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Bill > S2119


NJ 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
01/12/2026

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 requirements for infertility coverage under certain health insurance plans, including those offered by hospital and medical service corporations, commercial insurers, health maintenance organizations (HMOs), the State Health Benefits Program, and the School Employees Health Benefits Plan. Currently, these plans must cover medically necessary infertility treatments, including in vitro fertilization (IVF), but can limit IVF coverage based on factors like prior treatments, a maximum of four egg retrievals, and age (45 or younger). This bill removes these specific limitations on IVF coverage, requiring that it be covered to the same extent and under the same conditions as other infertility treatments, thereby expanding access to fertility services for individuals and couples seeking to start a family.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

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

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