Bill > S0691

This bill requires individual and group health insurance policies that provide pregnancy-related benefits to expand coverage for infertility diagnosis, treatment, and fertility preservation services without age restrictions. The legislation significantly broadens the definition of infertility to include various medical conditions, genetic risks, and reproductive challenges, and removes the previous $100,000 lifetime coverage cap. Key provisions include mandating coverage for at least four complete oocyte retrievals with unlimited embryo transfers, covering medical costs for embryo transfers, and prohibiting discrimination based on factors like age, gender, or sexual orientation. The bill also prevents insurers from imposing additional limitations on fertility treatments, such as arbitrary waiting periods or pre-existing condition exclusions, and ensures that coverage is based on medical assessment and professional medical guidelines. These changes aim to provide more comprehensive and equitable access to fertility treatments for individuals across different demographics, with the new requirements applying to health plans entered into or renewed on or after January 1, 2026.

Health and Social Services

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