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Lawmakers discuss adding IVF coverage to Public Employees Health Plan after pilot numbers show low cost
Summary
Sen. Jeremy Musselman described a proposal to extend in vitro fertilization coverage through the Public Employees Health Plan (PHP), citing a pilot program and a PHP estimate of approximately $278,000 per year to cover medicines and follow-up under proposed guardrails.
Sen. Jeremy Musselman told the Executive Appropriations Committee that he has been working with a constituent and state health officials on a proposal to add in vitro fertilization (IVF) coverage to the Public Employees Health Plan.
Musselman said a previous pilot program paid $4,000 for IVF under PHP and imposed guardrails — including single-embryo transfer and an age limit under 40 — intended to reduce the risk of multiple births. He told members the plan office ran cost estimates and that a full-coverage scenario (including medicines and follow-up) came back at about…
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