Bill > HB2824

This bill requires medical insurance providers in West Virginia to cover infertility services, recognizing infertility as a medical condition affecting one in six couples. The legislation mandates that health carriers provide coverage for diagnosing infertility, medically necessary fertility treatments, and fertility preservation services for individuals facing medical treatments that could impact future fertility. The bill defines key terms such as "infertility" and "medically necessary" and stipulates that insurance providers cannot impose different deductibles, copayments, or limitations on fertility-related services compared to other medical services. The coverage includes evaluations, medications, donor services, and standard fertility preservation procedures like egg, sperm, and embryo cryopreservation. Importantly, the bill prohibits discrimination based on arbitrary factors like age or number of treatment attempts and excludes coverage for experimental procedures, non-medical costs related to third-party reproduction, and voluntary sterilization reversal. The legislation aims to make fertility care more accessible and affordable, potentially reducing overall healthcare costs by enabling more informed medical decision-making. The bill will take effect on January 1, 2026, with the Insurance Commissioner responsible for developing implementation rules guided by professional medical society standards.

Health and Social Services

http://www.wvlegislature.gov/Bill_Status/Bills_history.cfm?input=2824&year=2025&sessiontype=RS&btype=bill