summary
Introduced
01/13/2025
01/13/2025
In Committee
04/16/2025
04/16/2025
Crossed Over
Passed
Dead
06/27/2025
06/27/2025
Introduced Session
2025 Legislative Measures
Bill Summary
The statement includes a measure digest written in compliance with applicable readability standards. Digest: This Act makes some health insurers cover some fertility treatments and ex- empts some insurers. Tells OHA and DCBS to study access to reproductive treatment and report back. Tells DCBS to make a program to pay for some services for persons with ex- empt insurers and creates a fund for this program. Changes how DCBS uses some money. (Flesch Readability Score: 61.1). Digest: The Act makes some health insurance cover some fertility treatments. The Act tells OHA and DCBS to study access to reproductive treatments and report back to the committee on health. The Act makes it an emergency. (Flesch Readability Score: 60.7). Requires health insurance coverage of specified fertility services and treatments with exemption for certain insurers. Directs the Oregon Health Authority and the Department of Consumer and Business Services to study access to fertility and reproductive endocrinology services and report findings to the committees or interim committees of the Legislative Assembly related to health. Directs the department to administer a program to provide reimbursement for certain fertility services not covered by exempt insurers. Establishes the Market Equity Fund and modifies how certain assessments on certain health benefit plans are utilized. Declares an emergency, effective on passage.
AI Summary
This bill requires health insurance plans in Oregon to provide comprehensive coverage for fertility treatments and services, defining infertility as a medical condition affecting individuals' ability to establish or carry a pregnancy. The bill mandates that health benefit plans reimburse a wide range of fertility-related procedures, including in vitro fertilization, egg and sperm storage, fertility medications, consultations, diagnostic testing, and embryo transfers, with a minimum of three completed oocyte retrievals and six egg retrievals per lifetime. The legislation also directs the Oregon Health Authority and the Department of Consumer and Business Services to conduct a study on access to fertility services, examining availability, financial barriers, and inequities across various demographic groups. Additionally, the bill establishes a Market Equity Fund to support a program that provides reimbursement for fertility procedures for certain exempt insurers, with the goal of improving reproductive healthcare access and equity. The bill includes an emergency clause and will apply to policies issued or renewed starting January 1, 2026, signaling a significant expansion of reproductive healthcare coverage in Oregon.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (3)
Last Action
In committee upon adjournment. (on 06/27/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
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