HLS 22RS-648 ORIGINAL
2022 Regular Session
HOUSE BILL NO. 537
BY REPRESENTATIVE DAVIS
INSURANCE/HEALTH: Requires health insurance coverage for infertility treatments
1 AN ACT
2To enact R.S. 22:1036.1 and 1036.2, relative to health insurance issuers; to require health
3 coverage plans to cover services and benefits arising from in vitro fertilization
4 outpatient expenses; to require patients to meet certain conditions; and to provide for
5 related matters.
6Be it enacted by the Legislature of Louisiana:
7 Section 1. R.S. 22:1036.1 and 1036.2 are hereby enacted to read as follows:
8 §1036.1. Required coverage for infertility treatments; outpatient expenses
9 A. A health insurance issuer offering health coverage plans in this state that
10 provide pregnancy-related benefits for individuals covered under a respective plan
11 shall offer and make available coverage for services and benefits on a cost incurred,
12 service, or prepaid basis for outpatient expenses that arise from in vitro fertilization
13 procedures.
14 B. Benefits for in vitro fertilization procedures required pursuant to this
15 Section shall be provided to the same extent as benefits provided for other
16 pregnancy-related procedures under the plan.
17 §1036.2. Conditions applicable to coverage
18 A. The coverage described in R.S. 22:1036.1 is required if all of the
19 following conditions are met:
20 (1) The patient for the in vitro fertilization procedure is an individual entitled
21 to benefits under the health coverage plan.
Page 1 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 22RS-648 ORIGINAL
HB NO. 537
1 (2) The fertilization or attempted fertilization of the patient's oocytes is made
2 only with the sperm of the patient's spouse.
3 (3) The patient and the patient's spouse have a history of infertility of at least
4 five continuous years or the infertility is associated with at least one of the following:
5 (a) Endometriosis.
6 (b) Exposure in utero to diethylstilbestrol (DES).
7 (c) Blockage of or surgical removal of one or both fallopian tubes.
8 (d) Oligospermia.
9 B. In addition to the conditions prescribed in Subsection A of this Section,
10 both of the following conditions shall apply:
11 (1) The patient has been unable to attain a successful pregnancy through any
12 less costly applicable infertility treatments for which coverage is available under the
13 health coverage plan.
14 (2) The in vitro fertilization procedures are performed at a medical facility
15 that conforms to the minimal standards for programs of in vitro fertilization adopted
16 by the American Society for Reproductive Medicine.
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HB 537 Original 2022 Regular Session Davis
Abstract: Requires health coverage plans to provide benefits for in vitro fertilization
outpatient expenses under certain conditions.
Proposed law requires a health coverage plan in this state that provides pregnancy-related
benefits for covered individuals to offer and make available coverage for services and
benefits on a cost incurred, service, or prepaid basis for outpatient expenses arising from in
vitro fertilization procedures. Requires benefits for in vitro fertilization procedures to be
provided to the same extent as benefits provided for other pregnancy-related procedures
under the plan.
Proposed law requires the patient receiving outpatient benefits for an in vitro fertilization
procedure to be entitled to benefits under the health coverage plan and meet certain
conditions of infertility. Further requires in vitro fertilization procedures to be performed
at a medical facility that conforms to the minimal standards for programs of in vitro
fertilization adopted by the American Society for Reproductive Medicine.
(Adds R.S. 22:1036.1 and 1036.2)
Page 2 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.