An act relating to health insurance and Medicaid coverage for fertility-related services
Impact
The implementation of S0063 will significantly modify state legislation related to health insurance by adding specific requirements for coverage of fertility treatments. By ensuring that these services are covered, the bill is designed to improve health equity for individuals facing infertility issues, thereby enhancing reproductive rights and health care accessibility in the state. The bill mandates that health insurers cannot impose less favorable terms for fertility treatment than for other medical conditions, aiming for parity in coverage. This can be expected to positively influence the ability of individuals and couples to access necessary medical interventions.
Summary
Bill S0063, titled 'An act relating to health insurance and Medicaid coverage for fertility-related services', aims to expand access to fertility services in Vermont by mandating that health insurance plans and Vermont Medicaid provide coverage for various fertility-related services. This includes fertility diagnostic care, intrauterine insemination, and up to three rounds of in vitro fertilization (IVF) treatment along with essential medications. The bill seeks to alleviate the financial burden associated with these services, which may have been prohibitively expensive for many individuals seeking fertility treatments.
Contention
Key points of contention surrounding S0063 include debates over the financial implications for insurance providers and the potential impact on premium costs. Some legislators may express concern that expanding coverage for fertility services could lead to increased health insurance premiums for all insured individuals, while others argue that the state has a responsibility to support reproductive health services. Additionally, there may be discussions on whether the bill should include coverage for experimental procedures and services tied to surrogacy, which could lead to further legislative negotiations.
Amends the current law on health insurance coverage for fertility diagnostic care, standard fertility preservation services, and fertility treatment and requires coverage for any medically necessary ovulation-enhancing drugs and medical services.
To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.