CAL LEG Infertility Services Coverage


On Sep. 10, CAL LEG bill requiring insurers cover fertility services.


  • CAL LEG passed SB 729, health care coverage: infertility, fertility services treatment.
  • The proposed bill would repeal and add Health and safety code, CAL INS 2-2.2-5-1374.55; Insurance code, CAL INS 2-2-1-1-10119.6, relating to health care coverage.
  • Require health care plans, disability insurance policies cover infertility/fertility services.
  • Bill Provisions
  • Provisions applicable to large and small group health care service plan contracts and disability insurance policies issued, amended, or renewed on or after Jul. 1, 2025.
  • Required to provide coverage for diagnosis, treatment of infertility, fertility services.
  • With respect to large group health care service plan contracts and disability insurance policies, required coverage for maximum of 3 completed oocyte retrievals, as specified.
  • Revised infertility definition, removed exclusion of in vitro fertilization from coverage.
  • Deleted requirement health contracts, disability polices provide infertility treatment under agreed-upon terms communicated to all group contractholders, policyholders.
  • Prohibited placing different conditions/coverage limits on fertility medications/services, or diagnosis, treatment of infertility, fertility services, than apply to other conditions.
  • Made the requirements inapplicable to religious employer, specified contracts, policies.
  • Legislative History
  • On Feb. 17, 2023, bill was introduced in Senate; on May 24, 2023, bill passed Senate.
  • On May 25, 2023, bill introduced in Assembly; on Aug. 28, 2024, bill passed Assembly.
  • On Sep. 9, 2024, bill was enrolled and presented to the governor, pending action.
  • Effectiveness
  • No effective date specified; bills generally effective Jan. of next year (Jan. 1, 2025).
  • Sep. 2024 CAL LEG Governor Approval
  • On Sep. 29, 2024, CAL LEG reported governor approved bill; assigned as Chapter 930.

Regulators CAL LEG
Entity Types Ins
Reference PR, Ch. 930, 9/29/2024; Bill SB729, 9/10/2024; Citation: *CAL INS* 2-2-1-1-10119.6, 2-2.2-5-1374.55;
Functions Claims/Accelerated Benefits; Compliance; Legal; Operations; Product Administration
Countries United States of America
Category
State
Products Disability; Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 9/10/2024
Effective Date 1/1/2025
Rule Id 225621
Linked to N/A
Reg. Last Update 9/29/2024
Report Section US Consumer

Last substantive update on 10/03/2024