SB 107
Requiring medical insurance providers to include infertility services in policies
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- Passed Senate
- Passed House of Delegates
- To Governor
- Became Law
Bill overview
This bill requires West Virginia medical insurance providers to include infertility services in their policies. It defines infertility, establishes procedures for diagnosis and treatment, and outlines permissible and prohibited limitations on coverage. The bill aims to make fertility care more accessible and affordable for West Virginia residents and employers, addressing issues related to various reproductive challenges and potential impacts on fertility from medical treatments.
Key provisions
- Requires medical insurance providers to cover infertility diagnosis and treatment.
- Defines ‘infertility’ as a disease impacting reproductive ability.
- Mandates coverage for fertility preservation services when medically necessary (e.g., due to cancer treatment).
- Prohibits limitations on coverage based on factors like number of attempts or age.
- Specifies that coverage for fertility treatments should align with clinical guidelines from organizations like the American Society for Reproductive Medicine.
- Establishes a rulemaking process for the Insurance Commissioner to develop specific regulations.
- Excludes coverage for experimental infertility procedures, nonmedical costs of third-party reproduction, and reversal of sterilization.
- Clarifies coverage for surrogates or gestational carriers in cases of infertility.
Who is affected
- Individuals and couples experiencing infertility.
- Medical insurance providers in West Virginia.
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