"The new law, Senate Bill 729, dictates that large insurance groups (defined as 101 or more employees) must expand their services to cover infertility treatments and diagnoses. In addition, according to the bill's text, large health insurance groups also must be able to cover "a maximum of 3 completed oocyte retrievals." Keep in mind that some of these services are for "medically necessary" cases of infertility - like egg freezing before cancer treatment."
"An array of other fertility-related services (link to PDF) may include: Unlimited embryo transfers Tubal evaluation and uterine evaluation Sperm DNA fragmentation analysis Thyroid function testing Ovarian reserve testing Procurement of donor semen, oocyte and embryo Physician services, including consultation and referral. Surgery to treat infertility Medication to treat infertility Infectious disease screening and testing Medication to induce ovulation. Keep in mind that some of these services are for "medically necessary" cases of infertility - like egg freezing before cancer treatment."
California became the 15th state to mandate insurance coverage for infertility by enacting Senate Bill 729, which takes effect in January. The law requires large health plans—defined as employers with 101 or more employees—to cover infertility diagnoses and treatments and permits coverage for a maximum of three completed oocyte retrievals. Covered services may include unlimited embryo transfers, tubal and uterine evaluations, sperm DNA fragmentation analysis, thyroid and ovarian reserve testing, procurement of donor gametes and embryos, physician consultations and referrals, infertility surgery, fertility medications, infectious disease screening, and ovulation induction. Some services apply to medically necessary cases such as egg freezing before cancer treatment. The law responds to legal uncertainty surrounding IVF and expands reproductive rights in California.
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