Bill > HB1864

This bill mandates that insurance policies, mutual benefit society contracts, and health maintenance organization plans issued or renewed after December 31, 2026, must cover standard fertility preservation services for individuals undergoing medically necessary treatments that could cause iatrogenic infertility, which is defined as fertility impairment resulting from medical treatments like surgery, chemotherapy, or radiation. The coverage must align with the most recent guidelines from the American Society of Clinical Oncology, and insurers cannot deny coverage based on prior fertility issues or discriminate against individuals based on factors like life expectancy or disability. This requirement extends to health maintenance organizations, ensuring they provide comparable benefits. The bill also clarifies that "standard fertility preservation services" do not include experimental procedures, third-party assisted reproduction technologies, or cryopreservation storage.

Business and Industry, Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=1864&year=2026