Wisconsin Assembly Bill AB766

Wisconsin 2023-2024 Regular Session

• Introduced: 12/6/23
• Refer: 12/6/23
• Failed: 4/15/24

Caption

Coverage of infertility services under self-insured governmental health plans and health policies and plans offered to state employees, and granting rule-making authority.

Impact

If passed, AB766 would significantly affect the landscape of health coverage for infertility in the state. This legislation would require self-insured health plans to provide comprehensive services that are currently not universally available, thus aiming to improve access to infertility treatments for state employees and their dependents. The inclusion of detailed stipulations, such as the number of egg retrievals, suggests a push towards ensuring that patients receive a minimum level of care and necessary interventions without arbitrary limitations.

Summary

Assembly Bill 766 proposes amendments to state statutes to mandate that self-insured governmental health plans and health care coverage plans offered to state employees provide coverage for infertility diagnosis and treatment. The bill specifies that coverage must include at least four completed egg retrievals and allow for unlimited embryo transfers, with single embryo transfers permitted when medically appropriate. Moreover, it seeks to standardize restrictions and exclusions that can be placed on fertility services to ensure consistency across plans.

Contention

As with many health policy reforms, potential points of contention might include disputes over the fiscal implications of mandating such coverage. Critics may argue that the costs associated with expanding coverage for infertility treatments could strain health plan resources, while supporters advocate for the essential nature of these services. There may also be concerns about how the legislation interacts with existing fertility treatment options and whether it adequately addresses the needs of diverse populations who may approach fertility challenges differently.