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Health Coverage: Fertility Treatment as Essential Benefit

This new law aims to include fertility treatment, including IVF, as an essential health benefit covered by insurance. This means insurers cannot deny coverage or impose higher costs for these procedures compared to other medical treatments. The goal is to improve access to fertility care for individuals seeking to start a family.
Key points
Fertility treatment, including in vitro fertilization (IVF), becomes an essential health benefit covered by insurance.
Insurers cannot impose higher costs or limitations on fertility treatment than on other medical procedures.
Benefits cannot be denied based on a lack of infertility diagnosis.
Insurers will be required to report on their utilization management of these benefits.
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Status: Introduced
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Additional Information
Print number: 119_HR_3480
Sponsor: Rep. Underwood, Lauren [D-IL-14]
Process start date: 2025-05-19