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Senate passes bill requiring fertility-preservation coverage in health plans, including Medicaid
Summary
AB 4 28 passed the Senate unanimously directing public and private health plans, including Medicaid and state and local government employee plans, to cover medically necessary fertility-preservation procedures consistent with established medical practice.
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The Nevada Senate unanimously passed Assembly Bill 4 28, a measure that requires public and private health insurance plans — including Medicaid and insurance for state and local government employees — to cover medically necessary fertility-preservation procedures consistent with established medical practice.
Senator Julie Pizzina described the bill on the floor, saying it requires "public and private health insurance plans, including Medicaid and insurance for state and local government employees to provide certain procedures for services that are medically necessary to preserve fertility for an insured consistent with established medical practice or any guidelines published by the American Society for Reproductive Medicine," and added the measure is "a wonderful bill for those who are fighting breast cancer."
The clerk recorded 20 yeses and zero noes and declared the bill passed and ordered to the Assembly. The floor summary indicates the coverage follows established medical practice and ASRM guidelines but does not list covered procedures, eligibility windows, or cost-sharing limits; those specifics will be reflected in the bill text and carrier implementation guidance.
Stakeholders — including patient advocates, oncology providers and insurers — will need to consult the enacted language for benefit definitions, prior-authorization rules, and effective dates for coverage.

