HI SCR241

Request the State Auditor to assess social and financial impacts of mandating health insurance coverage for fertility preservation procedures for cancer patients whose cancer or treatment may affect fertility, as specified in House Bill No. 2242 and Senate Bill No. 3308.

Direct the Auditor to survey other states that have implemented cryopreservation coverage mandates for cancer patients and examine the resulting social and financial impacts in those states.

Require the Auditor to research whether proposed cryopreservation coverage exceeds essential health benefits and thus would require state cost-sharing; examine medical definitions of "reproductive age" and success rates by age group; and review coverage standards used by Medicare, Medicaid, and private entities.

Direct the Auditor to examine medically necessary standards of care for infertility treatments, current scientific studies on cryopreservation efficacy, and whether coverage is limited to iatrogenic infertility caused by cancer treatment.

Require the Auditor to research ethical and legal issues surrounding ownership rights of cryopreserved material, storage duration and destruction procedures, posthumous use rights, spousal access after donor death, and decision-making authority for storage and disposal.

Require the Auditor to submit findings and recommendations to the Legislature no later than twenty days before the Regular Session of 2023.