Expanding Access to Fertility Treatment and Care Coverage
This act aims to ensure that health insurance plans covering obstetrical services must also cover fertility treatment. This means more individuals will have access to procedures like IVF, regardless of a formal infertility diagnosis, potentially significantly reducing treatment costs for many families. The act also prohibits discrimination and excessive charges for these services, and extends access to veterans and those covered by federal programs.
Key points
Health insurance plans covering obstetrical services will be required to cover fertility treatment, including IVF, gamete preservation, and embryo genetic testing.
Access to fertility treatment will be available without a formal infertility diagnosis, if deemed appropriate by a healthcare provider.
Cost-sharing for fertility treatment (e.g., deductibles, co-insurance) cannot exceed that for other medical services.
The act prohibits insurers from discouraging fertility treatment or discriminating against individuals seeking it.
Veterans, their spouses or partners, and individuals covered by Medicare and Medicaid programs will gain access to fertility treatment.
Status:
Introduced
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