HB 560

Abstract

Health insurance; coverage option for fertility services; essential health benefits benchmark plan. Requires health insurance policies, subscription contracts, and health care plans to offer and make available coverage for the diagnosis and treatment of infertility and for standard fertility preservation procedures, as defined in the bill. Such coverage includes coverage for in vitro fertilization, provided that procedures are performed at medical facilities or clinics that conform to guidelines published by the American College of Obstetrics and Gynecology or the American Fertility Society for in vitro fertilization procedures. The bill also requires the Health Insurance Reform Commission to consider such coverage in its 2025 review of the essential health benefits benchmark plan. The bill directs the Commission to include such coverage in its recommendation to the General Assembly for a new essential health benefits benchmark plan unless the Commission identifies a compelling reason to exclude such coverage.