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WI AB766

WI AB766
Coverage 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
12/06/2023
In Committee
12/06/2023
Crossed Over
Passed
Dead
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 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 to cover diagnosis of and treatment for infertility, as well as standard fertility preservation services. The coverage must include at least four completed egg retrievals with unlimited embryo transfers, and single embryo transfer is allowed when recommended and medically appropriate. The bill prohibits these plans from imposing exclusions, limitations, or other restrictions on the coverage of medications or services related to infertility that are different from those imposed on other covered benefits. The bill also grants the insurance commissioner the authority to promulgate rules necessary to implement these requirements.

Committee Categories

Business and Industry

Sponsors (29)

Last Action

Failed to pass pursuant to Senate Joint Resolution 1 (on 04/15/2024)

Bill Topics

Health
  • ‐ Health Insurance Reform
  • ‐ Maternal Health

bill text


bill summary

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bill summary

Document Type Source Location Created
State Bill Page https://docs.legis.wisconsin.gov/2023/proposals/reg/asm/bill/ab766 12/06/2023
AB766 ROCP for Committee on Insurance https://docs.legis.wisconsin.gov/2023/related/records/assembly/insurance/1789292.pdf 04/21/2024
Fiscal Note - AB766: Health Insurance Mandate Report https://docs.legis.wisconsin.gov/2023/related/fe/ab766/ab766_inins.pdf 12/12/2023
BillText https://docs.legis.wisconsin.gov/document/proposaltext/2023/REG/AB766.pdf 12/06/2023
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