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Bill > HB2959


OR HB2959

OR HB2959
Relating to infertility; declaring an emergency.


summary

Introduced
01/13/2025
In Committee
01/17/2025
Crossed Over
Passed
Dead
06/27/2025

Introduced Session

2025 Legislative Measures

Bill Summary

The statement includes a measure digest written in compliance with applicable readability standards. 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 in- terim committees of the Legislative Assembly related to health. Declares an emergency, effective on passage.

AI Summary

This bill requires health insurance plans in Oregon to cover a comprehensive range of fertility treatments and services, defining infertility as a failure to establish or carry a pregnancy after 12 months of unprotected sexual intercourse for women under 35, or 6 months for women 35 and older. The coverage must include up to three completed oocyte retrievals with unlimited embryo transfers, six lifetime egg retrievals, various assisted reproductive technologies like in vitro fertilization, cryopreservation of reproductive tissues, medications, diagnostic testing, and procedures for individuals at risk of infertility due to medical conditions or treatments. Health benefit plans cannot impose additional restrictions on these services beyond their existing prescription benefits, and they are prohibited from requiring step therapy for medically necessary fertility treatments. Additionally, the bill mandates that the Oregon Health Authority and Department of Consumer and Business Services conduct a study on access to fertility services, examining availability, financial barriers, and inequities across different demographic groups, with a report due by September 15, 2026. The bill will take effect immediately upon passage and apply to insurance policies issued or renewed on or after January 1, 2026, representing a significant expansion of reproductive healthcare coverage in Oregon.

Committee Categories

Health and Social Services

Sponsors (23)

Last Action

In committee upon adjournment. (on 06/27/2025)

bill text


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