Bill > H0302

This bill requires health insurance plans and Vermont Medicaid to provide comprehensive coverage for fertility-related services, addressing several key aspects of reproductive health care. The legislation defines specific terms like fertility diagnostic care, fertility preservation services, and fertility treatment, and mandates that health insurers cover fertility diagnostic care, fertility treatment for individuals with infertility, and fertility preservation services for all covered individuals. The bill ensures that these services include procedures such as intrauterine insemination, in vitro fertilization (IVF) with up to four oocyte retrievals, unlimited embryo transfers, and related laboratory procedures. Importantly, the bill prohibits insurers from imposing discriminatory financial burdens or limitations based on an individual's use of donor gametes or surrogacy, while also excluding coverage for experimental procedures and non-medical costs related to donor services. For Medicaid, the bill directs the Agency of Human Services to request federal approval to include these fertility services by September 1, 2025, with the insurance provisions set to take effect on January 1, 2026, and Medicaid coverage contingent on federal approval. The legislation represents a significant expansion of reproductive health coverage, aiming to provide more inclusive and accessible fertility care for Vermont residents.

Health and Social Services

https://legislature.vermont.gov/bill/status/2026/H.302