This bill mandates that all health plans providing maternity benefits in Minnesota must cover infertility treatment and standard fertility preservation services. It establishes definitions for infertility and outlines the required coverage, which includes diagnosis and treatment for infertility, as well as unlimited embryo transfers and a limit of four completed oocyte retrievals. The bill also specifies that health plans cannot impose cost-sharing requirements greater than those for maternity coverage and prohibits any exclusions or limitations on fertility medications and services that differ from those applied to other prescription medications. Additionally, the bill includes provisions for reimbursement to health plan companies and appropriates funds for the implementation of these requirements.

Furthermore, the bill amends Minnesota Statutes to ensure that medical assistance and MinnesotaCare also cover infertility treatment and standard fertility preservation services, aligning with the same requirements applicable to health plans. It includes appropriations for fiscal years 2026 and 2027 to support these coverage mandates and outlines the necessary funding for both medical assistance and MinnesotaCare. The effective date for these provisions is set for January 1, 2026, or upon federal approval, whichever is later.

Statutes affected:
Introduction: 256B.0625