Video & Transcript Research : 'infertility coverage'
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AL
Alabama 2025 Regular Session
Alabama House Constitution, Campaigns and Elections Committee Mar 5th, 2025
Constitution, Campaigns and Elections
Keywords:
primary election, election calendar, off-presidential year, May primary, second Tuesday in May, fourth Tuesday in May, runoff primary, special primary, presidential primary, election administration, candidate filing, ballot access, political parties, county election officials, state election law, Alabama elections, elections, voter registration, publishing requirements, cost-saving
AL
Keywords:
immigration, law enforcement, fingerprints, DNA collection, illegal aliens, Alabama state law, out-of-state warrants, criminal procedure, extradition, Alabama Code, arrest authority, interstate cooperation, Marshall County, TVA, Tennessee Valley Authority, in-lieu-of-taxes, payments distribution, local legislation, school funding, education finance
MN
Transcript Highlights:
- Committee and also in my committee, and we still are seeing a great need for more coverage of infertility
- Committee and also in my committee, and we still are seeing a great need for more coverage of infertility
- <00:51:36.800>
uh <00:51:37.000>for <00:51:37.360>infertil- to improve coverage - uh for infertil- to improve coverage uh for infertil- infertility<00:51:38.920>
treatment <00: - of infertility treatments and so what this bill or what this language would do would be to extend coverage
NV
Nevada 2025 Regular Session
Senate Committee on Commerce and Labor Jun 1st, 2025 at 08:00 am
Commerce and Labor
Transcript Highlights:
- As Chair Pazina mentioned, it is a bill that requires certain health plans to include coverage for fertility
- So this bill basically requires health plans to provide coverage, insured coverage, for those who don't
- Cancer patients often face this step while going through this without any coverage or limited coverage
- Cancer patients often face this step while going through this without any coverage or limited coverage
- or prospective insured disclosing that the insurer does not provide such coverage.
ND
North Dakota 2026 1st Special Session
Employee Benefits Programs Committee May 7th, 2026 at 10:00 am
Employee Benefits Programs Committee
Transcript Highlights:
- If those pass, those get added to the coverage and then whatever coverage ends up being final after legislative
- So that is what someone, what the family coverage costs and what the single coverage costs.
- Those are the types of coverage we're looking to add.
- Some that are asking for those additional coverages.
- This draft requires the PERS Board to provide coverage for the diagnosis of infertility and fertility
ND
North Dakota 2026 1st Special Session
Health Care Committee Feb 12th, 2026 at 09:30 am
Transcript Highlights:
- PERS was also no longer required to introduce a bill to continue the coverage and extend coverage to
- Health Insurance Coverage Mandates.
- We are providing the coverage.
- , so it's expanding the coverage with the monthly cap, but it's not new coverage.
- , expanding coverage, changing coverage, than we experienced previously.
Summary:
The committee met to review the history and current treatment of North Dakota health insurance mandates, with presentations from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, the Public Employees Retirement System (PERS), and the Insurance Department. The discussion focused on how mandates apply differently to fully insured, self-funded, ACA, Medicaid, and PERS plans; how the state’s benchmark plan and federal essential health benefits affect coverage; and how the existing process requires cost-benefit analysis and, for certain measures, a PERS pilot period before broader application. Presenters also reviewed the long list of existing state mandates, including provider, beneficiary, and coverage requirements, and noted that many were enacted decades ago and have not been revisited despite changes in medical evidence and treatment options.
Witnesses from the carriers argued that mandates should be reviewed periodically because some are outdated, can create unintended costs, and may not align with current medical guidance. Examples cited included PSA screening, off-label drug coverage, prior authorization rules, step therapy, and cost-sharing provisions for mental health and substance use treatment. They emphasized that carriers often cover services without a mandate when supported by clinical evidence, and that mandates can shift costs to employers and employees, especially in the fully insured small-group market. They also suggested possible policy improvements such as clearer mandate definitions, better transparency around cost-benefit analyses, a regular 10-year review of mandates, and more timely submission of proposals through the interim process.
PERS and the Insurance Department highlighted a recurring tension over what counts as a mandate and when a measure triggers the state’s defrayal obligation under federal law. PERS described its interim committee process, the April 1 deadline for fiscal-impact proposals, and the limited pilot program used for certain measures, noting that only a few bills have gone through the full pilot process. The Insurance Department explained that it views new benefit mandates through the lens of the ACA benchmark plan and essential health benefits, distinguishing true new benefits, such as infertility coverage, from changes to existing benefits, such as telehealth or insulin cost-sharing caps. No votes were taken on policy changes; the meeting was informational, with members asking questions about costs, applicability, transparency, and whether a periodic mandate review should be established.
HI
Transcript Highlights:
- We'll start off with the first bill, which is House Bill 1864, providing health insurance coverage for
- Lu, if I could just clarify, you're saying that the coverage should apply to all women above the age
- coverage offered to almost<00:08:32.159>
all <00:08:32.719>beneficiaries <00:08:33.440> - clarify, you're saying that the coverage clarify, you're saying that the coverage should<00:08:51.519
- infertility. Thank you. infertility. Thank you. >> Thank<00:11:21.600>
you.
Keywords:
cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review
Summary:
The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category.
HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses.
The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.
FL
Florida 2026 Regular Session
Governmental Oversight and Accountability Mar 11th, 2025
Governmental Oversight and Accountability
Transcript Highlights:
- Cancer treatments such as chemotherapy and radiation can cause permanent infertility, leaving survivors
- This amendment expands Florida state employee fertility preservation coverage beyond cancer to include
- It expands coverage to those facing infertility due to surgery, chemotherapy, radiation, or other medically
- And I look forward to making sure everyone can get this coverage in future years.
- And I look forward to making sure everyone can get this coverage in future years.
Summary:
The Committee on Governmental Oversight and Accountability met and reported several bills favorably. Senate Bill 7000 repealed the sunset on a public records exemption protecting site-specific location information for threatened and endangered species; Senate Bill 7006 preserved exemptions for building plans and related records showing 911, E911, public safety radio, and NG911 infrastructure; and Senate Bill 7004 extended the exemption for property photographs and personal identifying information tied to certain housing assistance programs. Each of those bills drew no questions, no public testimony, and no debate before favorable votes.
The committee also considered Senate Bill 448 on administrative procedure, which proposed broader reforms to the Administrative Procedure Act, including agency rulemaking oversight and cost-benefit analysis requirements. An amendment removed the bill’s eight-year sunset. The Florida Bar’s Administrative Law Section testified with concerns that some provisions could chill agency guidance, increase costs and delays, and create standing issues for challenges. Supportive testimony also came from Americans for Prosperity and the James Madison Institute. After debate, the committee reported the bill favorably as amended.
Senate Bill 1058, as amended, updated state references to the “Gulf of America” in geographic and instructional materials and removed the road designation of Tamami Trail. Senator Polsky objected to the change as unnecessary and wasteful, while the sponsor said the bill simply aligns materials with the new name going forward. The committee adopted the strike-all amendment and then reported the bill favorably. Later, Senate Bill 924 was heard and amended to expand state employee fertility preservation coverage beyond cancer to other medically necessary treatments, remove age limits, require coverage of standard cryopreservation services, and set storage limits. Senators Polsky and Rodriguez praised the measure as important for young patients facing infertility risks, while one senator questioned whether the state group plan was the right vehicle. The committee reported SB 924 favorably, and members later recorded additional affirmative votes on SB 448 and SB 1058 before adjournment.
FL
Florida 2025 Regular Session
Governmental Oversight and Accountability Mar 11th, 2025
Transcript Highlights:
- CANCER TREATMENT SUCH AS CHEMOTHERAPY AND RADIATION CAN CAUSE PERMANENT INFERTILITY LEAVING SURVIVORS
- THAT MAY CAUSE INFERTILITY.
- THIS EXPLAINS THE FERTILITY PRESERVATION COVERAGE BEYOND CANFER FOR THOSE WHO UNDERGO MEDICALLY NECESSARY
- TREATMENT AND EXPANDS COVERAGE TO THOSE FACING INFERTILITY DUE TO SURGERY, CHEMOTHERAPY, RADIATION,
- I LOOK FORWARD TO MAKING SURE THAT EVERYONE CAN GET THIS COVERAGE IN FUTURE YEARS.
HI
Keywords:
coral reefs, sunscreen, environmental education, student stewardship, marine conservation, tree canopy, public schools, environmental equity, shade coverage, education, HCR183, House Concurrent Resolution, Department of Education, DOE, immigration enforcement, ICE, federal immigration officers, sensitive locations, school safety, student protection
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 2/25/26 - Part 2
Health Finance and Policy
Keywords:
hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 2/25/26 - Part 1
Health Finance and Policy
Transcript Highlights:
- So again, House File 1807 doesn't mandate coverage of any treatment.
- So again, House File 1807 doesn't<00:23:46.480>
mandate <00:23:46.960>coverage <00:23:47.280 - >
of <00:23:47.600>any doesn't mandate coverage of any doesn't mandate coverage of any - And currently, insurance coverage structures are unintentionally incentivizing opioids by making them
Keywords:
hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure
AL
Alabama 2026 1st Special Session
Alabama Senate Education Policy Committee Feb 25th, 2026
Education Policy
Keywords:
military installations, tall structures, local government, construction approval, wind energy facilities, archives, history, board of trustees, vacancies, government control, computer science, education reform, digital literacy, high school graduation, teacher training, education, public schools, constitution amendment, national anthem, weekly broadcast
NM
New Mexico 2026 Regular Session
Senate - Tax, Business and Transportation Feb 10th, 2026 at 04:43 pm
Senate Tax, Business & Transportation
Transcript Highlights:
- . for as long as you're paying into the Metagap supplemental coverage.
- This bill basically protects existing coverage, and that's really important to remember.
- Full coverage insurance has made my life tremendously easier, but it still has limits.
- They have coverage through Medicaid, correct?
- They have coverage through Medicaid, correct?
Keywords:
prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part I) Mar 5th, 2025
Health & Human Services
Transcript Highlights:
- Medicaid provides health care coverage, like Tara Cole-Corsette, for 4.3 million lower income and disabled
- Potentially cause them to lose their coverage?
- And do you have any concern that it might harm coverage for children or pregnant women if we as was mentioned
- which means that unless they move out of state they pass away or they voluntarily withdraw, their coverage
- they save the agency money and enrollees then are confident in their consistent health care and coverage
Keywords:
SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare
TX
Texas 89th Regular
Senate Committee on Health and Human Services (Part II) Mar 5th, 2025
Health & Human Services
Transcript Highlights:
- paying for EMS, and then seeing the repercussions for the city of what happens when you don't have coverage
- We got a fiscal note for what it would cost to apply to your own coverage and the coverage of state employees
- through the Employees Retirement System (ERS) and the coverage for state teachers.
Keywords:
SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare
TX
Transcript Highlights:
- paying for EMS and then seeing the replications to the citizens of what happens when you don't have coverage
- What it would cost to apply to your own coverage and the coverage of state employees through ERS and
- the coverage for state teachers.
Keywords:
SB 502, Texas peace officers, Health and Human Services Commission, HHSC Office of Inspector General, OIG investigators, law enforcement classification, Schedule C, state employee benefits, injury benefits, peace officer status, commissioned officers, state auditor classification, Government Code, Code of Criminal Procedure, human services, health and human services, law enforcement compensation, public employee benefits, Texas state law enforcement, child welfare
FL
Transcript Highlights:
- So currently, it's a million-dollar coverage, okay?
- So currently, it's a million-dollar coverage, okay?
- Uninsured motorist coverage, Uber and Lyft can reject that.
- They didn't have liability insurance, and then we provided that coverage.
- This amendment clarifies that the coverage for services must be consistent with state laws. Okay.
Summary:
The committee heard several bills and amendments, beginning with CS/SB 498 on trust fund interest for IOTA accounts. The sponsor said a 2023 Florida Supreme Court rule sharply increased interest paid into legal aid funding, creating a windfall and making participation difficult for banks. An amendment was adopted requiring savings institutions to pay the higher of 0.25% or the highest comparable rate offered on certain non-IOTA accounts, and the bill then passed favorably after testimony from banks, legal aid representatives, and other stakeholders both supporting and opposing the measure.
The committee also approved CS/SB 232, which clarifies Florida’s consumer collection law applies only to phone calls during restricted hours and not emails or text messages, after a delete-all amendment and supportive testimony from industry groups. It then approved SB 132, as amended, to designate gold and silver as legal tender and set rules for custody, audits, electronic transfer, and government acceptance of payments; supporters called it a sound-money measure, while the banking association said it still had unresolved technical concerns.
Later, the committee passed SB 1466 to create a trust fund for the My Safe Florida Home Program, with an amendment funding it from 20% of collected insurance premium tax revenue. It also considered SB 1206 on transportation network company insurance, reducing coverage during the “dead-leg” period before a rider is picked up from $1 million to lower limits; the bill drew sharp opposition from trial lawyers and support from insurers and some business groups, and the committee adopted a clarifying amendment before reporting the bill favorably. Finally, CS/SB 924 on fertility preservation for cancer patients was amended several times to narrow scope and clarify coverage rules, then passed favorably after debate over cost, preauthorization, and post-treatment storage obligations. The committee adjourned after allowing technical and conforming changes to implement the adopted amendments.
ND
North Dakota 2025-2026 Regular Session
Employee Benefits Programs Committee May 7th, 2026
Transcript Highlights:
- If those pass, those get added to the coverage and then whatever coverage ends up being final after legislative
- So that is what someone, what the family coverage costs and what the single coverage costs.
- Those are the types of coverage we're looking to add.
- There was one other state that I believe had 100% for individual coverage. 100% for individual coverage
- This draft requires the PERS Board to provide coverage for the diagnosis of infertility and fertility
Summary:
The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts.
After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.
TX
Transcript Highlights:
- everything in order. ...together and on the same page so that we can continue to provide proper coverage
- That's exactly what House Bill 4144 addresses with the addition of post-retirement coverage.
- These benefits are provided through their existing workers' compensation coverage and pay for time off
- as well as medical coverage.
- Coverage stops upon separation of service and is not commensurate with the time of service.
Keywords:
peace officers, firefighters, employment protection, worker's compensation, job security, maximum medical improvement, government employment, firefighter cancer benefits, emergency medical technicians, compensation claims, cancer exposures, firefighting hazards, workforce training, rural development, grant program, job-specific training, Texas Workforce Commission, child care, single-parent, subsidized