New Hampshire SB 558: relative to insurance coverage for infertility treatments, protection from discrimination during IVF treatments, parental leave, and adoption.
Status: Died on Table, Session ended 10/10/2024 HJ 17 (as of 2024-10-10)
State: New Hampshire · Session: 2024 · Bill: SB 558
Sponsors: Rebecca Perkins Kwoka, Alexis H Simpson, Cindy Rosenwald, David H. Watters, Debra Altschiller, Donna M. Soucy, Donovan Fenton, Jaci L. Grote, Lou D'Allesandro, Rebecca G. Whitley
Bill Text
SB 558-FN - AS AMENDED BY THE SENATE 04/11/2024 1488s 2024 SESSION 24-3108 12/08 SENATE BILL 558-FN AN ACT relative to insurance coverage for infertility treatments, protection from discrimination during IVF treatments, parental leave, and adoption. SPONSORS: Sen. Perkins Kwoka, Dist 21; Sen. Whitley, Dist 15; Sen. Fenton, Dist 10; Sen. Watters, Dist 4; Sen. Rosenwald, Dist 13; Sen. Soucy, Dist 18; Sen. D'Allesandro, Dist 20; Sen. Altschiller, Dist 24; Rep. Grote, Rock. 24; Rep. Simpson, Rock. 33 COMMITTEE: Health and Human Services ───────────────────────────────────────────────────────────────── AMENDED ANALYSIS This bill requires insurance companies to certify coverage for fertility treatment and prohibits employer discrimination based upon that treatment. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Explanation: Matter added to current law appears in bold italics. Matter removed from current law appears [in brackets and struckthrough.] Matter which is either (a) all new or (b) repealed and reenacted appears in regular type. 04/11/2024 1488s 24-3108 12/08 STATE OF NEW HAMPSHIRE In the Year of Our Lord Two Thousand Twenty Four AN ACT relative to insurance coverage for infertility treatments, protection from discrimination during IVF treatments, parental leave, and adoption. Be it Enacted by the Senate and House of Representatives in General Court convened: 1 Short Title. This act shall be known as "The Modern Economy Act." 2 Access to Fertility Treatment. Amend RSA 417-G:2, IV to read as follows: IV. Each health carrier that issues or renews any group policy, plan, or contract of health insurance providing benefits for medical or hospital expenses, shall provide certificate holders of such insurance coverage for up to 6 rounds of intrauterine insemination per plan year regardless of whether or not the individual has a diagnosis of infertility. V. Coverage under paragraphs [I-III] I-IV shall not apply to plans available through the Small Business Health Options Program (SHOP) or to Extended Transition to Affordable Care Act-Compliant Policies. 3 Unlawful Discrimination; Fertility Treatment. Amend RSA 354-A:7, VI to read as follows: VI.(a) For the purposes of this chapter, the word "sex" includes pregnancy and medical conditions which cause or result from pregnancy or are otherwise related to pregnancy, including but not limited to fertility treatment as defined in RSA 417-G:1 or pregnancy loss or related bereavement time. (b) An employer shall permit a female employee to take leave of absence and attend appointments for the period of temporary physical disability resulting from pregnancy, childbirth or related medical conditions, including but not limited to well-being checkups, in-vitro fertilization follow up, and postpartum care. When the employee is physically able to return to work, [her] that employee's original job or a comparable position shall be made available to [her] them by the employer unless business necessity makes this impossible or unreasonable. 4 Effective Date. This act shall take effect 60 days after its passage. LBA 24-3108 Amended 4/18/24 SB 558-FN- FISCAL NOTE AS AMENDED BY THE SENATE (AMENDMENT #2024-1488s) AN ACT relative to insurance coverage for infertility treatments, protection from discrimination during IVF treatments, parental leave, and adoption. FISCAL IMPACT: [ X ] State [ X ] County [ X ] Local [ ] None Estimated State Impact - Increase / (Decrease) FY 2024 FY 2025 FY 2026 FY 2027 Revenue $0 Indeterminable Increase Indeterminable Increase Indeterminable Increase Revenue Fund(s) General Fund Insurance Premium Tax Expenditures $0 Indeterminable Increase Indeterminable Increase Indeterminable Increase Funding Source(s) General Fund Various Government Funds Appropriations $0 $0 $0 $0 Funding Source(s) None • Does this bill provide sufficient funding to cover estimated expenditures? [X] No • Does this bill authorize new positions to implement this bill? [X] No Estimated Political Subdivision Impact - Increase / (Decrease) FY 2024 FY 2025 FY 2026 FY 2027 County Revenue $0 $0 $0 $0 County Expenditures $0 Indeterminable Increase Indeterminable Increase Indeterminable Increase Local Revenue $0 $0 $0 $0 Local Expenditures $0 Indeterminable Indeterminable Indeterminable METHODOLOGY: This bill requires insurance companies to certify coverage for fertility treatment and prohibits employer discrimination based upon that treatment. The Insurance Department assumes this bill would result in higher total claims costs associated with intrauterine insemination (IUI). Based on analysis of plan year 2023 data, the Department estimated an additional annual cost to commercial fully insured market of approximately $144,000 or $0.05 per member per month. The
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