AB 766

This bill requires self-insured governmental health plans and health care

coverage plans offered by the state to its employees 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.

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

financial impact report under s. 601.423, stats.