Insurance; requiring coverage for certain retrieval services under certain circumstances; specifying terms of coverage. Effective date.
Impact
By requiring health benefit plans to offer coverage for these retrieval services, SB6 seeks to ensure equitable access to necessary reproductive health services for those affected by treatment-related infertility. This could significantly impact individuals' ability to conceive following medically necessary treatments. State laws will need to adapt to enforce this requirement, potentially influencing how health plans are structured and what benefits are included.
Summary
Senate Bill 6 aims to enhance coverage under health benefit plans for individuals who face iatrogenic infertility as a result of medical treatments for cancer. The bill defines key terms such as 'health benefit plan' and 'retrieval,' providing a clear framework for coverage of procedures related to the retrieval of eggs or sperm. This coverage is mandated for plans issued or renewed post-effective date, specifically targeting those undergoing treatments like surgery, chemotherapy, or radiation that could impair fertility.
Contention
While the bill aims to provide critical support for a vulnerable population, it may generate discussions regarding the extent of coverage and implications for insurance costs. Stakeholders in the insurance industry might raise concerns about the additional financial burden this could impose. Conversely, advocates for patient rights may argue that such measures are essential for safeguarding reproductive health following serious medical treatments. The balance between providing comprehensive care and managing insurance expenses will be a key point of contention as the bill progresses.
Health insurance coverage; requiring health benefit plans to provide coverage for at home care for persons with certain conditions; specifying terms of coverage. Effective date.
Health insurance; prohibiting insurers from refusing coverage under certain circumstances; requiring out-of-network providers be reimbursed at the same rate as in-network providers. Emergency.
Behavioral health; requiring health insurer to cover certain out-of-network services under certain circumstances; providing exceptions. Effective date.
Medicaid; requiring coverage of medically necessary donor human milk-derived products under certain conditions; requiring certain reimbursement. Effective date. Emergency.