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RI S2460
Bill
AI Summary
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Removes the age restriction (previously limited to women ages 25-42) for infertility diagnosis and treatment coverage, replacing it with broader eligibility criteria and prohibiting discrimination based on age, sex, sexual orientation, marital status, gender identity, or disability
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Expands the definition of "infertility" to include conditions recognized by healthcare providers affecting pregnancy ability, inability to conceive after 12 months (or 6 months for older individuals), lack of necessary gametes, and risk of transmitting inheritable genetic abnormalities
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Mandates coverage for at least four complete oocyte retrievals with unlimited embryo transfers, embryo transfers to third parties/surrogates, donor gametes/embryos, and preimplantation genetic testing
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Prohibits insurers from imposing different deductibles, copayments, waiting periods, or benefit maximums on infertility treatment compared to other medical services, and bars pre-existing condition exclusions for infertility
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Removes the previous $100,000 lifetime coverage cap and applies to accident and sickness insurance policies, nonprofit hospital and medical service corporations, and health maintenance organizations, effective January 1, 2027
Legislative Description
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.
Insurance
Last Action
Introduced, referred to Senate Health and Human Services
2/6/2026