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Infertility-insurance bill fails after hours of emotional debate

Utah State Senate · February 6, 1990
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Summary

Senate Bill 16, a proposal to require insurers to cover certain infertility treatments, was debated at length with supporters calling it a family‑centered medical reform and opponents warning of large and uncertain premium impacts; the measure failed 9–17–3.

Senate Bill 16, introduced by Senator Carling, would have required insurers to cover a range of infertility treatments. The sponsor described the measure as ‘‘an emotional’’ and family‑centered bill supported by advocates and some businesses; she pointed to out‑of‑state precedents. "It's a very emotional bill," said a senator who supported the measure during floor remarks.

Supporters stressed that many procedures are already covered when they are categorized as surgery, and that states such as Massachusetts enacted similar laws with relatively modest initial cost per policy. Opponents pressed on the fiscal uncertainty: insurance companies were cited as estimating a statewide cost as high as $20,000,000, while others cited far smaller figures (a $2,000,000 estimate was referenced). Senator Carling said surgical procedures are generally covered but that "This would cover others," describing the bill's reach beyond existing coverage.

Critics focused on the potential for higher premiums, the effect on small businesses and public‑employee plans, and the fact that ERISA‑governed self‑insured plans would be outside state authority. Senators raised the possibility that mandating new benefits would prompt employers to drop or self‑insure coverage, shifting costs in other ways. Several senators urged caution on public‑policy and budget grounds; one senator noted a state fiscal analysis projecting public‑employee health premiums could rise substantially.

A recorded vote on SB 16 produced 9 ayes, 17 nays, and 3 absent; the bill failed on the floor. Following the roll call, senators resumed other business and the Senate adjourned for lunch.