Bill

Bill > S2786


NJ S2786

Revises requirements for infertility coverage under certain health insurance plans.


summary

Introduced
06/06/2022
In Committee
06/06/2022
Crossed Over
Passed
Dead
01/08/2024

Introduced Session

2022-2023 Regular Session

Bill Summary

This bill revises the requirements for infertility coverage under certain health insurance plans. Current law requires health insurance plans issued by hospital, medical and health service corporations, commercial group insurers, health maintenance organizations, the State Health Benefits Program, and the School Employees Health Benefits Plan to provide coverage for medically necessary expenses incurred in the diagnosis and treatment of infertility, including expenses incurred in in vitro fertilization. Health insurance plans may limit coverage of in vitro fertilization to a covered person who: has used all reasonable, less expensive and medically appropriate treatments and is still unable to become pregnant or carry a pregnancy; has not reached the limit of four completed egg retrievals; and is 45 years of age or younger. Under the bill, health insurance plans could no longer limit the coverage of in vitro fertilization, but would be required to cover in vitro fertilization to the extent and under the same conditions as coverage is required for other infertility treatments.

AI Summary

This bill revises the requirements for infertility coverage under certain health insurance plans. Currently, health insurance plans are allowed to limit coverage of in vitro fertilization to individuals who have used all reasonable, less expensive treatments, have not reached the limit of four completed egg retrievals, and are 45 years of age or younger. Under this bill, health insurance plans would no longer be able to impose these limitations on in vitro fertilization coverage, and would be required to cover in vitro fertilization to the same extent as other infertility treatments. The bill also maintains exemptions for religious employers who object to certain infertility treatments on religious grounds.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 06/06/2022)

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