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Mandatory Health Insurance Coverage for Infertility Treatment and Preservation

This act aims to ensure that health insurance plans must cover infertility treatment and fertility preservation services, especially when medical treatments may cause infertility. This means more individuals will have access to necessary therapies, potentially helping them achieve their dream of having a family without incurring massive out-of-pocket costs. The changes apply to private insurance, federal programs, and Medicaid.
Key points
Health insurance plans covering obstetrical services must also cover infertility treatment, including advanced procedures like in vitro fertilization.
Mandatory coverage for fertility preservation services (e.g., egg/sperm freezing) for individuals undergoing medically necessary treatments (e.g., chemotherapy) that may cause infertility.
Cost-sharing (deductibles, coinsurance) for infertility treatment cannot exceed those applied to similar medical services.
Federal programs like the Federal Employees Health Benefits Program, TRICARE, and veteran benefits will also expand to cover infertility treatment.
State Medicaid programs will be required to provide medical assistance for infertility treatment and fertility preservation, with no cost-sharing for beneficiaries.
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Additional Information
Print number: 117_HR_4450
Sponsor: Rep. DeLauro, Rosa L. [D-CT-3]
Process start date: 2021-07-16