Bill > SB669

This bill requires medical insurance providers in West Virginia to cover infertility services, recognizing infertility as a medical condition that affects 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 might impact their fertility. The bill defines key terms such as "infertility," "medically necessary," and "fertility treatment," and establishes that insurance providers cannot impose different or more restrictive coverage limitations for fertility-related services compared to other medical services. Importantly, the bill prohibits insurers from denying coverage based on preexisting conditions or arbitrary factors like age, and it specifically 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 affordable, potentially attracting and retaining young families, expanding healthcare resources, and reducing overall healthcare costs by enabling patients to make medically appropriate decisions. The bill will take effect on January 1, 2026, and until specific rules are adopted, health carriers will follow standards set by the American Society for Reproductive Medicine.

Health and Social Services

http://www.wvlegislature.gov/Bill_Status/Bills_history.cfm?input=669&year=2025&sessiontype=RS&btype=bill