Bill > S3831

Introduced Session

This bill requires the State Medicaid program and the Plan First program to cover standard fertility preservation services in cases in which a medically necessary medical treatment may directly or indirectly cause iatrogenic infertility. The State's Plan First program provides a benefit package of family planning and family planning-related services and supplies for individuals whose annual incomes are below 205 percent of the federal poverty level and who are not otherwise eligible for Medicaid or the NJ FamilyCare program. The bill defines "iatrogenic infertility" as an impairment of fertility caused by surgery, radiation, chemotherapy, or other medical treatment affecting reproductive organs or processes. The bill further defines "standard fertility preservation services" as procedures which are consistent with established medical practices and professional guidelines published by the American Society for Reproductive Medicine, the American Society of Clinical Oncology, or as defined by the New Jersey Department of Health, including the storage of sperm, oocytes, embryos, and cryopreserved ovarian tissue. Subsequent to enactment of P.L.2019, c.306, State-regulated health insurers, the State Health Benefits Program (SHBP), and the School Employees Health Benefits Program (SEHBP) cover standard fertility preservation services if a medically necessary treatment may, directly or indirectly, cause iatrogenic infertility. This statute, however, specifies that standard fertility preservation services for individuals insured by the SHBP, the SEHBP, and State-regulated health insurers does not include storage of sperm or oocytes. The bill will provide Medicaid and Plan First participants who face iatrogenic infertility with access to fertility preservation services that are frequently cost-prohibitive for low-to-moderate income patients.

Committee Categories

Vin Gopal (D)*,  Joe Vitale (D)*,  Linda Greenstein (D),  Gordon Johnson (D),  Angela Mcknight (D),  Vince Polistina (R),  Teresa Ruiz (D),  Andrew Zwicker (D), 

Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee (on 10/24/2024)

Official Document