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  • NJ S1398
  • Expands infertility coverage under certain health insurance plans.
Introduced
(2/11/2016)
In Committee
(2/13/2017)
Crossed Over
(2/15/2017)
Passed
(3/13/2017)
Signed
(5/1/2017)
Dead/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.
Commerce, 2nd Reading in the Assembly, 2nd Reading in the Senate, 2nd Reading in the Senate to Concur with Assembly Amendments, Bills and Joint Resolutions Signed by the Governor, Budget and Appropriations, Passed Assembly, Passed both Houses
Approved P.L.2017, c.48.  (on 5/1/2017)
 
 
Date Chamber Action Description
5/1/2017 S Approved P.L.2017, c.48.
3/13/2017 S Passed Senate (Passed Both Houses) (34-1)
2/27/2017 S Received in the Senate, 2nd Reading on Concurrence
2/15/2017 A Passed by the Assembly (58-6-3)
2/15/2017 A Substituted for A1447 (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
12/19/2016 A Received in the Assembly without Reference, 2nd Reading
12/19/2016 S Passed by the Senate (33-0)
12/15/2016 S Reported from Senate Committee with Amendments, 2nd Reading
12/15/2016 Senate Budget and Appropriations Hearing (10:00 12/15/2016 Committee Room 4, 1st Floor)
12/15/2016 Senate Budget and Appropriations Hearing (11:00 12/15/2016 Committee Room 4, 1st Floor)
9/8/2016 S Referred to Senate Budget and Appropriations Committee
9/8/2016 S Reported from Senate Committee, 2nd Reading
9/8/2016 Senate Commerce Hearing (13:00 9/8/2016 Committee Room 6, First Floor)
2/11/2016 S Introduced in the Senate, Referred to Senate Commerce Committee
Date Motion Yea Nay Other
Detail 3/13/2017 Senate Floor: Amend 34 1 5
Detail 2/15/2017 Assembly Floor: Third Reading - Final Passage 58 6 16
Detail 2/15/2017 Assembly Floor: Substitute For A1447 Aca (Voice Vote) 0 0 0
Detail 2/13/2017 Assembly Women and Children Committee: Reported with Amendments 4 0 2
Detail 12/19/2016 Senate Floor: Third Reading - Final Passage 33 0 7
Detail 12/15/2016 Senate Budget and Appropriations Committee: Reported with Amendments 12 0 1
Detail 9/8/2016 Senate Commerce Committee: Reported Favorably 4 1 1