Bill Text: IL HB3734 | 2013-2014 | 98th General Assembly | Introduced
Bill Title: Amends the Illinois Insurance Code in the provision concerning infertility coverage. Provides that "infertility" includes iatrogenic infertility and conditions of an individual becoming infertile due to a disease.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Failed) 2014-12-03 - Session Sine Die [HB3734 Detail]
Download: Illinois-2013-HB3734-Introduced.html
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1 | AN ACT concerning regulation.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Insurance Code is amended by | ||||||||||||||||||||||||
5 | changing Section 356m as follows:
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6 | (215 ILCS 5/356m) (from Ch. 73, par. 968m)
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7 | Sec. 356m. Infertility coverage.
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8 | (a) No group policy of accident and health insurance | ||||||||||||||||||||||||
9 | providing coverage
for more than 25 employees that provides | ||||||||||||||||||||||||
10 | pregnancy related benefits may be
issued, amended, delivered, | ||||||||||||||||||||||||
11 | or
renewed in this State after the effective date of this | ||||||||||||||||||||||||
12 | amendatory Act of
1991 unless the policy contains coverage for | ||||||||||||||||||||||||
13 | the diagnosis and treatment of
infertility including, but not | ||||||||||||||||||||||||
14 | limited to, in vitro fertilization, uterine
embryo lavage, | ||||||||||||||||||||||||
15 | embryo transfer, artificial insemination, gamete
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16 | intrafallopian tube transfer, zygote intrafallopian tube | ||||||||||||||||||||||||
17 | transfer, and low
tubal ovum transfer.
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18 | (b) The coverage required under subsection (a) is subject | ||||||||||||||||||||||||
19 | to the following conditions:
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20 | (1) Coverage for procedures for in vitro | ||||||||||||||||||||||||
21 | fertilization, gamete
intrafallopian tube transfer, or | ||||||||||||||||||||||||
22 | zygote intrafallopian tube transfer shall
be required only | ||||||||||||||||||||||||
23 | if:
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1 | (A) the covered individual has been unable to | ||||||
2 | attain or sustain a
successful pregnancy through | ||||||
3 | reasonable, less costly medically appropriate
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4 | infertility treatments for which coverage is available | ||||||
5 | under the policy,
plan, or contract;
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6 | (B) the covered individual has not undergone 4 | ||||||
7 | completed oocyte
retrievals, except that if a live | ||||||
8 | birth follows a completed oocyte
retrieval, then 2 more | ||||||
9 | completed oocyte retrievals shall be covered; and
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10 | (C) the procedures are performed at medical | ||||||
11 | facilities that conform to
the American College of | ||||||
12 | Obstetric and Gynecology guidelines for in vitro
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13 | fertilization clinics or to the American Fertility | ||||||
14 | Society minimal
standards for programs of in vitro | ||||||
15 | fertilization.
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16 | (2) The procedures required to be covered under this | ||||||
17 | Section are not
required to be contained in any policy or | ||||||
18 | plan issued to or by a religious
institution or | ||||||
19 | organization or to or by an entity sponsored by a religious
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20 | institution or organization that finds the procedures | ||||||
21 | required to be
covered under this Section to violate its | ||||||
22 | religious
and moral teachings and beliefs.
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23 | (c) For purpose of this Section, "infertility" means the | ||||||
24 | inability to
conceive after one year of unprotected sexual | ||||||
25 | intercourse or the inability
to sustain a successful pregnancy. | ||||||
26 | "Infertility" includes iatrogenic infertility and conditions |
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1 | of an individual becoming infertile due to a disease.
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2 | (Source: P.A. 89-669, eff. 1-1-97.)
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