SF 501 (LSB 2265XS (4) 91)

SENATE FILE 501

BY  PETERSEN

A BILL FOR

An Act relating to medical assistance program and Hawki program coverage for standard fertility preservation services.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  NEW SECTION.  249A.59  Fertility preservation.
   1.  As used in this section, unless the context otherwise requires:
   a.  “ASRM” means the American society for reproductive medicine or its successor organization.
   b.  “Standard fertility preservation services” means procedures and services consistent with established medical practices or professional guidelines published by ASRM or the American society of clinical oncology, or its successor organization, for a person who has a medical condition or is expected to undergo medication therapy, surgery, radiation, chemotherapy, or other medical treatment that is recognized by health care professionals to cause a risk of fertility impairment.
   2.  The department shall submit any state plan amendment or waiver as may be necessary to the centers for Medicare and Medicaid services of the United States department of health and human services to provide coverage under Medicaid for standard fertility preservation services, including up to three completed oocyte retrievals with unlimited embryo transfers in accordance with the guidelines of the ASRM, using single embryo transfer if recommended and medically appropriate. Upon receipt of federal approval, the medical assistance program shall immediately provide coverage for standard fertility preservation services.
    Sec. 2.  HAWKI —— FERTILITY PRESERVATION.
   1.  As used in this section, unless the context otherwise requires:
   a.  “ASRM” means the American society for reproductive medicine or its successor organization.
   b.  “Standard fertility preservation services” means procedures and services consistent with established medical practices or professional guidelines published by ASRM or the American society of clinical oncology or its successor organization for a person who has a medical condition or is expected to undergo medication therapy, surgery, radiation, chemotherapy, or other medical treatment that is recognized by health care professionals to cause a risk of fertility impairment.
   2.  The department shall submit any Medicaid state plan amendment or waiver as may be necessary to the centers for Medicare and Medicaid services of the United States department of health and human services to provide coverage under the Hawki program for standard fertility preservation services, including up to three completed oocyte retrievals with unlimited embryo transfers in accordance with the guidelines of the ASRM, using single embryo transfer if recommended and medically appropriate. Upon receipt of federal approval, the Hawki program shall immediately provide coverage for standard fertility preservation services.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill requires the department of health and human services to submit any Medicaid state plan amendment or waiver as may be necessary to the centers for Medicare and Medicaid services of the United States department of health and human services for the medical assistance program and the Hawki program to provide coverage for standard fertility preservation services, including oocyte retrievals and embryo transfers. Upon receipt of federal approval, the medical assistance program and the Hawki program shall immediately provide coverage for standard fertility preservation services.
   The bill defines “ASRM” and “standard fertility preservation services”.