Raised Bill No. 5378 is a legislative proposal concerning health insurance coverage for the diagnosis and treatment of infertility. The bill seeks to amend sections 38a-509(a) and 38a-536(a) of the 2024 supplement to the general statutes, with an effective date of January 1, 2025. The proposed changes include the deletion of the previous effective date of January 1, 2018, and the insertion of a new effective date of January 1, 2025. The bill specifies that individual and group health insurance policies delivered, issued for delivery, amended, renewed, or continued in the state on or after the new effective date must provide coverage for medically necessary expenses related to infertility diagnosis and treatment. This includes a range of procedures such as ovulation induction, intrauterine insemination, in-vitro fertilization, and various embryo and gamete transfer methods.
The bill also expands the definition of "infertility" to include three specific conditions: (1) the inability to conceive or sustain a successful pregnancy over a one-year period, (2) the inability to conceive due to the absence of necessary gametes, and (3) situations where such treatment is medically necessary. These insertions aim to provide a more inclusive definition of infertility, ensuring that a broader range of individuals and couples can access the necessary health insurance coverage for infertility treatments. The stated purpose of the bill is to provide equal access to health insurance coverage for the diagnosis and treatment of infertility.