Wisconsin Senate Bill SB723

Wisconsin 2023-2024 Regular Session

• Introduced: 11/21/23
• Refer: 11/21/23
• Failed: 4/15/24

Caption

Coverage of infertility services under self-insured governmental health plans and health policies and plans offered to state employees, and granting rule-making authority.

Impact

Should this bill take effect, it will align certain state health plans with modern practices regarding fertility treatments, making state-funded policies more comprehensive and accessible. By explicitly requiring coverage for infertility services, SB723 addresses a significant gap in many existing health insurance plans, thereby promoting reproductive health and options for individuals and couples experiencing infertility. The legislation reflects a proactive approach to health policy by recognizing the medical necessity of such treatments and providing a framework for their implementation within public health systems.

Summary

Senate Bill 723 aims to enhance healthcare coverage for infertility services under self-insured governmental health plans and those health policies available to state employees. The bill mandates that such plans cover diagnostic procedures and treatments for infertility as well as standard fertility preservation services. This coverage includes at a minimum four completed egg retrievals with the provision for unlimited embryo transfers, emphasizing adherence to guidelines from recognized medical bodies such as the American Society for Reproductive Medicine. The legislation seeks to eliminate any restrictions or exclusions on medications related to infertility that are not applied to other covered medications, ensuring uniformity in equivalent treatments.

Contention

Despite the apparent benefits, the bill may face scrutiny and opposition from various stakeholders concerned about the financial implications for state budgets and the potential for increased premiums as coverage expands. Critics may argue that mandating such coverage could place additional burdens on self-insured plans, especially municipalities seeking to maintain manageable costs. Discussions surrounding this legislation will likely revolve around balancing the right to comprehensive healthcare against fiscal responsibility and the operation of state-funded health plans.