Overview: S 4497, Requires certain insurance policies to provide coverage for fertility preservation services, REFERRED TO INSURANCE, May 22, 2025
Purpose and Intent: The purpose of this bill is to mandate that certain health insurance policies in the state provide coverage for fertility preservation services. The intent is to ensure that individuals undergoing medical treatments that may impact their fertility have access to options for preserving their reproductive capabilities.
Key Provisions:
- Requires health insurance policies, including those offered through the state's health insurance exchange, to cover fertility preservation services
- Defines fertility preservation services to include procedures such as egg, sperm, or embryo freezing
- Prohibits insurers from imposing any annual or lifetime dollar limits on fertility preservation coverage
- Allows insurers to apply reasonable deductibles, copayments, and coinsurance requirements
Affected Parties and Impacts: This bill would primarily affect individuals who may need to undergo medical treatments that could impact their fertility, such as cancer treatments or gender-affirming care. It would provide them with access to fertility preservation options that may have previously been unaffordable or unavailable.
Procedural and Timeline Considerations: The bill has been referred to the Senate Insurance Committee for review and consideration. If passed, the new insurance coverage requirements would take effect for policies issued or renewed after a specified date.