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GA HB94

GA HB94
Insurance; medically necessary expenses for standard fertility preservation services when a medically necessary treatment for cancer, sickle cell disease, or lupus may directly or indirectly cause an impairment of fertility; require coverage


summary

Introduced
01/17/2025
In Committee
03/20/2025
Crossed Over
02/27/2025
Passed
04/08/2025
Dead
Signed/Enacted/Adopted
05/01/2025

Introduced Session

2025-2026 Regular Session

Bill Summary

AN ACT To amend Chapter 24 of Title 33 of the Official Code of Georgia Annotated, relating to insurance generally, so as to require certain health benefit policies to include coverage for certain expenses for standard fertility preservation services when a medically necessary treatment for cancer, sickle cell disease, or lupus may directly or indirectly cause an impairment of fertility; to provide for definitions; to provide for exclusions; to allow for certain cost-sharing requirements; to provide for rules and regulations; to provide for related matters; to provide for an effective date; to repeal conflicting laws; and for other purposes.

AI Summary

This bill requires health insurance policies in Georgia to cover standard fertility preservation services for individuals undergoing medically necessary treatments for cancer, sickle cell disease, or lupus that may cause iatrogenic infertility (fertility impairment caused by medical treatment). Starting January 1, 2026, health benefit policies must include coverage for fertility preservation procedures such as egg, sperm, embryo, and ovarian tissue cryopreservation, including evaluation expenses, laboratory assessments, medications, and one year of gamete storage. The bill defines key terms like "standard fertility preservation services" and "medically necessary treatment" and allows insurers to establish some limitations, such as age restrictions and lifetime procedure limits. The coverage must be subject to the same deductibles, coinsurance, and copayment provisions as other medical services, without imposing special additional limitations. The insurance commissioner is tasked with creating rules and regulations for implementing this coverage, guided by professional medical organization guidelines. This legislation aims to help patients preserve their fertility potential before undergoing treatments that might compromise their reproductive capabilities.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (7)

Last Action

Effective Date 2025-05-01 (on 05/01/2025)

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