13 | 13 | | A BILL TO BE ENTITLED 1 |
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14 | 14 | | AN ACT APPROPRIATING FUNDS TO THE OFFICE OF STATE BUDGET AND 2 |
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15 | 15 | | MANAGEMENT FOR A FERTILITY PRESERVATION PILOT PROGRAM . 3 |
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16 | 16 | | The General Assembly of North Carolina enacts: 4 |
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17 | 17 | | SECTION 1.(a) There is appropriated from the General Fund to the Office of State 5 |
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18 | 18 | | Budget and Management the sum of two million two hundred fifty thousand dollars ($2,250,000) 6 |
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19 | 19 | | in nonrecurring funds for each year of the 2025-2027 fiscal biennium to be awarded as directed 7 |
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20 | 20 | | grants in equal amounts to the following entities for the Fertility Preservation Pilot Program 8 |
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21 | 21 | | authorized by subsection (b) of this section: 9 |
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22 | 22 | | (1) Duke University School of Medicine's Onco-Fertility Program. 10 |
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23 | 23 | | (2) The University of North Carolina at Chapel Hill School of Medicine's Fertility 11 |
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24 | 24 | | Clinic/Fertility Preservation Program. 12 |
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25 | 25 | | (3) The Atrium Health Levine Cancer Center's REhope Cancer Fertility 13 |
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26 | 26 | | Treatment Program. 14 |
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27 | 27 | | SECTION 1.(b) There is established a Fertility Preservation Pilot Program 15 |
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28 | 28 | | (Program) for the period commencing July 1, 2025, and ending June 30, 2032. The purpose of 16 |
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29 | 29 | | the pilot program is to assist individuals whose future fertility is in jeopardy as a result of a cancer 17 |
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30 | 30 | | diagnosis or cancer treatment with obtaining any combination of in vitro fertilization (IVF) or 18 |
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31 | 31 | | intrauterine insemination (IUI) services; fertility preservation services; or fertility storage 19 |
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32 | 32 | | services, as appropriate. The pilot program shall be conducted by the three grantees specified in 20 |
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33 | 33 | | subsection (a) of this section. Each grantee shall establish an application process, eligibility 21 |
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34 | 34 | | criteria, and operating guidelines for their respective pilot program locations, subject to the 22 |
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35 | 35 | | following requirements and limitations: 23 |
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36 | 36 | | (1) An applicant who meets one or more of the following criteria is eligible to 24 |
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37 | 37 | | participate in the Program: 25 |
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38 | 38 | | a. Is uninsured. 26 |
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39 | 39 | | b. Has health insurance that does not provide comprehensive coverage 27 |
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40 | 40 | | for in vitro fertilization (IVF) or intrauterine insemination (IUI), for 28 |
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41 | 41 | | fertility preservation services, or for fertility storage services. 29 |
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42 | 42 | | c. Has health insurance that does provide comprehensive coverage for 30 |
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43 | 43 | | the services enumerated in sub-subdivision b. of this subdivision but 31 |
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44 | 44 | | would result in financial responsibility for the patient in excess of one 32 |
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45 | 45 | | thousand dollars ($1,000). 33 |
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46 | 46 | | d. Meets one or more of the criteria described in sub-subdivisions a. 34 |
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49 | 52 | | three hundred percent (300%) of the federal poverty level for a 1 |
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50 | 53 | | household of three. 2 |
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51 | 54 | | (2) The amount of financial assistance provided to Program participants shall not 3 |
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52 | 55 | | exceed any of the following: 4 |
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53 | 56 | | a. For female Program participants, a maximum of twelve thousand 5 |
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54 | 57 | | dollars ($12,000) for oocyte retrieval, cryopreservation, and up to five 6 |
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55 | 58 | | years of storage services. 7 |
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56 | 59 | | b. For male Program participants, a maximum of one thousand five 8 |
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57 | 60 | | hundred dollars ($1,500) for sperm retrieval, cryopreservation, and up 9 |
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58 | 61 | | to five years of storage services. 10 |
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59 | 62 | | c. A maximum of twenty-six thousand dollars ($26,000) per Program 11 |
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60 | 63 | | participant for IVF or IUI services, which must be scheduled for the 12 |
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61 | 64 | | Program participant within five years after oocyte or sperm retrieval. 13 |
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62 | 65 | | SECTION 1.(c) The grantees may use up to three percent (3%) of their directed 14 |
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63 | 66 | | grant funds for administrative costs associated with the Fertility Preservation Pilot Program 15 |
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64 | 67 | | authorized by this section. 16 |
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65 | 68 | | SECTION 1.(d) Each grantee may reserve up to twenty-six thousand dollars 17 |
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66 | 69 | | ($26,000) per applicant for future IVF or IUI services, as appropriate. However, funds shall not 18 |
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67 | 70 | | be reserved for IVF or IUI services scheduled more than five years after oocyte or sperm retrieval. 19 |
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68 | 71 | | SECTION 1.(e) Funds appropriated by subsection (a) of this section shall not revert 20 |
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69 | 72 | | at the end of the fiscal year but shall remain available until they are expended or June 30, 2032, 21 |
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70 | 73 | | whichever is earlier. 22 |
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71 | 74 | | SECTION 2. By February 1, 2028, and annually thereafter until February 1, 2033, 23 |
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72 | 75 | | each grantee shall submit a report to the Joint Legislative Commission on Governmental 24 |
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73 | 76 | | Operations, the Joint Legislative Oversight Committee on Health and Human Services, and the 25 |
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74 | 77 | | Fiscal Research Division that includes as least all of the following information in a format that 26 |
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75 | 78 | | complies with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and 27 |
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76 | 79 | | other pertinent federal and State laws governing privacy and security of confidential data and 28 |
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77 | 80 | | records: 29 |
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78 | 81 | | (1) An itemized list of expenditures. 30 |
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79 | 82 | | (2) The types of fertility treatment services, fertility preservation services, and 31 |
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80 | 83 | | fertility storage services funded by State appropriations, and the number of 32 |
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81 | 84 | | Program participants served with respect to each. 33 |
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82 | 85 | | (3) The amount of State appropriations held in reserve for future IVF or IUI 34 |
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83 | 86 | | services and the number of Program participants for whom these funds are 35 |
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84 | 87 | | being held in reserve. 36 |
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85 | 88 | | (4) An evaluation of the effectiveness and outcome of each service funded by 37 |
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86 | 89 | | State appropriations. 38 |
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87 | 90 | | SECTION 3. This act becomes effective July 1, 2025. 39 |
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