Bill Text: CA AB912 | 2013-2014 | Regular Session | Enrolled

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Bill Title: Health care coverage: fertility preservation.

Spectrum: Partisan Bill (Democrat 3-0)

Status: (Vetoed) 2014-03-06 - Last day to consider Governor's veto pursuant to Joint Rule 58.5. [AB912 Detail]

Download: California-2013-AB912-Enrolled.html

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BILL NUMBER: AB 912	ENROLLED
	BILL TEXT

	PASSED THE SENATE  SEPTEMBER 6, 2013
	PASSED THE ASSEMBLY  SEPTEMBER 10, 2013
	AMENDED IN SENATE  SEPTEMBER 3, 2013
	AMENDED IN SENATE  JULY 2, 2013

INTRODUCED BY   Assembly Member Quirk-Silva
   (Coauthors: Assembly Members Ammiano and Skinner)

                        FEBRUARY 22, 2013

   An act to add Section 1374.551 to the Health and Safety Code, and
to add Section 10119.61 to the Insurance Code, relating to health
care coverage.



	LEGISLATIVE COUNSEL'S DIGEST


   AB 912, Quirk-Silva. Health care coverage: fertility preservation.

   Existing law, the Knox-Keene Health Care Service Plan Act of 1975,
provides for the licensure and regulation of health care service
plans by the Department of Managed Health Care and makes a willful
violation of the act a crime. Existing law also provides for the
regulation of health insurers by the Department of Insurance. Under
existing law, a health care service plan and a health insurer are
required to offer group coverage for the treatment of infertility, as
defined.
   This bill would require a health care service plan and a health
insurer to provide, on a large group basis, coverage for medically
necessary expenses for standard fertility preservation services when
a necessary medical treatment may directly or indirectly cause
iatrogenic infertility to an enrollee or insured.
   Because the bill would specify additional requirements for a
health care service plan under the act, the willful violation of
which would be a crime, the bill would impose a state-mandated local
program.
   The California Constitution requires the state to reimburse local
agencies and school districts for certain costs mandated by the
state. Statutory provisions establish procedures for making that
reimbursement.
   This bill would provide that no reimbursement is required by this
act for a specified reason.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 1374.551 is added to the Health and Safety
Code, immediately following Section 1374.55, to read:
   1374.551.  (a) Every large group health care service plan that is
issued, amended, or renewed on and after January 1, 2014, that
provides hospital, medical, or surgical coverage shall include
coverage for medically necessary expenses for standard fertility
preservation services when a necessary medical treatment may directly
or indirectly cause iatrogenic infertility to an enrollee.
   (b) For purposes of this section the following terms have the
following meanings:
   (1) "Standard fertility preservation services" means procedures
consistent with established medical practices and professional
guidelines published by the American Society for Reproductive
Medicine, the American Society of Clinical Oncology, or other
reputable professional medical organizations.
   (2) "May directly or indirectly cause" means treatment with a
likely side effect of infertility as established by the American
Society for Reproductive Medicine, the American Society of Clinical
Oncology, or other reputable professional organizations.
   (c) The department may adopt regulations to implement this
section.
  SEC. 2.  Section 10119.61 is added to the Insurance Code,
immediately following Section 10119.6, to read:
   10119.61.  (a) Every health insurer that issues, amends, or renews
a policy on and after January 1, 2014, that covers hospital,
medical, or surgical expenses on a large group basis shall include
coverage for medically necessary expenses for standard fertility
preservation services when a necessary medical treatment may directly
or indirectly cause iatrogenic infertility to an insured.
   (b) For purposes of this section the following terms have the
following meanings:
   (1) "Standard fertility preservation services" means procedures
consistent with established medical practices and professional
guidelines published by the American Society for Reproductive
Medicine, the American Society of Clinical Oncology, or other
reputable professional medical organizations.
   (2) "May directly or indirectly cause" means treatment with a
likely side effect of infertility as established by the American
Society for Reproductive Medicine, the American Society of Clinical
Oncology, or other reputable professional organizations.
   (c) The department may adopt regulations to implement this
section.
  SEC. 3.   No reimbursement is required by this act pursuant to
Section 6 of Article XIII B of the California Constitution because
the only costs that may be incurred by a local agency or school
district will be incurred because this act creates a new crime or
infraction, eliminates a crime or infraction, or changes the penalty
for a crime or infraction, within the meaning of Section 17556 of the
Government Code, or changes the definition of a crime within the
meaning of Section 6 of Article XIII B of the California
Constitution.