HB 5141
Requiring medical insurance providers to include infertility services in their policies
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Sign in to take action- Introduced
- Passed House of Delegates
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill requires West Virginia medical insurance providers to include infertility services in their policies. It establishes a framework for diagnosing infertility, covering medically necessary fertility treatments and preservation, and outlines limitations on coverage. The bill aims to make fertility care more accessible and affordable for West Virginia residents and employers, supporting family formation and improving health outcomes.
Key provisions
- Requires insurance providers to offer coverage for the diagnosis of infertility.
- Mandates coverage for medically necessary fertility treatments, including donor egg, sperm, and embryo procurement.
- Requires coverage for fertility preservation services when individuals face medical treatments that could impact fertility.
- Prohibits insurers from imposing limitations based on arbitrary factors like the number of attempts or age.
- Specifies that limitations on coverage should be based on clinical guidelines and enrollee medical history.
- Outlines prohibited coverage, including experimental procedures and reversal of sterilization.
- Requires the Insurance Commissioner to develop rules for implementation.
- Establishes an effective date of January 1, 2027.
Who is affected
- Individuals and couples facing infertility.
- Medical insurance providers in West Virginia.
- Employers offering health insurance plans in West Virginia.
- Healthcare providers offering fertility treatments.
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