This bill amends Section 6 of P.L.1968, c.413 (C.30:4D-6) to mandate Medicaid coverage for medically necessary ovulation enhancing drugs and related medical services for individuals aged 21 to 44 who are experiencing infertility. The bill defines infertility as the inability to conceive after 12 months of unprotected intercourse for individuals aged 21 to 34, or after six months for those aged 35 to 44. Covered services include office visits, hysterosalpingograms, pelvic ultrasounds, and blood testing, with a limit of three treatment cycles per beneficiary's lifetime.
Furthermore, the bill empowers the Commissioner of Human Services to apply for necessary state plan amendments or waivers to implement these changes and secure federal financial participation for Medicaid expenditures. The Commissioner is also responsible for adopting rules and regulations to facilitate the bill's implementation. The act is set to take effect four months after its enactment, although preparatory administrative actions may be initiated prior to that date.
Statutes affected: Introduced: 30:4D-6