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Bill > AB766
WI AB766
WI AB766Coverage 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
12/06/2023
In Committee
12/06/2023
12/06/2023
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 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)
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)*,
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),
Last Action
Failed to pass pursuant to Senate Joint Resolution 1 (on 04/15/2024)
Bill Topics
Health
- ‐ Health Insurance Reform
- ‐ Maternal Health
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/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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