The bill mandates Medicaid coverage for fertility preservation services for individuals experiencing iatrogenic infertility due to medically necessary treatments, such as surgery, radiation, or chemotherapy. It defines "iatrogenic infertility" and specifies that coverage for standard fertility preservation services—including the storage of sperm, oocytes, embryos, and cryopreserved ovarian tissue—cannot be influenced by the beneficiary's expected length of life, disability, or personal characteristics like age or gender. Additionally, the bill ensures that providers cannot charge recipients extra fees for covered services or seek reimbursement for services deemed medically unnecessary.

To implement these provisions, the bill amends the State Medicaid program and the Plan First program, ensuring that low-to-moderate income patients have access to essential fertility preservation options. It requires the Commissioner of Human Services to apply for necessary state plan amendments or waivers to secure federal financial participation for Medicaid expenditures. Furthermore, the bill mandates the adoption of rules and regulations in accordance with the "Administrative Procedure Act" to facilitate its implementation, ultimately aiming to improve healthcare access for individuals at risk of infertility due to medical treatments.

Statutes affected:
Introduced: 30:4D-6