LCO No. 2254 1 of 3
General Assembly Raised Bill No. 5378
February Session, 2024
LCO No. 2254
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
(INS)
AN ACT CONCERNING HEALTH INSURANCE COVERAGE FOR THE
DIAGNOSIS AND TREATMENT OF INFERTILITY.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. Subsection (a) of section 38a-509 of the 2024 supplement to 1
the general statutes is repealed and the following is substituted in lieu 2
thereof (Effective January 1, 2025): 3
(a) Subject to the limitations set forth in subsection (b) of this section 4
and except as provided in subsection (c) of this section, each individual 5
health insurance policy providing coverage of the type specified in 6
subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, 7
issued for delivery, amended, renewed or continued in this state on or 8
after January 1, [2018] 2025, shall provide coverage for the medically 9
necessary expenses for the diagnosis and treatment of infertility, 10
including, but not limited to, ovulation induction, intrauterine 11
insemination, in-vitro fertilization, uterine embryo lavage, embryo 12
transfer, gamete intra-fallopian transfer, zygote intra-fallopian transfer 13
and low tubal ovum transfer. For purposes of this section, "infertility" 14
means (1) the condition of an individual who is unable to conceive or 15 Raised Bill No. 5378
LCO No. 2254 2 of 3
produce conception or sustain a successful pregnancy during a one-year 16
period, (2) the inability, as an individual or with a partner, to conceive 17
or produce conception because the individual or couple does not have 18
the necessary gametes to conceive or produce conception, or (3) such 19
treatment is medically necessary. 20
Sec. 2. Subsection (a) of section 38a-536 of the 2024 supplement to the 21
general statutes is repealed and the following is substituted in lieu 22
thereof (Effective January 1, 2025): 23
(a) Subject to the limitations set forth in subsection (b) of this section 24
and except as provided in subsection (c) of this section, each group 25
health insurance policy providing coverage of the type specified in 26
subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, 27
issued for delivery, amended, renewed or continued in this state on or 28
after January 1, [2018] 2025, shall provide coverage for the medically 29
necessary expenses for the diagnosis and treatment of infertility, 30
including, but not limited to, ovulation induction, intrauterine 31
insemination, in-vitro fertilization, uterine embryo lavage, embryo 32
transfer, gamete intra-fallopian transfer, zygote intra-fallopian transfer 33
and low tubal ovum transfer. For purposes of this section, "infertility" 34
means (1) the condition of an individual who is unable to conceive or 35
produce conception or sustain a successful pregnancy during a one-year 36
period, (2) the inability, as an individual or with a partner, to conceive 37
or produce conception because the individual or couple does not have 38
the necessary gametes to conceive or produce conception, or (3) such 39
treatment is medically necessary. 40
This act shall take effect as follows and shall amend the following
sections:
Section 1 January 1, 2025 38a-509(a)
Sec. 2 January 1, 2025 38a-536(a)
Statement of Purpose:
To provide equal access to health insurance coverage for the diagnosis
and treatment of infertility. Raised Bill No. 5378
LCO No. 2254 3 of 3
[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
underlined.]