SB 693

This bill requires health insurance policies and self-insured governmental

health plans that cover medical or hospital expenses to cover diagnosis of and

treatment for infertility and standard fertility preservation services. Coverage

required under the bill must include at least four completed egg retrievals with

unlimited embryo transfers in accordance with certain guidelines and single embryo

transfer is allowed when recommended and medically appropriate. Policies and

plans are prohibited from imposing an exclusion, limitation, or other restriction on

coverage of medications of which the bill requires coverage that is not imposed on any

other prescription medications covered under the policy or plan. Similarly, policies

and plans may not impose any exclusion, limitation, cost-sharing requirement,

benefit maximum, waiting period or other restriction on diagnosis, treatment, or

services for which coverage is required under the bill that is different from any

exclusion, limitation, cost-sharing requirement, benefit maximum, waiting period

or other restriction imposed on benefits for other services. Also, policies and plans

may not impose an exclusion, limitation, or other restriction on diagnosis, treatment,

or services for which coverage is required under the bill on the basis that an insured

person participates in fertility services provided by or to a third party. Current law

refers to health insurance policies as disability insurance policies.

This proposal may contain a health insurance mandate requiring a social and

financial impact report under s. 601.423, stats.