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PA SB272
Bill
Status
2/20/2025
Primary Sponsor
Amanda Cappelletti
Click for details
AI Summary
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Health insurance policies in Pennsylvania would be required to cover infertility care and waive all cost-sharing requirements (deductibles, copays, coinsurance) for these services
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Covered treatments include IVF, intrauterine insemination, egg/sperm/embryo cryopreservation, surrogacy costs, fertility medications, and unlimited embryo transfers following American Society for Reproductive Medicine guidelines
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Coverage must extend to spouses and dependents without discrimination based on age, gender identity, sexual orientation, marital status, or other protected characteristics
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Insurers are prohibited from imposing preexisting condition exclusions, using prior infertility diagnosis to restrict coverage, or setting arbitrary limits on the number of treatment attempts or costs
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Applies to individual and group health plans, CHIP, Medicaid managed care, and HMOs but excludes accident-only, dental, vision, long-term care, and similar limited policies; takes effect 60 days after enactment
Legislative Description
In casualty insurance, providing for infertility care coverage.
Last Action
Referred to Banking & Insurance
2/20/2025