Bill > HB1282

This bill mandates comprehensive fertility health benefits for public employees in North Dakota, requiring insurance coverage for a wide range of fertility diagnosis and treatment services. Specifically, the bill requires insurance plans to cover three cycles of intrauterine insemination, fertility treatments necessary to achieve two live births or up to four completed egg retrievals with embryo transfers, and various related medical services like third-party reproductive care, medical monitoring, and cryopreservation. The coverage must align with best practices from professional medical organizations like the American Society for Reproductive Medicine and cannot impose limitations such as different copayments, exclusions for pre-existing conditions, or restrictions based on protected characteristics. The bill defines key terms like "infertility," "fertility treatment," and "medically necessary" to provide clear guidelines. Additionally, the Public Employees Retirement System is required to prepare a report for the 70th legislative assembly about the impact of these benefits, including utilization and costs. The fertility health benefits will be effective from July 1, 2025, through June 30, 2027, with a mandate for the system to potentially extend or modify the coverage after that date.

Government Affairs

https://ndlegis.gov/assembly/69-2025/regular/bill-overview/bo1282.html