Rep. Norm Thurston — Voting Record

Bill

Number

S.B. 181 First Substitute (2018GS)

Sponsor

Sen. Escamilla, L.

Final action

Governor Signed 3/20/2018

Outcome

Became law — signed by Gov. Gary R. Herbert

Summary

What it does

• This bill:
• requires the Public Employees' Health Plan to create a 3-year pilot program to cover a portion of the cost of using an assisted reproductive technology; and
• creates a sunset date for the provisions of this bill.

Every vote on this bill

Bill text

INFERTILITY INSURANCE COVERAGE PILOT PROGRAM
GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Luz Escamilla
House Sponsor: 
LaVar Christensen
LONG TITLE
General Description:
This bill amends provisions of the Public Employees' Benefit and Insurance Program
Act.
Highlighted Provisions:
This bill:
▸ requires the Public Employees' Health Plan to create a 3-year pilot program to cover
a portion of the cost of using an assisted reproductive technology; and
▸ creates a sunset date for the provisions of this bill.
Money Appropriated in this Bill:
None
Other Special Clauses:
None
Utah Code Sections Affected:
AMENDS:
63I-1-249
, as enacted by Laws of Utah 2016, Chapter 280
ENACTS:
49-20-418
, Utah Code Annotated 1953
Be it enacted by the Legislature of the state of Utah:
Section 1. Section 
49-20-418
 is enacted to read:
 49-20-418.
Expanded infertility treatment coverage pilot program.
(1) As used in this section:
(a) "Assisted reproductive technology" means the same as the term is defined in 42
U.S. Code Sec. 
26-3a-7a
.
(b) "Physician" means the same as the term is defined in Section 
58-67-102
.
(c) "Pilot program" means the expanded infertility treatment coverage pilot program
described in Subsection (2).
(d) "Qualified individual" means a covered individual who is eligible for maternity
benefits under the program.
(2) (a) Beginning plan year 2018-19, and ending plan year 2020-21, the program shall
offer a 3-year pilot program within the state risk pool that provides coverage to a qualified
individual for the use of an assisted reproductive technology.
(b) The pilot program shall offer a one-time, lifetime maximum benefit of $4,000
toward the costs of using an assisted reproductive technology for each qualified individual.
(c) The benefit described in Subsection (2)(b) is subject to the same cost sharing
requirements as the covered individual's plan.
(3) Coverage offered under the pilot program applies if:
(a) the patient who will use the assisted reproductive technology is a qualified
individual;
(b) (i) the patient's physician verifies that the patient or the patient's spouse has a
demonstrated condition recognized by a physician as a cause of infertility; or
(ii) the patient attests that the patient is unable to conceive a pregnancy or carry a
pregnancy to a live birth after a year or more of regular sexual relations without contraception;
(c) the patient attests that the patient has been unable to attain a successful pregnancy
through any less-costly, potentially effective infertility treatments for which coverage is
available under the health benefit plan; and
(d) the use of the assisted reproductive technology procedure is performed at a medical
facility that conforms to the minimal standards for programs of assisted reproductive
technology procedures adopted by the American Society for Reproductive Medicine.
(4) Coverage offered under the pilot program:
(a) may not exceed $4,000 over the lifetime of each qualified individual;
(b) shall satisfy, in accordance with Subsection 
31A-22-610.1
(1)(c)(ii), the requirement
to provide an adoption indemnity benefit to a qualified individual under Section 
31A-22-610.1
;
and
(c) does not apply to a qualified individual if the qualified individual has received the
adoption indemnity benefit required under Section 
31A-22-610.1
.
(5) (a) The purpose of the pilot program is to study the efficacy of providing coverage
for the use of an assisted reproductive technology and is not a mandate for coverage of an
assisted reproductive technology within all health plans offered by the program.
(b) Before November 30, 2021, the program shall report to the Social Services
Appropriations Subcommittee regarding the costs and benefits of the pilot program.
(6) Under Section 
63J-1-603
, the Legislature intends that the cost of the pilot program
will be paid from money above the minimum recommended level in the public employees' state
risk pool reserve.
Section 2. Section 
63I-1-249
 is amended to read:
63I-1-249.
Repeal dates, Title 49.
(1)
 Title 49, Chapter 11, Part 13, Phased Retirement, is repealed January 1, 2022.
(2) Section 
49-20-418
 is repealed January 1, 2022.