This bill amends the laws governing the State and Public School Life and Health Insurance Program to mandate coverage for in vitro fertilization (IVF). It introduces a new section, 21-5-425, which stipulates that the program must include IVF as a covered expense. The Director of the Employee Benefits Division is tasked with establishing minimum and maximum coverage levels for IVF after conducting studies and public hearings. The coverage will encompass services performed at licensed medical facilities that meet the standards set by recognized medical organizations, and continued certification of these facilities will depend on their success rates in fertilizations and births.
Additionally, the bill outlines the process for the adoption of initial rules by the Employee Benefits Division, requiring them to file these rules with the Secretary of State by January 1, 2026, or as soon as practicable after necessary approvals are obtained. The division must also ensure that proposed rules are submitted to the Legislative Council in advance of this deadline for consideration. This legislative change aims to enhance reproductive health options for individuals covered under the state insurance program.