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Lawmakers and advocates press California to add infertility care, including IVF, to essential health benefits
Summary
Clinicians, advocates and lawmakers urged adding infertility diagnosis and treatment — including IVF — to California’s essential health benefits; actuaries presented multiple IVF packages, and the state must choose a benefit design that fits the federal "typicality" ceiling and any submission timetable.
Advocates, clinicians and some legislators urged the committee to include infertility diagnosis and treatment — including IVF — in California’s essential health benefits during the Feb. 11 informational hearing.
Wakely Consulting Group presented multiple IVF benefit packages and price points. Matt Slaughter said the firm priced three illustrative IVF pathways with varying levels of coverage; Wakely’s marginal estimates for the IVF options ranged roughly 0.61% to 0.87% of allowed costs depending on benefit richness and included items such as egg/sperm retrieval, cryopreservation and varying numbers of embryo transfers. "These represent just 3. There are leaner options, there are richer options," Slaughter…
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