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NC H635

NC H635
Increase Access to Fertility Treatment


summary

Introduced
03/31/2025
In Committee
04/02/2025
Crossed Over
Passed
Dead

Introduced Session

2025-2026 Session

Bill Summary

AN ACT TO PROVIDE ACCESS TO FERTILITY DIAGNOSTIC CARE, TREATMENT, AND PRESERVATION SERVICES UNDER CERTAIN LARGE GROUP HEALTH BENEFIT PLANS.

AI Summary

This bill requires large group health insurance plans in North Carolina to provide coverage for fertility diagnostic care, treatment, and preservation services, with several important specifications. The bill defines key terms such as fertility diagnostic care (procedures or tests to assess fertility), fertility treatment (medical procedures to achieve pregnancy), and fertility preservation services (storing reproductive materials for future use), and mandates that these plans cover at least three in vitro fertilization (IVF) cycles per insured individual. The coverage requirements do not apply to health plans offered by religious institutions or self-insured group plans. To be eligible for coverage, fertility procedures must be performed at a licensed healthcare facility and follow guidelines from the American Society of Reproductive Medicine. The bill explicitly excludes coverage for experimental fertility procedures and nonmedical costs related to donor gametes, donor embryos, or surrogacy. These new requirements will take effect on October 1, 2025, and will apply to insurance contracts issued, renewed, or amended on or after that date, potentially helping individuals and couples struggling with fertility challenges access more comprehensive medical care.

Committee Categories

Health and Social Services

Sponsors (22)

Last Action

Serial Referral To Finance Stricken (on 04/17/2025)

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