New York 2025-2026 Regular Session

New York Senate Bill S05545

Introduced
2/24/25  

Caption

Establishes "The Equity in Fertility Treatment Act"; relates to the definition of infertility and health insurance coverage for the treatment of infertility.

Summary

Bill S05545, known as "The Equity in Fertility Treatment Act," aims to amend the New York insurance law to provide a clearer definition of infertility and to enhance health insurance coverage for in-vitro fertilization (IVF) treatments. The bill defines infertility as a disease characterized by the inability to conceive after a specified period of unprotected intercourse or medical intervention. It also introduces the concept of iatrogenic infertility, which refers to infertility caused by medical treatments such as surgery or chemotherapy. The bill mandates that large group insurance policies must cover three completed oocyte retrievals and IVF treatments, including unlimited embryo transfers, in accordance with established medical guidelines.

Impact

The passage of this bill would significantly impact state insurance laws by expanding the definition of infertility and ensuring that health insurance providers cover specific fertility treatments. This change would require insurers to offer comprehensive coverage for IVF, thereby reducing the financial burden on individuals seeking fertility treatments. The bill aligns state law with modern medical practices and standards, potentially increasing access to fertility services for New Yorkers.

Sentiment

The sentiment surrounding Bill S05545 appears to be generally positive, with supporters emphasizing the importance of equitable access to fertility treatments and the need for insurance coverage to reflect current medical understanding. There has been a recognition of the challenges faced by individuals experiencing infertility and a desire to address these issues through legislative action. However, specific concerns regarding the financial implications for insurance providers and potential pushback from certain stakeholders have been noted in discussions.

Contention

Notable points of contention include concerns from some insurance providers regarding the financial impact of mandated coverage for IVF treatments. Critics argue that the requirement for unlimited embryo transfers and multiple retrievals could lead to increased premiums for policyholders. Supporters of the bill counter that equitable access to fertility treatments is a critical health issue that justifies the changes. The debate reflects broader discussions about healthcare costs and the responsibilities of insurance companies in providing comprehensive coverage for reproductive health.

Companion Bills

NY A00885

Same As Establishes "The Equity in Fertility Treatment Act"; relates to the definition of infertility and health insurance coverage for the treatment of infertility.

Previously Filed As

NY S08866

Establishes "The Equity in Fertility Treatment Act"; relates to the definition of infertility and health insurance coverage for the treatment of infertility.

NY A00885

Establishes "The Equity in Fertility Treatment Act"; relates to the definition of infertility and health insurance coverage for the treatment of infertility.

NY SF1961

Infertility treatment and standard fertility preservation services coverage by health plans requirement, MinnesotaCare and medical assistance coverage of infertility treatment and standard fertility preservation services requirement, and appropriation

NY S689

Improving access to infertility treatment

NY H1191

Improving access to infertility treatment

NY H4551

Improving access to infertility treatment

NY SB0922

Insurance: health insurers; coverage for the treatment of infertility; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406cc.

NY HB5904

Insurance: health insurers; coverage for the treatment of infertility; require. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406cc.

NY HF1758

Health plans required to cover infertility treatment and standard fertility preservation services, medical assistance and MinnesotaCare required to cover infertility treatment and standard fertility preservation services, and money appropriated.

NY SB351

In casualty insurance, providing for coverage for infertility treatment.

Similar Bills

No similar bills found.