GREEN SHEET REDIGEST
HB 186 2023 Regular Session Davis
INSURANCE/HEALTH: Provides relative to health insurance coverage for standard
fertility preservation services.
DIGEST
Proposed law requires a health coverage plan (plan) that provides hospital, medical, or
surgical benefits to cover medically necessary expenses for standard fertility preservation
services for a covered individual who undergoes a medical treatment for cancer that may
directly or indirectly cause iatrogenic infertility. Requires a plan to cover the costs associated
with storage of oocytes and sperm for a minimum of three years, but authorizes a plan to
exclude such storage costs thereafter.
Proposed law prohibits a plan from requiring preauthorization for coverage, but authorizes
a plan to contain provisions for maximum benefits and applications of deductibles,
copayments, coinsurances, and reasonable limitations and exclusions to the extent that these
applications are not inconsistent with proposed law.
Proposed law authorizes a religious employer to submit to an issuer a written request for
exemption when the employer's beliefs and practices conflict with the requirements of
proposed law. Requires a religious employer exempt from proposed law to provide written
notice of its exemption to prospective enrollees of its plan. Further authorizes an enrollee
of a plan provided by his religious employer to purchase, at his own expense, a supplemental
insurance policy that covers standard fertility preservation services.
Proposed law defines "health coverage plan", "iatrogenic infertility", "medical treatment that
may directly or indirectly cause iatrogenic infertility", "religious employer", and "standard
fertility preservation services".
Proposed law may be known and cited as "The Medically Necessary Fertility Preservation
Act".
Effective Jan. 1, 2024, if an appropriation for such purposes is provided by the legislature.
(Adds R.S. 22:1036.1)
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Insurance to the original
bill:
1. Add that proposed law does not apply to plans offered through the Office of
Group Benefits until proposed law has been studied and the legislature specifies
an appropriation.
2. Make technical changes.
The Committee Amendments Proposed by House Committee on Appropriations to the
engrossed bill:
1. Delete provision relative to applicability of proposed law to plans offered by the
Office of Group Benefits.
Page 1 of 2
Prepared by Tracy Sabina Sudduth. The House Floor Amendments to the reengrossed bill:
1. Add that proposed law does not prohibit an enrollee of a health coverage plan
provided by his religious employer from purchasing, at his own expense, a
supplemental insurance policy to cover standard fertility preservation services.
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Insurance to the re-
reengrossed bill
1. Applies the Act to health coverage plans issued prior to the January 1, 2024,
when renewed but no later than January 1, 2025.
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Finance to the engrossed
bill
1. Provides that proposed law shall only go into effect on January 1, 2024, if an
appropriation for such purposes is provided by the legislature.
Page 2 of 2
Prepared by Tracy Sabina Sudduth.