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Bill

LC 1054

Provide for mandatory coverage of infertility services by health plans

2025 Regular Session

Summary of Legislative Bill LC 1054: Mandatory Coverage of Infertility Services Purpose and IntentThis draft bill, which died in the legislative process, aimed to require health in

(LC) Draft Died in Process
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Bill Summary · LC 1054

Summary of Legislative Bill LC 1054: Mandatory Coverage of Infertility Services

Purpose and Intent

This draft bill, which died in the legislative process, aimed to require health insurance plans in the state to provide coverage for infertility services and treatments. The main goal was to improve access to reproductive healthcare and support for individuals and couples facing infertility.

Key Provisions

  • Mandated that all health insurance plans, including those offered through the state's health insurance exchange, cover a range of infertility services and treatments. This would have included coverage for:
    • Fertility tests and diagnostic procedures
    • Fertility medication
    • Intrauterine insemination (IUI)
    • In vitro fertilization (IVF)
    • Egg/sperm/embryo freezing and storage
    • Surrogacy costs
  • Prohibited insurers from imposing annual or lifetime dollar limits, high deductibles, or excessive copays on infertility benefits.
  • Required coverage to be provided regardless of gender, sexual orientation, or marital status.
  • Allowed religious employers to opt out of providing coverage for infertility treatments that conflict with their religious beliefs.

Affected Parties

  • Individuals and couples of reproductive age facing infertility or seeking to start a family
  • Health insurance providers operating in the state
  • Fertility clinics, reproductive endocrinologists, and other healthcare providers

Procedural and Timeline Details

  • The bill was introduced in the state legislature on November 11, 2024 but did not advance past the initial drafting stage.
  • If enacted, the bill would have required health plans to begin offering the mandated infertility coverage within 12 months of the law taking effect.
  • The bill did not specify a proposed effective date or any phased implementation timeline.

Overall, this draft legislation sought to improve access to fertility treatments and support for those struggling with infertility by requiring comprehensive insurance coverage. However, it ultimately did not progress through the full legislative process.

Compiled from official sources — confirm details with the bill’s official record.

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