Bill
A 5000
A5000 would require Medicaid and Plan First to cover one cycle of standard fertility preservation services for enrollees facing iatrogenic infertility from medically necessary trea
Note on source material
- The bill title you supplied (about statutory damages for wage violations) does not match the documents you provided. The documents describe Assembly Bill A5000 concerning Medicaid coverage for fertility preservation services. The summary below is based on the provided bill text, committee statements, and fiscal notes about fertility preservation coverage.
Bill at a glance
- Bill number: A5000 (2nd Reprint, as amended)
- Subject: Requires State Medicaid and Plan First to cover standard fertility preservation services for people facing iatrogenic infertility caused by medically necessary treatment
- Introduced: October 24, 2024
- Sponsors: Harry B. Bronson (primary); cosponsors Judy Griffin, Jo Anne Simon, Steven Raga, Karen McMahon
- Legislative status / recent actions:
- Passed Assembly: June 30, 2025 (66-2-9)
- Received in Senate: October 20, 2025; referred to Senate Health, Human Services and Senior Citizens Committee
- Earlier committee referrals: Assembly Financial Institutions & Insurance; Aging & Human Services; Appropriations; also listed as referred to Labor (Feb 10, 2025)
Purpose and intent
- To expand the New Jersey Medicaid (NJ FamilyCare) program and the Plan First family‑planning program to cover medically accepted fertility preservation services for enrollees who undergo medically necessary treatments (e.g., surgery, radiation, chemotherapy) that may directly or indirectly cause iatrogenic infertility.
Key provisions
- Coverage required: State Medicaid program and Plan First must cover "standard fertility preservation services" for persons undergoing medically necessary treatment that may cause iatrogenic infertility.
- Definitions:
- "Iatrogenic infertility": impairment of fertility caused by surgery, radiation, chemotherapy, or other medical treatment affecting reproductive organs/processes.
- "Standard fertility preservation services": procedures consistent with professional guidelines (American Society for Reproductive Medicine, American Society of Clinical Oncology) or as defined by the NJ Department of Health.
- Benefit limits (as amended): Coverage is limited to one fertility preservation cycle per qualifying enrollee, unless the procedure is unsuccessful.
- Committee amendments: removed an earlier requirement to cover long‑term storage of sperm, oocytes, embryos, and cryopreserved ovarian tissue; made technical corrections.
Who is affected
- Primary beneficiaries: Medicaid (NJ FamilyCare) enrollees and Plan First participants of reproductive age who are diagnosed with, or about to undergo, medically necessary treatments that risk iatrogenic infertility.
- Providers: fertility specialists and clinics — expansion may require more providers to enroll as Medicaid/Plan First providers; participation levels are uncertain.
- State agencies: Department of Human Services (administers Medicaid and Plan First); NJ Department of Health (may define services).
Fiscal and implementation considerations
- OLS fiscal estimate: Annual State expenditure increase — indeterminate; State revenue increase — indeterminate (federal Medicaid matching funds would offset a share).
- Factors creating uncertainty:
- More than 95% of Medicaid beneficiaries are in managed care plans; current managed care contracts preclude infertility‑treatment coverage, so demand and provider participation are hard to predict.
- Other states that have added Medicaid fertility preservation have projected several million dollars in annual costs (Maryland ~$6.4M projected; Illinois ~$5M public notice); these are referenced but not directly comparable.
- Administrative/ federal considerations:
- Coverage is subject to Title XIX (federal Medicaid) rules; implementing coverage may require State Plan Amendment or waiver and would affect federal reimbursement.
- The bill amends Section 6 of P.L.1968, c.413 to add these services to authorized Medicaid services.
Related / companion legislation
- Senate companion bills: S3831; S4473
- Prior-session: A9800
Bottom line
- A5000 would make one cycle of professionally recognized fertility preservation services available to low‑ and moderate‑income New Jerseyans covered by Medicaid or Plan First who face iatrogenic infertility from medically necessary treatment. The policy expands access but carries an indeterminate, potentially material fiscal impact and will require administrative steps to implement within federal Medicaid rules.
Compiled from official sources — confirm details with the bill’s official record.
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