HB139 Summary

• Requires individual and group health insurance policies issued or renewed after December 31, 2025, to cover standard fertility preservation services for persons undergoing medically necessary treatment that may cause iatrogenic infertility (fertility impairment from surgery, chemotherapy, radiation, or other medical treatment).

• Covers individuals under 26 years of age and prohibits insurers from using prior diagnoses, prior fertility treatment, or health status as a basis for excluding or limiting required coverage.

• Limits clinical guidelines to the 2018 update of the American Society of Clinical Oncology guidelines and excludes experimental procedures, third-party assisted reproduction technology (donor eggs, surrogates, gestational carriers), and cryopreservation storage services from coverage requirements.

• Applies the same fertility preservation coverage requirements to hospital and medical service plans and health maintenance organizations.

• Takes effect December 31, 2050.