This bill mandates that health plans and medical assistance programs in Minnesota provide coverage for infertility treatment. It introduces a new section, [62A.0412], which outlines the scope of coverage applicable to all health plans offering maternity benefits. The bill specifies that coverage must include medically necessary infertility procedures recognized by professional medical organizations, such as the American Society for Reproductive Medicine. It details the types of procedures covered, including ovulation induction, artificial insemination, and in vitro fertilization, while allowing for certain limitations, such as a maximum of four completed egg retrievals per year. Additionally, it stipulates that cost-sharing for infertility treatment should not exceed that of maternity coverage.

Furthermore, the bill amends Minnesota Statutes 2022, section 256B.0625, to include a new subdivision that mandates medical assistance to cover infertility diagnosis and treatment, as well as standard fertility preservation services. This coverage is also contingent on medical necessity and recognition by established medical organizations. The definitions of infertility and the scope of treatment are clearly outlined, ensuring comprehensive coverage for those affected. The effective date for these provisions is set for January 1, 2025, or upon federal approval, whichever comes later. Notably, the bill removes the previous exclusion of fertility drugs from medical assistance coverage, thereby expanding access to necessary medications for individuals seeking infertility treatment.

Statutes affected:
1st Engrossment: 256B.0625