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HB94 • 2025

Insurance; medically necessary expenses for standard fertility preservation services when a medically necessary treatment for cancer, sickle cell disease, or lupus may directly or indirectly cause an impairment of fertility; require coverage

Insurance; medically necessary expenses for standard fertility preservation services when a medically necessary treatment for cancer, sickle cell disease, or lupus may directly or indirectly cause an impairment of fertility; require coverage

Children Healthcare
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Lumsden, Eddie
Last action
2025-05-01
Official status
House Date Signed by Governor
Effective date
Not listed

Plain English Breakdown

The specific list of covered fertility preservation methods is not detailed in the summary text but will be defined by future rules and regulations.

Insurance Coverage for Fertility Preservation

This law requires health insurance plans to cover standard fertility preservation services when a medically necessary treatment for cancer, sickle cell disease, or lupus may cause an impairment of fertility.

What This Bill Does

  • Requires coverage for expenses related to standard fertility preservation services under specific medical conditions.
  • Applies only when the required medical treatment might directly or indirectly harm a patient's ability to have children.
  • Allows insurance plans to include certain cost-sharing requirements, such as copayments or deductibles.
  • Authorizes state officials to create rules and regulations regarding how these services are covered.

Who It Names or Affects

  • Patients receiving medically necessary treatment for cancer, sickle cell disease, or lupus that may impair fertility.
  • Health insurance companies operating under Georgia state law.

Terms To Know

Standard fertility preservation services
Medical procedures used to protect a person's ability to have children, as defined by the new rules and regulations.
Medically necessary treatment
Required medical care for cancer, sickle cell disease, or lupus that may cause fertility issues.

Limits and Unknowns

  • The law only covers treatments for cancer, sickle cell disease, and lupus.
  • Coverage is limited to 'standard' services; the specific list of covered procedures will be determined by future rules.
  • Patients may still have to pay some costs if cost-sharing requirements are allowed.

Bill History

  1. 2025-05-01 Georgia General Assembly

    House Date Signed by Governor

Official Summary Text

Insurance; medically necessary expenses for standard fertility preservation services when a medically necessary treatment for cancer, sickle cell disease, or lupus may directly or indirectly cause an impairment of fertility; require coverage