Nevada bill mandates health plans cover fertility preservation for cancer patients

The Senate Committee on Commerce and Labor convened on June 1, 2025, to discuss a significant piece of legislation aimed at expanding health coverage for fertility preservation among cancer patients. The bill, introduced by Chair Pizzina, mandates that certain health plans provide coverage for fertility preservation procedures for individuals diagnosed with breast or ovarian cancer, particularly when medical treatments like chemotherapy or radiation could lead to infertility.

Chair Pizzina, a three-time breast cancer survivor, shared her personal journey, highlighting the emotional and financial burdens faced by cancer patients who wish to preserve their fertility. She noted that the costs for procedures such as embryo preservation can range from $10,000 to $15,000, with additional storage fees, making it a significant financial hurdle for many. Currently, 18 states and the District of Columbia have enacted similar legislation, with an additional 18 states considering such measures.

The bill outlines specific requirements for both public and private health plans, including Medicaid and insurance for state and local government employees, to cover medically necessary fertility preservation services. However, it also includes a provision allowing insurers affiliated with religious organizations to opt out of providing this coverage if it conflicts with their beliefs, provided they notify policyholders accordingly.

Key sections of the bill empower the commissioner of insurance to enforce compliance, including the ability to suspend or revoke the licenses of health maintenance organizations that fail to adhere to the new coverage requirements. Amendments to the bill address funding and the effective start date, which has been postponed.

With approximately 268,000 women diagnosed with invasive breast cancer annually in the U.S., and about 32,000 cases occurring in women aged 45 and younger, the legislation aims to support around 320 families in Nevada alone. Chair Pizzina emphasized the importance of this bill in providing essential care options for women facing cancer treatment, ensuring they have the opportunity to consider family planning despite their health challenges.

The committee concluded the discussion with an invitation for questions, underscoring the bill's potential impact on the lives of many women and families in Nevada.