, in certain circumstances, to provide coverage under group policies for medically necessary expenses incurred in the diagnosis and treatment of infertility. In relevant part, current law defines "infertility" as the disease or condition that results in the abnormal function of the reproductive system such that a female partner under 35 years of age has been unable to conceive after two years of unprotected intercourse, or a female partner over 35 has been unable to conceive after one year of unprotected intercourse or one of the partners is considered medically sterile. Because the definition of infertility requires the female partner to have unprotected intercourse, certain females, such as lesbians, women without partners, or women with partners who have protected intercourse, may not be qualified to receive coverage for these benefits. This bill defines "infertility" as: (1) the disease or condition that results in the abnormal function of the reproductive system such that a person is not able to impregnate another person or conceive; or (2) a determination of infertility by a physician licensed to practice medicine and surgery in this State. Current provisions of law, which remain unchanged, also permit insurers to limit coverage for in vitro fertilization, gamete intra fallopian transfer and zygote intra fallopian transfer, to a covered persons who: (1) has used all reasonable, less expensive and medically appropriate treatments and is still unable to become pregnant or carry a pregnancy; (2) has not reached the limit of four completed egg retrievals; and (3) is 45 years of age or younger.
2nd Reading in the Assembly, Financial Institutions and Insurance, Substituted by another Bill
Substituted by S1398 (2R)  (on 2/15/2017)
 
 

Date Chamber Action Description
2/15/2017 A Substituted by S1398 (2R)
2/13/2017 A Reported out of Assembly Comm. with Amendments, 2nd Reading
2/13/2017 A Recommitted to Assembly Women and Children Committee
12/15/2016 A Reported out of Assembly Comm. with Amendments, 2nd Reading
12/15/2016 Assembly Appropriations Hearing (13:00 12/15/2016 Committee Room 11, 4th Floor)
9/8/2016 A Reported and Referred to Assembly Appropriations Committee
9/8/2016 Assembly Financial Institutions and Insurance Hearing (10:00 9/8/2016 Committee Room 16, Fourth Floor)
1/27/2016 A Introduced, Referred to Assembly Financial Institutions and Insurance Committee
Date Motion Yea Nay Other
Detail 2/13/2017 Assembly Women and Children Committee: Reported with Amendments 4 0 2
Detail 12/15/2016 Assembly Appropriations Committee: Reported with Amendments 6 1 4
Detail 9/8/2016 Assembly Financial Institutions and Insurance Committee: Reported Favorably 12 1 0