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Bill

S 3745

Provides for insurance and medicaid coverage for standard fertility preservation services provided due to iatrogenic infertility

2025 Regular Session Introduced by Cordell Cleare and 2 co-sponsors

Requires private insurance and Medicaid to cover standard fertility preservation services for iatrogenic infertility, reducing patient costs and standardizing access.

REFERRED TO INSURANCE
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WeVote Research Nonpartisan
Bill Summary · S 3745

Summary: S 3745 — Insurance and Medicaid Coverage for Standard Fertility Preservation Services Due to Iatrogenic Infertility

Overview

S 3745 is a proposed statute that would require both private insurance plans and the Medicaid program to cover standard fertility preservation services when infertility is caused by medical treatment (iatrogenic infertility). The bill aims to remove barriers to accessing fertility preservation for individuals who become infertile as a result of medical interventions, such as cancer treatment or other procedures.

Purpose and Intent

  • Ensure that individuals facing iatrogenic infertility have access to standard fertility preservation options through insurance and Medicaid coverage.
  • Align coverage with recognized medical standards for fertility preservation, reducing out-of-pocket costs for patients at a vulnerable time.

Key Provisions (as described by the bill’s title and status)

  • Mandate insurance coverage for standard fertility preservation services in cases of iatrogenic infertility.
  • Extend coverage to Medicaid, ensuring public coverage complements private plans.
  • Apply to services deemed standard within established medical guidelines for fertility preservation (exact definitions and covered services would be specified in the bill text).

Note: The specific services covered, eligibility criteria, copayments, deductibles, prior authorization, duration of coverage, and any limitations are not provided in the information available here. The bill’s language would detail these elements.

Who is Affected

  • Patients diagnosed with infertility caused by medical treatment (iatrogenic infertility) who seek fertility preservation.
  • Private health insurers and their policyholders.
  • The state’s Medicaid program and its beneficiaries.
  • Healthcare providers offering fertility preservation services.

Procedural and Timeline Aspects

  • Introduced: January 29, 2025.
  • Current Status: REFERRED TO INSURANCE (the bill is in committee, specifically the Insurance Committee, for consideration and potential amendments).
  • No further actions are listed in the provided record beyond the initial referral.

Related Legislation

  • Prior-session bills with related aims include A 10660, A 4506, S 8349, and S 3216. These may reflect ongoing interest in expanding fertility preservation coverage or similar protections in different sessions.

Potential Impact and Considerations

  • Increased access to fertility preservation for individuals facing iatrogenic infertility.
  • Potential cost implications for private insurers and Medicaid; fiscal impact would depend on the scope of services covered and patient utilization.
  • Could standardize coverage expectations across plans, reducing variability in what is covered.
  • Implementation would require clear definitions of “standard fertility preservation services” and criteria for iatrogenic infertility to ensure consistent application.

Next Steps

  • Monitor the bill’s progression through the Insurance Committee for amendments, votes, and potential floor action.
  • Review the full text to understand defined terms, covered services, exemptions, and implementation details.

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

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