Bill > HB139

This bill requires insurance providers in Hawaii to offer coverage for standard fertility preservation services for individuals under 26 years old who are undergoing medical treatments that may cause iatrogenic infertility (fertility loss caused by medical interventions), starting from December 31, 2025. The bill mandates that insurance policies cannot exclude coverage based on prior fertility diagnoses or discriminate against patients based on their expected life length, disability, or other health conditions. Coverage must follow the 2018 guidelines of the American Society of Clinical Oncology and specifically applies to cancer-related treatments likely to impact fertility. The bill defines "standard fertility preservation services" as procedures to preserve fertility, explicitly excluding experimental procedures, third-party assisted reproduction technologies, and cryopreservation storage services. These requirements will apply to individual and group health insurance policies, hospital and medical service plan contracts, and health maintenance organization plans, ensuring that young patients receiving potentially fertility-impacting medical treatments have access to fertility preservation options without additional barriers or discriminatory practices.

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

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=139&year=2026