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Bill > S1964
NJ S1964
NJ S1964Revises requirements for infertility coverage under certain health insurance plans.
summary
Introduced
01/13/2026
01/13/2026
In Committee
01/13/2026
01/13/2026
Crossed Over
Passed
Dead
Introduced Session
2026-2027 Regular Session
Bill Summary
This bill revises the requirements for infertility coverage under certain health insurance plans. Current law requires health insurance plans issued by hospital, medical and health service corporations, commercial group insurers, health maintenance organizations, the State Health Benefits Program, and the School Employees Health Benefits Plan to provide coverage for medically necessary expenses incurred in the diagnosis and treatment of infertility, including expenses incurred in in vitro fertilization. Health insurance plans may limit coverage of in vitro fertilization to a covered person who: has used all reasonable, less expensive and medically appropriate treatments and is still unable to become pregnant or carry a pregnancy; has not reached the limit of four completed egg retrievals; and is 45 years of age or younger. Under the bill, health insurance plans could no longer limit the coverage of in vitro fertilization, but would be required to cover in vitro fertilization to the extent and under the same conditions as coverage is required for other infertility treatments.
AI Summary
This bill revises requirements for infertility coverage under certain health insurance plans, including those offered by hospital, medical, and health service corporations, commercial group insurers, health maintenance organizations, the State Health Benefits Program, and the School Employees Health Benefits Plan. Previously, these plans could limit coverage for in vitro fertilization (IVF) and other assisted reproductive technologies to individuals who had exhausted less expensive treatments, had not undergone more than four egg retrievals, and were 45 years old or younger. This bill removes those specific limitations on IVF and requires that it be covered to the same extent and under the same conditions as other infertility treatments, ensuring broader access to fertility services for those diagnosed with infertility, which is defined as a disease or condition affecting reproductive function according to established medical guidelines or specific inability to conceive or carry a pregnancy.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Introduced in the Senate, Referred to Senate Commerce Committee (on 01/13/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.njleg.state.nj.us/bill-search/2026/S1964 |
| BillText | https://pub.njleg.gov/Bills/2026/S2000/1964_I1.HTM |
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