Bill

Bill > S2119


NJ S2119

Revises requirements for infertility coverage under certain health insurance plans.


summary

Introduced
01/09/2024
In Committee
01/09/2024
Crossed Over
Passed
Dead

Introduced Session

2024-2025 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 in New Jersey. The bill removes the ability for insurers to limit coverage of in vitro fertilization and instead requires them to cover in vitro fertilization to the same extent as other infertility treatments. The bill maintains an exception for religious employers to opt out of coverage for certain reproductive procedures, such as in vitro fertilization and artificial insemination, if it is contrary to their religious beliefs. The bill applies to hospital, medical, and health service corporation contracts, as well as group health insurance policies and health maintenance organizations, and takes effect 90 days after enactment.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 01/09/2024)

bill text


bill summary

Loading...

bill summary

Loading...

bill summary

Loading...