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SB1347 - 572R - S Ver
Senate Engrossed
health insurance;
fertility preservation; coverage
State of Arizona
Senate
Fifty-seventh Legislature
Second Regular Session
2026
SENATE BILL 1347
AN
ACT
amending title 20, chapter 4, article 3, arizona
revised statutes, by adding section 20-841.14; amending title 20, chapter
4, article 9, arizona revised statutes, by adding SECTION 20-1057.21;
amending title 20, chapter 6, article 4, arizona revised statutes, by adding
section 20-1376.11; amending title 20, chapter 6, article 5, arizona
revised statutes, by adding section 20-1406.11; relating to health
insurance.
(TEXT OF BILL BEGINS ON NEXT PAGE)
Be it
enacted by the Legislature of the State of Arizona:
Section 1. Title 20, chapter 4, article 3,
Arizona Revised Statutes, is amended by adding section 20-841.14, to read:
START_STATUTE
20-841.14.
Fertility preservation coverage; requirements; religious
employer; exemption; definitions
A. A hospital
service corporation or medical service corporation that issues, amends or
renews a subscription contract on or after January 1, 2027 shall provide
coverage for standard fertility preservation services to a subscriber who is
within reproductive age, who is diagnosed with cancer and whose medically
necessary treatment
is likely to directly or
indirectly cause iatrogenic infertility.
Coverage
for standard fertility preservation services must include at least three plan
years of storage. If a subscriber changes insurance plans during the
three-year period, the prior hospital service corporation or the medical
service corporation that provided coverage and the new insurer are not
responsible for the three plan years of storage.
B. A hospital service corporation or
medical service corporation
shall process prior
authorization requests for standard fertility preservation services as urgent
and respond within seventy-two hours on request.
C. A religious employer may submit a
written request for an exemption from the requirements of this section to a
hospital service corporation or medical service corporation, and the hospital
service corporation or medical service corporation shall grant the exemption if
the coverage required by this section conflicts with the employer's religious
beliefs. A religious employer that obtains an exemption shall
provide written notice of the exemption to prospective subscribers.
D. This section does not prevent a
subscriber from purchasing a supplemental insurance policy that covers standard
fertility preservation services at the subscriber's own expense.
E. For the purposes of this section:
1. "Iatrogenic infertility"
means an impairment of fertility that is caused directly or indirectly by
medically necessary treatment for cancer, sickle cell disease or lupus.
2. "Religious employer":
(
a
) Means a
nongovernmental plan sponsor or entity that, based on sincerely held religious
beliefs, objects to the sponsor or entity establishing, maintaining, providing,
offering or arranging for coverage of standard fertility PRESERVATION services.
(
b
) Includes:
(
i
) A church,
an integrated auxiliary of a church, a convention or association of churches or
a religious order.
(
ii
) A
nonprofit organization.
(
iii
) A closely
held for-profit entity.
(
iv
) A for-profit
entity that is not closely held.
(
v
) Any other
nongovernmental employer.
3. "Reproductive age" means
the age range in which an individual is deemed fertile as established by the
American society of clinical oncology or the american society for reproductive
medicine.
4. "Standard fertility
preservation services":
(
a
) Means:
(
i
) Oocyte and
sperm preservation procedures that are consistent with established medical
practices or professional guidelines published by the american society of
clinical oncology or the american society for reproductive medicine.
(
ii
) THe
storage for at least three
plan years of preserved
ovarian tissue, sperm and oocyte.
(
b
) Includes
cryopreservation of any of the following:
(
i
) Ovarian
tissue.
(
ii
) Sperm.
(
iii
) oocyte.
END_STATUTE
Sec. 2. Title 20, chapter 4, article 9, Arizona
Revised Statutes, is amended by adding section 20-1057.21, to read:
START_STATUTE
20-1057.21.
Fertility preservation coverage; requirements; religious
employer; exemption; definitions
A. A health care services
organization that issues, amends or renews an evidence of coverage on or after
January 1, 2027 shall provide coverage for standard fertility preservation
services to an enrollee who is within reproductive age, who is diagnosed with
cancer and whose medically necessary treatment
is likely
to directly or indirectly cause iatrogenic infertility.
Coverage for standard fertility preservation services must include at
least three plan years of storage. If an enrollee changes insurance plans
during the three-year period, the prior health care services organization
that provided coverage and the new insurer are not responsible for the three
plan years of storage.
B. A health care services
organization
shall process prior authorization requests
for standard fertility preservation services as urgent and respond within
seventy-two hours on request.
C. A religious employer may submit a
written request for an exemption from the requirements of this section to a
health care services organization, and the health care services organization
shall grant the exemption if the coverage required by this section conflicts
with the employer's religious beliefs. A religious employer that
obtains an exemption shall provide written notice of the exemption to
prospective enrollees.
D. This section does not prevent an
enrollee from purchasing a supplemental insurance policy that covers standard
fertility preservation services at the enrollee's own expense.
E. For the purposes of this section:
1. "Iatrogenic infertility"
means an impairment of fertility that is caused directly or indirectly by
a medically necessary treatment for cancer, sickle cell disease or
lupus.
2. "Religious employer":
(
a
) Means a
nongovernmental plan sponsor or entity that, based on sincerely held religious
beliefs, objects to the sponsor or entity establishing, maintaining, providing,
offering or arranging for coverage of standard fertility PRESERVATION services.
(
b
) Includes:
(
i
) A church,
an integrated auxiliary of a church, a convention or association of churches or
a religious order.
(
ii
) A
nonprofit organization.
(
iii
) A closely
held for-profit entity.
(
iv
) A for-profit
entity that is not closely held.
(
v
) Any other
nongovernmental employer.
3. "Reproductive age" means
the age range in which an individual is deemed fertile as established by the
American society of clinical oncology or the american society for reproductive
medicine.
4. "Standard fertility
preservation services":
(
a
) Means:
(
i
) Oocyte and
sperm preservation procedures that are consistent with established medical
practices or professional guidelines published by the american society of
clinical oncology or the american society for reproductive medicine.
(
ii
) The
storage for at least three
plan years of preserved
ovarian tissue, sperm and oocyte.
(
b
) Includes
cryopreservation of any of the following:
(
i
) Ovarian
tissue.
(
ii
) Sperm.
(
iii
) oocyte.
END_STATUTE
Sec. 3. Title 20, chapter 6, article 4, Arizona
Revised Statutes, is amended by adding section 20-1376.11, to read:
START_STATUTE
20-1376.11.
Fertility preservation coverage; requirements; religious
employer; exemption; definitions
A. A disability insurer that issues,
amends or renews a policy on or after January 1, 2027 shall provide coverage
for standard fertility preservation services to an insured who is within
reproductive age, who is diagnosed with cancer and whose medically necessary
treatment
is LIKELY to directly or indirectly cause
iatrogenic infertility.
Coverage for standard
fertility preservation services must include at least three plan years of
storage. If an insured changes insurance plans during the three-year
period, the prior disability insurer that provided coverage and the new insurer
are not responsible for the three plan years of storage.
B. A disability insurer
shall process prior authorization requests for standard fertility
preservation services as urgent and respond within seventy-two hours on
request.
C. A religious employer may submit a
written request for an exemption from the requirements of this section to a
disability insurer, and the disability insurer shall grant the exemption if the
coverage required by this section conflicts with the employer's religious
beliefs. A religious employer that obtains an exemption shall provide written
notice of the exemption to prospective insureds.
D. This section does not prevent an
insured from purchasing a supplemental insurance policy that covers standard
fertility preservation services at the insured's own expense.
E. For the purposes of this section:
1. "Iatrogenic infertility"
means an impairment of fertility that is caused directly or indirectly by
medically necessary treatment for cancer, sickle cell disease or lupus.
2. "Religious employer":
(
a
) Means a
nongovernmental plan sponsor or entity that, based on sincerely held religious
beliefs, objects to the sponsor or entity establishing, maintaining, providing,
offering or arranging for coverage of standard fertility PRESERVATION services.
(
b
) Includes:
(
i
) A church,
an integrated auxiliary of a church, a convention or association of churches or
a religious order.
(
ii
) A
nonprofit organization.
(
iii
) A closely
held for-profit entity.
(
iv
) A for-profit
entity that is not closely held.
(
v
) Any other
nongovernmental employer.
3. "Reproductive age" means
the age range in which an individual is deemed fertile as established by the
American society of clinical oncology or the american society for reproductive
medicine.
4. "Standard fertility
preservation services":
(
a
) Means:
(
i
) Oocyte and
sperm preservation procedures that are consistent with established medical
practices or professional guidelines published by the american society of
clinical oncology or the american society for reproductive medicine.
(
ii
) The
storage for at least three
plan years of preserved
ovarian tissue, sperm and oocyte.
(
b
) Includes
cryopreservation of any of the following:
(
i
) Ovarian
tissue.
(
ii
) Sperm.
(
iii
) oocyte.
END_STATUTE
Sec. 4. Title
20, chapter 6, article 5, Arizona Revised Statutes, is amended by adding
section 20-1406.11, to read:
START_STATUTE
20-1406.11.
Fertility preservation coverage; requirements; religious
employer; exemption; definitions
A. A
group or blanket disability insurer that issues, amends or renews a policy on
or after January 1, 2027 shall provide coverage for standard fertility
preservation services to an insured who is within reproductive age, who is
diagnosed with cancer and whose medically necessary treatment
is likely to directly or indirectly cause iatrogenic infertility.
Coverage for standard fertility preservation services must include at
least three plan years of storage. If an insured changes insurance
plans during the three-year period, the prior group or blanket disability
insurer that provided coverage and the new insurer are not responsible for the
three plan years of storage.
B. A group or blanket disability
insurer
shall process prior authorization requests for
standard fertility preservation services as urgent and respond within seventy-two
hours on request.
C. A religious employer may submit a
written request for an exemption from the requirements of this section to a
group or blanket disability insurer, and the group or blanket disability
insurer shall grant the exemption if the coverage required by this section
conflicts with the employer's religious beliefs. A religious
employer that obtains an exemption shall provide written notice of the
exemption to prospective insureds.
D. This section does not prevent an
insured from purchasing a supplemental insurance policy that covers standard
fertility preservation services at the insured's own expense.
E. For the purposes of this section:
1. "Iatrogenic infertility"
means an impairment of fertility that is caused directly or indirectly by
medically necessary treatment for cancer, sickle cell disease or lupus.
2. "Religious employer":
(
a
) Means a
nongovernmental plan sponsor or entity that, based on sincerely held religious
beliefs, objects to the sponsor or entity establishing, maintaining, providing,
offering or arranging for coverage of standard fertility PRESERVATION services.
(
b
) Includes:
(
i
) A church,
an integrated auxiliary of a church, a convention or association of churches or
a religious order.
(
ii
) A
nonprofit organization.
(
iii
) A closely
held for-profit entity.
(
iv
) A for-profit
entity that is not closely held.
(
v
) Any other
nongovernmental employer.
3. "Reproductive age" means
the age range in which an individual is deemed fertile as established by the
American society of clinical oncology or the american society for reproductive
medicine.
4. "Standard fertility
preservation services":
(
a
) Means:
(
i
) Oocyte and
sperm preservation procedures that are consistent with established medical
practices or professional guidelines published by the american society of
clinical oncology or the american society for reproductive medicine.
(
ii
) The
storage for at least three
plan years of preserved
ovarian tissue, sperm and oocyte.
(
b
) Includes
cryopreservation of any of the following:
(
i
) Ovarian
tissue.
(
ii
) Sperm.
(
iii
) oocyte.
END_STATUTE
Sec. 5.
Effective date
This act is effective from and after
December 31, 2027.