Bill > SB5121

This bill, known as the Washington State Building Families Act, aims to expand health insurance coverage for fertility-related services across different types of health plans. Beginning in January 2026, group health plans will be required to cover standard fertility preservation services, and starting in January 2027, they must provide comprehensive coverage for infertility diagnosis and treatment. The bill defines infertility broadly, including conditions where individuals cannot become pregnant after a specified period of unprotected sexual intercourse, and establishes that coverage must include two completed egg retrievals with unlimited embryo transfers, following guidelines from reproductive medicine experts. The legislation mandates that these fertility services be covered for all enrollees, including spouses and dependents, with the same level of benefits as other pregnancy-related services, and prohibits plans from imposing unique restrictions or higher costs on fertility-related medications and treatments. By requiring such coverage, the bill seeks to address disparities in access to reproductive healthcare, particularly for racial and ethnic minorities and LGBTQ+ individuals, and potentially improve health outcomes for both parents and children. The bill applies to group health plans, state employee health plans, and Medicaid, with the insurance commissioner authorized to develop rules for implementation.

Budget and Finance, Health and Social Services

https://app.leg.wa.gov/billsummary?BillNumber=5121&Year=2025&Initiative=false