Bill > HB1609

This bill requires the Health Insurance Reform Commission to consider specific fertility-related healthcare coverage during its 2025 review of the essential health benefits benchmark plan. Specifically, the Commission will examine three areas of potential coverage: (1) diagnosis and treatment of infertility, which includes procedures and medications recommended by licensed physicians and aligned with guidelines from professional medical organizations like the American College of Obstetricians and Gynecologists, (2) standard fertility preservation procedures for individuals facing medical treatments that could impair fertility (such as chemotherapy or radiation), consistent with guidelines from the American Society for Reproductive Medicine and American Society of Clinical Oncology, and (3) embryo transfer involving embryos created during another individual's infertility treatment and subsequently donated. The bill defines "embryo transfer" according to existing Virginia legal code and represents an exploratory step toward potentially expanding health insurance coverage for fertility-related medical services. By mandating this review, the bill aims to broaden understanding and potential support for individuals experiencing fertility challenges.

Budget and Finance, Business and Industry, Health and Social Services

https://lis.virginia.gov/bill-details/20251/HB1609