2017 -- H 6170

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LC002543

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2017

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A N   A C T

RELATING TO INSURANCE

     

     Introduced By: Representatives Serpa, Bennett, McNamara, Solomon, and Shekarchi

     Date Introduced: April 28, 2017

     Referred To: House Corporations

     It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness

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Insurance Policies" is hereby amended by adding thereto the following section:

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     27-18-83. Iatrogenic infertility treatment -- Coverage mandated.

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     (a) Every individual or group hospital medical expense insurance policy or individual or

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group hospital or medical services plan contract delivered, issued for delivery, or renewed in this

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state shall provide coverage for medically necessary expenses for standard fertility preservation

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services when a necessary medical treatment may directly or indirectly cause iatrogenic infertility

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to a covered person. This section does not apply to insurance coverage providing benefits for:

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     (1) Hospital confinement indemnity;

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     (2) Disability income;

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     (3) Accident only;

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     (4) Long-term care;

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     (5) Medicare supplement;

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     (6) Limited benefit health;

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     (7) Specific disease indemnity;

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     (8) Sickness or bodily injury or death by accident or both; and

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     (9) Other limited benefit policies.

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     (b) For the purpose of this section, "iatrogenic infertility" means an impairment of

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fertility as a result of surgery, radiation, chemotherapy or other medical treatment affecting

 

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reproductive organs or processes.

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     (c) For the purpose of this section, "standard fertility preservation services" means

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procedures consistent with established medical practices and professional guidelines published by

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the American Society for Reproductive Medicine, the American Society of Clinical Oncology, or

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other reputable professional medical organizations.

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     (d) For the purpose of this section, "may directly or indirectly cause" means treatment

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with a likely side effect of infertility as established by the American Society for Reproductive

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Medicine, the American Society of Clinical Oncology, or other reputable professional medical

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organizations.

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     SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service

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Corporations" is hereby amended by adding thereto the following section:

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     27-19-74. Iatrogenic infertility treatment -- Coverage mandated.

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     (a) Subscribers to any nonprofit hospital service plan shall be afforded coverage under

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the plan for medically necessary expenses for standard fertility preservation services when a

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necessary medical treatment may directly or indirectly cause iatrogenic infertility to a covered

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person.

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     (b) For the purpose of this section, "iatrogenic infertility" means an impairment of

18

fertility as a result of surgery, radiation, chemotherapy or other medical treatment affecting

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reproductive organs or processes.

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     (c) For the purpose of this section, "standard fertility preservation services" means

21

procedures consistent with established medical practices and professional guidelines published by

22

the American Society for Reproductive Medicine, the American Society of Clinical Oncology, or

23

other reputable professional medical organizations.

24

     (d) For the purpose of this section, "may directly or indirectly cause" means treatment

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with a likely side effect of infertility as established by the American Society for Reproductive

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Medicine, the American Society of Clinical Oncology, or other reputable professional medical

27

organizations.

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     SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service

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Corporations" is hereby amended by adding thereto the following section:

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     27-20-70. Iatrogenic infertility treatment -- Coverage mandated.

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     (a) Subscribers to any nonprofit medical service plan shall be afforded coverage under

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the plan for medically necessary expenses for standard fertility preservation services when a

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necessary medical treatment may directly or indirectly cause iatrogenic infertility to a covered

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person.

 

LC002543 - Page 2 of 4

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     (b) For the purpose of this section, "iatrogenic infertility" means an impairment of

2

fertility as a result of surgery, radiation, chemotherapy or other medical treatment affecting

3

reproductive organs or processes.

4

     (c) For the purpose of this section, "standard fertility preservation services" means

5

procedures consistent with established medical practices and professional guidelines published by

6

the American Society for Reproductive Medicine, the American Society of Clinical Oncology, or

7

other reputable professional medical organizations.

8

     (d) For the purpose of this section, "may directly or indirectly cause" means treatment

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with a likely side effect of infertility as established by the American Society for Reproductive

10

Medicine, the American Society of Clinical Oncology, or other reputable professional medical

11

organizations.

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     SECTION 4. Chapter 27-41 of the General Laws entitled "Health Maintenance

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Organizations" is hereby amended by adding thereto the following section:

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     27-41-87. Iatrogenic infertility treatment -- Coverage mandated.

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     (a) Subscribers to any health maintenance organization plan shall be afforded coverage

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under the plan for medically necessary expenses for standard fertility preservation services when

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a necessary medical treatment may directly or indirectly cause iatrogenic infertility to a covered

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person.

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     (b) For the purpose of this section, "iatrogenic infertility" means an impairment of

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fertility as a result of surgery, radiation, chemotherapy or other medical treatment affecting

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reproductive organs or processes.

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     (c) For the purpose of this section, "standard fertility preservation services" means

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procedures consistent with established medical practices and professional guidelines published by

24

the American Society for Reproductive Medicine, the American Society of Clinical Oncology, or

25

other reputable professional medical organizations.

26

     (d) For the purpose of this section, "may directly or indirectly cause" means treatment

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with a likely side effect of infertility as established by the American Society for Reproductive

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Medicine, the American Society of Clinical Oncology, or other reputable professional medical

29

organizations.

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     SECTION 5. This act shall take effect upon passage.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO INSURANCE

***

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     This act would mandate insurance coverage for medically necessary expenses for

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standard fertility preservation services when a medical treatment may directly or indirectly cause

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iatrogenic infertility. "Iatrogenic infertility" means an impairment of fertility as a result of

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surgery, radiation, chemotherapy or other medical treatment affecting the reproductive organs or

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processes.

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     This act would take effect upon passage.

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