S0821

	2017 -- S 0821
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	LC002591
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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: Senator Maryellen Goodwin
	Date Introduced: April 26, 2017
	Referred To: Senate Health & Human Services
	It is enacted by the General Assembly as follows:
1	SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness
2	Insurance Policies" is hereby amended by adding thereto the following section:
3	27-18-83. Iatrogenic infertility treatment -- Coverage mandated.
4	(a) Every individual or group hospital medical expense insurance policy or individual or
5	group hospital or medical services plan contract delivered, issued for delivery, or renewed in this
6	state shall provide coverage for medically necessary expenses for standard fertility preservation
7	services when a necessary medical treatment may directly or indirectly cause iatrogenic infertility
8	to a covered person. This section does not apply to insurance coverage providing benefits for:
9	(1) Hospital confinement indemnity;
10	(2) Disability income;
11	(3) Accident only;
12	(4) Long-term care;
13	(5) Medicare supplement;
14	(6) Limited benefit health;
15	(7) Specific disease indemnity;
16	(8) Sickness or bodily injury or death by accident or both; and
17	(9) Other limited benefit policies.
18	(b) For the purpose of this section, "iatrogenic infertility" means an impairment of
19	fertility as a result of surgery, radiation, chemotherapy or other medical treatment affecting

1	reproductive organs or processes.
2	(c) For the purpose of this section, "standard fertility preservation services" means
3	procedures consistent with established medical practices and professional guidelines published by
4	the American Society for Reproductive Medicine, the American Society of Clinical Oncology, or
5	other reputable professional medical organizations.
6	(d) For the purpose of this section, "may directly or indirectly cause" means treatment
7	with a likely side effect of infertility as established by the American Society for Reproductive
8	Medicine, the American Society of Clinical Oncology, or other reputable professional medical
9	organizations.
10	SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service
11	Corporations" is hereby amended by adding thereto the following section:
12	27-19-74. Iatrogenic infertility treatment -- Coverage mandated.
13	(a) Subscribers to any nonprofit hospital service plan shall be afforded coverage under
14	the plan for medically necessary expenses for standard fertility preservation services when a
15	necessary medical treatment may directly or indirectly cause iatrogenic infertility to a covered
16	person.
17	(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
19	reproductive organs or processes.
20	(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
25	with a likely side effect of infertility as established by the American Society for Reproductive
26	Medicine, the American Society of Clinical Oncology, or other reputable professional medical
27	organizations.
28	SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service
29	Corporations" is hereby amended by adding thereto the following section:
30	27-20-70. Iatrogenic infertility treatment -- Coverage mandated.
31	(a) Subscribers to any nonprofit medical service plan shall be afforded coverage under
32	the plan for medically necessary expenses for standard fertility preservation services when a
33	necessary medical treatment may directly or indirectly cause iatrogenic infertility to a covered
34	person.
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1	(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
9	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.
12	SECTION 4. Chapter 27-41 of the General Laws entitled "Health Maintenance
13	Organizations" is hereby amended by adding thereto the following section:
14	27-41-87. Iatrogenic infertility treatment -- Coverage mandated.
15	(a) Subscribers to any health maintenance organization plan shall be afforded coverage
16	under the plan for medically necessary expenses for standard fertility preservation services when
17	a necessary medical treatment may directly or indirectly cause iatrogenic infertility to a covered
18	person.
19	(b) For the purpose of this section, "iatrogenic infertility" means an impairment of
20	fertility as a result of surgery, radiation, chemotherapy or other medical treatment affecting
21	reproductive organs or processes.
22	(c) For the purpose of this section, "standard fertility preservation services" means
23	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
27	with a likely side effect of infertility as established by the American Society for Reproductive
28	Medicine, the American Society of Clinical Oncology, or other reputable professional medical
29	organizations.
30	SECTION 5. This act shall take effect upon passage.
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	LC002591
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	EXPLANATION
	BY THE LEGISLATIVE COUNCIL
	OF
	A N A C T
	RELATING TO INSURANCE
	***
1	This act would mandate insurance coverage for medically necessary expenses for
2	standard fertility preservation services when a medical treatment may directly or indirectly cause
3	iatrogenic infertility. "Iatrogenic infertility" means an impairment of fertility as a result of
4	surgery, radiation, chemotherapy or other medical treatment affecting the reproductive organs or
5	processes.
6	This act would take effect upon passage.
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	LC002591
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