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Hearing on fertility coverage bill highlights access, cost and equity tradeoffs
Summary
Senate Bill 5121 would require group health plans to cover fertility preservation services and, after 2027, diagnosis and treatment of infertility; testimony included personal stories, provider support, insurers’ cost estimates and calls to include advanced practice providers in coverage rules.
Senate Bill 5121, introduced by Senator Noel Frame, was heard Jan. 24 and would require group health plans to provide coverage for standard fertility preservation services beginning in 2026 and, beginning in 2027, require coverage for diagnosis and treatment of infertility. Committee staff said the bill would provide two complete oocyte retrievals and unlimited embryo transfers consistent with American Society for Reproductive Medicine guidelines and, unlike prior bills, would require Medicaid to cover standard fertility preservation services.
Senator Frame described the bill as a response to the high out‑of‑pocket costs many families face and said coverage should not depend on employment at large employers that already offer fertility benefits. “You shouldn’t…
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