Mandated Benefits Review - Senate Bill 1183 - Experience of Other States

Council staff examined related legislation from other states. Twelve states have addressed the issue of mandating infertility coverage in differing degrees.

The definition of infertility varies among states. California, Connecticut, Illinois, Massachusetts, and Rhode Island all define infertility as an inability to conceive a pregnancy or carry to a live birth after one year of unprotected sex. Arkansas defines it as a two-year history of unexplained infertility or the presence of a medical condition. Hawaii requires both a five-year period of infertility and the presence of a medical condition. The other states did not exclude patients based on length of infertility.

Many states limit infertility coverage to married individuals. Arkansas, Hawaii, Maryland, and Texas all limit in vitro fertilization to eggs fertilized with the sperm of one's spouse.