MO HB1719

Requires group health insurance policies covering more than 25 employees delivered, issued, or renewed after January 1, 2015 to include coverage for infertility diagnosis and treatment, including in vitro fertilization, artificial insemination, and other specified procedures.

Limits coverage for in vitro fertilization, gamete intrafallopian tube transfer, and zygote intrafallopian tube transfer to individuals who have failed less costly medically appropriate infertility treatments and have not undergone four completed oocyte retrievals (or two retrievals if a live birth resulted).

Requires procedures to be performed at medical facilities conforming to American College of Obstetric and Gynecological guidelines or American Fertility Society minimal standards for in vitro fertilization clinics.

Exempts religious institutions, organizations, and entities sponsored by religious organizations from the coverage requirement if they find the procedures violate their religious and moral teachings.

Defines infertility as the inability to conceive after one year of unprotected sexual intercourse or inability to sustain a successful pregnancy, and excludes supplemental insurance policies from the requirement.