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Bill > SB723
WI SB723
WI SB723Coverage of infertility services under self-insured governmental health plans and health policies and plans offered to state employees, and granting rule-making authority.
summary
Introduced
11/21/2023
11/21/2023
In Committee
11/21/2023
11/21/2023
Crossed Over
Passed
Dead
04/15/2024
04/15/2024
Introduced Session
2023-2024 Regular Session
Bill Summary
This bill requires self-insured governmental health plans and health care coverage plans offered by the state to its employees that cover medical or hospital expenses to cover diagnosis of and treatment for infertility and standard fertility preservation services. Coverage required under the bill must include at least four completed egg retrievals with unlimited embryo transfers in accordance with certain guidelines and single embryo transfer is allowed when recommended and medically appropriate. Policies and plans are prohibited from imposing an exclusion, limitation, or other restriction on coverage of medications of which the bill requires coverage that is not imposed on any other prescription medications covered under the policy or plan. Similarly, policies and plans may not impose any exclusion, limitation, cost-sharing requirement, benefit maximum, waiting period or other restriction on diagnosis, treatment, or services for which coverage is required under the bill that is different from any exclusion, limitation, cost-sharing requirement, benefit maximum, waiting period or other restriction imposed on benefits for other services. Also, policies and plans may not impose an exclusion, limitation, or other restriction on diagnosis, treatment, or services for which coverage is required under LRB-0539/1 JPC:amn 2023 - 2024 Legislature SENATE BILL 723 the bill on the basis that an insured person participates in fertility services provided by or to a third party. This proposal may contain a health insurance mandate requiring a social and financial impact report under s. 601.423, stats.
AI Summary
This bill requires self-insured governmental health plans and health care coverage plans offered by the state to its employees that cover medical or hospital expenses to cover diagnosis of and treatment for infertility and standard fertility preservation services. Coverage required under the bill must include at least four completed egg retrievals with unlimited embryo transfers in accordance with certain guidelines, and single embryo transfer is allowed when recommended and medically appropriate. The bill prohibits these policies and plans from imposing any exclusions, limitations, or other restrictions on the required coverage of infertility services or related medications that are different from those imposed on other covered services and medications. The bill also requires the insurance commissioner, after consulting with the Department of Health Services, to promulgate any necessary rules to implement these coverage requirements.
Committee Categories
Business and Industry
Sponsors (29)
Melissa Agard (D)*,
Tim Carpenter (D)*,
Dianne Hesselbein (D)*,
LaTonya Johnson (D)*,
Chris Larson (D)*,
Brad Pfaff (D)*,
Kelda Roys (D)*,
Jeff Smith (D)*,
Mark Spreitzer (D)*,
Lena Taylor (D)*,
Bob Wirch (D)*,
Deb Andraca (D),
Mike Bare (D),
Ryan Clancy (D),
Sue Conley (D),
Dave Considine (D),
Jodene Emerson (D),
Jenna Jacobson (D),
Alex Joers (D),
Darrin Madison (D),
LaKeshia Myers (D),
Tod Ohnstad (D),
Sylvia Ortiz-Velez (D),
Lori Palmeri (D),
Melissa Ratcliff (D),
Kristina Shelton (D),
Christine Sinicki (D),
Shelia Stubbs (D),
Robyn Vining (D),
Last Action
Failed to pass pursuant to Senate Joint Resolution 1 (on 04/15/2024)
Bill Topics
Health
- ‐ Health Insurance Reform
- ‐ Maternal Health
Labor and Employment
- ‐ Employee Benefits
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | https://docs.legis.wisconsin.gov/2023/proposals/reg/sen/bill/sb723 | 11/21/2023 |
| SB723 ROCP for Committee on Insurance and Small Business | https://docs.legis.wisconsin.gov/2023/related/records/senate/insurance_and_small_business/1804065.pdf | 08/28/2024 |
| Fiscal Note - SB723: Health Insurance Mandate Report | https://docs.legis.wisconsin.gov/2023/related/fe/sb723/sb723_inins.pdf | 12/06/2023 |
| BillText | https://docs.legis.wisconsin.gov/document/proposaltext/2023/REG/SB723.pdf | 11/21/2023 |
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