Arizona SB 1347: AHCCCS; comprehensive dental care

Bill Text

SB1347 - 572R - S Ver 

 Senate Engrossed

 health insurance; 
 fertility preservation; coverage

 State of Arizona

 Senate

 Fifty-seventh Legislature

 Second Regular Session

 2026

 SENATE BILL 1347

AN 
ACT

amending title 20, chapter 4, article 3, arizona 
revised statutes, by adding section 20-841.14; amending title 20, chapter 
4, article 9, arizona revised statutes, by adding SECTION 20-1057.21; 
amending title 20, chapter 6, article 4, arizona revised statutes, by adding 
section 20-1376.11; amending title 20, chapter 6, article 5, arizona 
revised statutes, by adding section 20-1406.11; relating to health 
insurance.

(TEXT OF BILL BEGINS ON NEXT PAGE)

Be it 
enacted by the Legislature of the State of Arizona:

Section 1. Title 20, chapter 4, article 3, 
Arizona Revised Statutes, is amended by adding section 20-841.14, to read:

START_STATUTE20-841.14. Fertility preservation coverage; requirements; religious 
employer; exemption; definitions

A. A hospital 
service corporation or medical service corporation that issues, amends or 
renews a subscription contract on or after January 1, 2027 shall provide 
coverage for standard fertility preservation services to a subscriber who is 
within reproductive age, who is diagnosed with cancer and whose medically 
necessary treatment is likely to directly or 
indirectly cause iatrogenic infertility. Coverage 
for standard fertility preservation services must include at least three plan 
years of storage. If a subscriber changes insurance plans during the 
three-year period, the prior hospital service corporation or the medical 
service corporation that provided coverage and the new insurer are not 
responsible for the three plan years of storage. 

B. A hospital service corporation or 
medical service corporation shall process prior 
authorization requests for standard fertility preservation services as urgent 
and respond within seventy-two hours on request.

C. A religious employer may submit a 
written request for an exemption from the requirements of this section to a 
hospital service corporation or medical service corporation, and the hospital 
service corporation or medical service corporation shall grant the exemption if 
the coverage required by this section conflicts with the employer's religious 
beliefs. A religious employer that obtains an exemption shall 
provide written notice of the exemption to prospective subscribers.

D. This section does not prevent a 
subscriber from purchasing a supplemental insurance policy that covers standard 
fertility preservation services at the subscriber's own expense.

E. For the purposes of this section: 

1. "Iatrogenic infertility" 
means an impairment of fertility that is caused directly or indirectly by medically necessary treatment for cancer, sickle cell disease or lupus.

2. "Religious employer":

(a) Means a 
nongovernmental plan sponsor or entity that, based on sincerely held religious 
beliefs, objects to the sponsor or entity establishing, maintaining, providing, 
offering or arranging for coverage of standard fertility PRESERVATION services.

(b) Includes:

(i) A church, 
an integrated auxiliary of a church, a convention or association of churches or 
a religious order.

(ii) A 
nonprofit organization.

(iii) A closely 
held for-profit entity.

(iv) A for-profit 
entity that is not closely held.

(v) Any other 
nongovernmental employer.

3. "Reproductive age" means 
the age range in which an individual is deemed fertile as established by the 
American society of clinical oncology or the american society for reproductive 
medicine.

4. "Standard fertility 
preservation services": 

(a) Means:

(i) Oocyte and 
sperm preservation procedures that are consistent with established medical 
practices or professional guidelines published by the american society of 
clinical oncology or the american society for reproductive medicine.

(ii) THe 
storage for at least three plan years of preserved 
ovarian tissue, sperm and oocyte.

(b) Includes 
cryopreservation of any of the following: 

(i) Ovarian 
tissue.

(ii) Sperm.

(iii) oocyte. END_STATUTE

Sec. 2. Title 20, chapter 4, article 9, Arizona 
Revised Statutes, is amended by adding section 20-1057.21, to read:

START_STATUTE20-1057.21. Fertility preservation coverage; requirements; religious 
employer; exemption; definitions

A. A health care services 
organization that issues, amends or renews an evidence of coverage on or after 
January 1, 2027 shall provide coverage for standard fertility preservation 
services to an enrollee who is within reproductive age, who is diagnosed with 
cancer and whose medically necessary treatment is likely 
to directly or indirectly cause iatrogenic infertility. Coverage for standard fertility preservation services must include at 
least three plan years of storage. If an enrollee changes insurance plans 
during the three-year period, the prior health care services organization 
that provided coverage and the new insurer