This bill establishes new requirements for health insurance coverage related to infertility diagnosis, treatment, and standard fertility preservation services in Iowa. It mandates that any policy, contract, or plan providing third-party payment for health or medical expenses must cover infertility diagnosis and treatment, including up to three completed oocyte retrievals with unlimited embryo transfers, and ensure that coverage for fertility medications is at least as favorable as that for other prescription medications. Additionally, any limitations on coverage, such as deductibles and copayments, must not be less favorable than those for other covered services.

The bill also allows religious employers to request an exclusion from the required coverage if it conflicts with their religious beliefs, and they must notify employees of this exclusion. The provisions of the bill will apply to various types of health insurance contracts and plans issued or renewed in Iowa after July 1, 2026, while explicitly excluding certain types of insurance such as accident-only or dental coverage. The commissioner of insurance is authorized to adopt rules for the administration of this section.