DC LEG Infertility Treatment Coverage


On Jul. 28, DC LEG passed act on infertility insurance coverage.


  • DC LEG issued Act 25-173 entitled Expanding Access to Fertility Treatment Amendment Act of 2023 in the DC register to expand access to fertility treatment for women.
  • Amends DC LEG 13-254 Women's health and cancer rights federal law conformity act.
  • Provisions
  • Starting Jan. 1, 2025, health insurers must provide coverage for infertility diagnosis and treatment, including in vitro fertilization, fertility preservation services.
  • The health benefit plan must cover at least 3 oocyte egg retrievals with unlimited embryo transfers and the medical costs related to an embryo transfer.
  • Starting Jan. 1, 2024, the DC Healthcare Alliance program must cover the diagnosis of infertility, any necessary ovulation enhancing drugs and related medical services.
  • A health insurer shall not impose deductibles, copayments, coinsurance, benefit maximums, waiting periods or any other limitations on coverage for such services.
  • Effectiveness
  • Act 25-173 becomes effective Jan. 1, 2025.

Regulators DC LEG
Entity Types Ins
Reference Act 25-173, DC SR Vol 70, No. 30, 7/28/2023; Citation: DC LEG 13-254;
Functions Compliance; Financial; Legal; Product Administration
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 7/28/2023
Effective Date 1/1/2025
Rule Id 180815
Linked to N/A
Reg. Last Update 7/28/2023
Report Section US Insurance

Last substantive update on 08/02/2023