Bill > SB23

This bill aims to remove discriminatory requirements in insurance coverage for in vitro fertilization (IVF) procedures, ensuring equal access for same-sex couples, unmarried individuals, transgender persons, and opposite-sex couples experiencing male infertility. The legislation modifies existing insurance laws to require gender-neutral benefits, reducing the required history of infertility from five years to six months and adding provisions for medical intervention due to physiological or anatomical factors. Key changes include mandating that insurance policies cover IVF procedures without discrimination, recognizing the medical necessity of reproductive technologies for diverse family structures, and specifying that employers with 25 or more employees must provide coverage for at least three IVF cycles, including costs associated with fertility preservation and gamete donation. The bill defines "spouse" as a person lawfully married under state laws and includes a definition for "transgender person," effectively expanding insurance coverage to provide more inclusive and equitable access to fertility treatments across different sexual orientations, gender identities, and marital statuses.

Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=23&year=2026