summary
Introduced
03/31/2025
03/31/2025
In Committee
04/02/2025
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)
Terry Brown (D)*,
Patricia Cotham (R)*,
Beth Helfrich (D)*,
Charles Smith (D)*,
Eric Ager (D),
Vernetta Alston (D),
Mary Belk (D),
Allen Buansi (D),
Deb Butler (D),
Maria Cervania (D),
Tracy Clark (D),
Carla Cunningham (D),
Allison Dahle (D),
Julia Greenfield (D),
Pricey Harrison (D),
Zack Hawkins (D),
Frances Jackson (D),
Monika Johnson-Hostler (D),
Ya Liu (D),
Carolyn Logan (D),
Tim Longest (D),
James Roberson (D),
Last Action
Serial Referral To Finance Stricken (on 04/17/2025)
Official Document
bill text
bill summary
Loading...
bill summary
Loading...
bill summary
Document Type | Source Location |
---|---|
State Bill Page | https://www.ncleg.gov/BillLookUp/2025/H635 |
BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H635v1.pdf |
BillText | https://www.ncleg.gov/Sessions/2025/Bills/House/PDF/H635v0.pdf |
Loading...