The bill, S.B. No. 833, amends Section 1366.005 of the Insurance Code to update the conditions under which health benefit plans are required to cover in vitro fertilization (IVF) procedures. Key changes include the removal of the requirement that fertilization must only occur with the sperm of the patient's spouse, allowing for broader eligibility. Additionally, the bill reduces the required duration of infertility from five years to three years, while still maintaining specific conditions related to infertility causes, such as endometriosis and blockage of fallopian tubes.

Furthermore, the bill stipulates that coverage for IVF procedures is contingent upon the patient being unable to achieve a successful pregnancy through less costly infertility treatments available under their health plan. It also mandates that IVF procedures must be performed at facilities meeting the standards set by the American Society for Reproductive Medicine. The new provisions will apply to health benefit plans issued or renewed on or after January 1, 2026, with the current law remaining in effect for plans renewed before that date. The act is set to take effect on September 1, 2025.

Statutes affected:
Introduced: Insurance Code 1366.005 (Insurance Code 1366)