Indiana 2025 Regular Session

Indiana House Bill HB1205 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2	Introduced Version
3	3	HOUSE BILL No. 1205
4	4	_____
5	5	DIGEST OF INTRODUCED BILL
6	6	Citations Affected: IC 5-10-8; IC 27-8; IC 27-13-7.
7	7	Synopsis: Fertility insurance coverage. Requires a state employee
8	8	health plan, a policy of accident and sickness insurance, and a health
9	9	maintenance organization contract to provide coverage for fertility
10	10	preservation services. Requires a state employee health plan, a policy
11	11	of accident and sickness insurance, and a health maintenance
12	12	organization contract to provide coverage for fertility treatment if
13	13	certain conditions are satisfied.
14	14	Effective: July 1, 2025.
15	15	Bauer M
16	16	January 8, 2025, read first time and referred to Committee on Insurance.
17	17	2025 IN 1205—LS 6448/DI 154 Introduced
18	18	First Regular Session of the 124th General Assembly (2025)
19	19	PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
20	20	Constitution) is being amended, the text of the existing provision will appear in this style type,
21	21	additions will appear in this style type, and deletions will appear in this style type.
22	22	Additions: Whenever a new statutory provision is being enacted (or a new constitutional
23	23	provision adopted), the text of the new provision will appear in this style type. Also, the
24	24	word NEW will appear in that style type in the introductory clause of each SECTION that adds
25	25	a new provision to the Indiana Code or the Indiana Constitution.
26	26	Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
27	27	between statutes enacted by the 2024 Regular Session of the General Assembly.
28	28	HOUSE BILL No. 1205
29	29	A BILL FOR AN ACT to amend the Indiana Code concerning
30	30	insurance.
31	31	Be it enacted by the General Assembly of the State of Indiana:
32	32	1 SECTION 1. IC 5-10-8-27 IS ADDED TO THE INDIANA CODE
33	33	2 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
34	34	3 1, 2025]: Sec. 27. (a) This section applies to a state employee health
35	35	4 plan that is established, entered into, amended, or renewed after
36	36	5 June 30, 2025.
37	37	6 (b) As used in this section, "covered individual" means an
38	38	7 individual entitled to coverage under a state employee health plan.
39	39	8 (c) As used in this section, "fertility preservation services"
40	40	9 means procedures, products, medications, and services that are:
41	41	10 (1) intended to preserve fertility for an individual who is
42	42	11 expected to undergo medical treatment that may directly or
43	43	12 indirectly cause a risk of impairment of fertility; and
44	44	13 (2) consistent with established medical practice and
45	45	14 professional guidelines.
46	46	15 (d) As used in this section, "state employee health plan" means
47	47	16 the following:
48	48	17 (1) A self-insurance program established under section 7(b) of
49	49	2025 IN 1205—LS 6448/DI 154 2
50	50	1 this chapter.
51	51	2 (2) A contract for prepaid health care services entered into
52	52	3 under section 7(c) of this chapter.
53	53	4 (e) A state employee health plan must provide coverage for
54	54	5 fertility preservation services for a covered individual.
55	55	6 SECTION 2. IC 5-10-8-28 IS ADDED TO THE INDIANA CODE
56	56	7 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
57	57	8 1, 2025]: Sec. 28. (a) This section applies to a state employee health
58	58	9 plan that is established, entered into, amended, or renewed after
59	59	10 June 30, 2025.
60	60	11 (b) As used in this section, "covered individual" means an
61	61	12 individual entitled to coverage under a state employee health plan.
62	62	13 (c) As used in this section, "fertility patient" means:
63	63	14 (1) an individual or couple with infertility;
64	64	15 (2) an individual or couple who is at increased risk of
65	65	16 transmitting a serious inheritable genetic or chromosomal
66	66	17 abnormality to a child; or
67	67	18 (3) an individual unable to conceive as an individual or with
68	68	19 a partner because the individual or couple does not have the
69	69	20 necessary gametes for conception.
70	70	21 (d) As used in this section, "fertility treatment" means
71	71	22 procedures, products, medications, and services, including in vitro
72	72	23 fertilization, that are:
73	73	24 (1) intended to achieve pregnancy that results in a live birth
74	74	25 with healthy outcomes; and
75	75	26 (2) provided in a manner consistent with established medical
76	76	27 practice and professional guidelines.
77	77	28 (e) As used in this section, "infertility" means:
78	78	29 (1) the presence of a condition or factor, including an
79	79	30 individual's age, that causes the loss or impairment of
80	80	31 fertility; or
81	81	32 (2) a couple's inability to achieve pregnancy after twelve (12)
82	82	33 months of unprotected intercourse when the couple has the
83	83	34 necessary gametes for conception, including the loss of a
84	84	35 pregnancy occurring within that twelve (12) month period.
85	85	36 (f) As used in this section, "state employee health plan" means
86	86	37 the following:
87	87	38 (1) A self-insurance program established under section 7(b) of
88	88	39 this chapter.
89	89	40 (2) A contract for prepaid health care services entered into
90	90	41 under section 7(c) of this chapter.
91	91	42 (g) A state employee health plan must provide coverage for
92	92	2025 IN 1205—LS 6448/DI 154 3
93	93	1 fertility treatment if the covered individual is a fertility patient.
94	94	2 SECTION 3. IC 27-8-40 IS ADDED TO THE INDIANA CODE AS
95	95	3 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE JULY
96	96	4 1, 2025]:
97	97	5 Chapter 40. Coverage for Fertility Preservation Services
98	98	6 Sec. 1. This chapter applies to a policy of accident and sickness
99	99	7 insurance that is issued, delivered, amended, or renewed after June
100	100	8 30, 2025.
101	101	9 Sec. 2. As used in this chapter, "fertility preservation services"
102	102	10 means procedures, products, medications, and services that are:
103	103	11 (1) intended to preserve fertility for an individual who is
104	104	12 expected to undergo medical treatment that may directly or
105	105	13 indirectly cause a risk of impairment of fertility; and
106	106	14 (2) consistent with established medical practice and
107	107	15 professional guidelines.
108	108	16 Sec. 3. As used in this chapter, "insured" means an individual
109	109	17 entitled to coverage under a policy of accident and sickness
110	110	18 insurance.
111	111	19 Sec. 4. As used in this chapter, "policy of accident and sickness
112	112	20 insurance" has the meaning set forth in IC 27-8-5-1.
113	113	21 Sec. 5. A policy of accident and sickness insurance must provide
114	114	22 coverage for fertility preservation services for an insured.
115	115	23 SECTION 4. IC 27-8-41 IS ADDED TO THE INDIANA CODE AS
116	116	24 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE JULY
117	117	25 1, 2025]:
118	118	26 Chapter 41. Coverage for Fertility Treatment
119	119	27 Sec. 1. This chapter applies to a policy of accident and sickness
120	120	28 insurance that is established, entered into, amended, or renewed
121	121	29 after June 30, 2025.
122	122	30 Sec. 2. As used in this chapter, "fertility patient" means:
123	123	31 (1) an individual or couple with infertility;
124	124	32 (2) an individual or couple who is at increased risk of
125	125	33 transmitting a serious inheritable genetic or chromosomal
126	126	34 abnormality to a child; or
127	127	35 (3) an individual unable to conceive as an individual or with
128	128	36 a partner because the individual or couple does not have the
129	129	37 necessary gametes for conception.
130	130	38 Sec. 3. As used in this chapter, "fertility treatment" means
131	131	39 procedures, products, medications, and services, including in vitro
132	132	40 fertilization, that are:
133	133	41 (1) intended to achieve pregnancy that results in a live birth
134	134	42 with healthy outcomes; and
135	135	2025 IN 1205—LS 6448/DI 154 4
136	136	1 (2) provided in a manner consistent with established medical
137	137	2 practice and professional guidelines.
138	138	3 Sec. 4. As used in this chapter, "infertility" means:
139	139	4 (1) the presence of a condition or factor, including an
140	140	5 individual's age, that causes the loss or impairment of
141	141	6 fertility; or
142	142	7 (2) a couple's inability to achieve pregnancy after twelve (12)
143	143	8 months of unprotected intercourse when the couple has the
144	144	9 necessary gametes for conception, including the loss of a
145	145	10 pregnancy occurring within that twelve (12) month period.
146	146	11 Sec. 5. As used in this chapter, "insured" means an individual
147	147	12 entitled to coverage under a policy of accident and sickness
148	148	13 insurance.
149	149	14 Sec. 6. As used in this chapter, "policy of accident and sickness
150	150	15 insurance" has the meaning set forth in IC 27-8-5-1.
151	151	16 Sec. 7. A policy of accident and sickness insurance must provide
152	152	17 coverage for fertility treatment if the insured is a fertility patient.
153	153	18 SECTION 5. IC 27-13-7-29 IS ADDED TO THE INDIANA CODE
154	154	19 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
155	155	20 1, 2025]: Sec. 29. (a) This section applies to an individual contract
156	156	21 and a group contract that is entered into, delivered, amended, or
157	157	22 renewed after June 30, 2025.
158	158	23 (b) As used in this section, "fertility preservation services"
159	159	24 means procedures, products, medications, and services that are:
160	160	25 (1) intended to preserve fertility for an individual who is
161	161	26 expected to undergo medical treatment that may directly or
162	162	27 indirectly cause a risk of impairment of fertility; and
163	163	28 (2) consistent with established medical practice and
164	164	29 professional guidelines.
165	165	30 (c) An individual contract or a group contract must provide
166	166	31 coverage for fertility preservation services.
167	167	32 SECTION 6. IC 27-13-7-30 IS ADDED TO THE INDIANA CODE
168	168	33 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
169	169	34 1, 2025]: Sec. 30. (a) This section applies to an individual contract
170	170	35 and a group contract that is entered into, delivered, amended, or
171	171	36 renewed after June 30, 2025.
172	172	37 (b) As used in this section, "fertility patient" means:
173	173	38 (1) an individual or couple with infertility;
174	174	39 (2) an individual or couple who is at increased risk of
175	175	40 transmitting a serious inheritable genetic or chromosomal
176	176	41 abnormality to a child; or
177	177	42 (3) an individual unable to conceive as an individual or with
178	178	2025 IN 1205—LS 6448/DI 154 5
179	179	1 a partner because the individual or couple does not have the
180	180	2 necessary gametes for conception.
181	181	3 (c) As used in this section, "fertility treatment" means
182	182	4 procedures, products, medications, and services, including in vitro
183	183	5 fertilization, that are:
184	184	6 (1) intended to achieve pregnancy that results in a live birth
185	185	7 with healthy outcomes; and
186	186	8 (2) provided in a manner consistent with established medical
187	187	9 practice and professional guidelines.
188	188	10 (d) As used in this section, "infertility" means:
189	189	11 (1) the presence of a condition or factor, including an
190	190	12 individual's age, that causes the loss or impairment of
191	191	13 fertility; or
192	192	14 (2) a couple's inability to achieve pregnancy after twelve (12)
193	193	15 months of unprotected intercourse when the couple has the
194	194	16 necessary gametes for conception, including the loss of a
195	195	17 pregnancy occurring within that twelve (12) month period.
196	196	18 (e) An individual or group contract must provide coverage for
197	197	19 fertility treatment if the enrollee is a fertility patient.
198	198	2025 IN 1205—LS 6448/DI 154