Rep. Norm Thurston — Voting Record

Bill

Number

S.B. 242 (2025GS)

Sponsor

Sen. Musselman, Calvin R.

Final action

Governor Signed 3/19/2025

Outcome

Became law — signed by Gov. Spencer J. Cox

Summary

What it does

• This bill:
• provides coverage under the Public Employees' Benefit and Insurance Program for qualified assisted reproductive technology.

Every vote on this bill

Bill text

4
49-20-418
0
Public Employees' Benefit and Insurance Program Modifications
2025 GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Calvin R. Musselman
House Sponsor: Stephanie Gricius
LONG TITLE
General Description:
This bill modifies coverage under the Public Employees' Benefit and Insurance Program.
Highlighted Provisions:
This bill:
provides coverage under the Public Employees' Benefit and Insurance Program for 
qualified assisted reproductive technology.
Money Appropriated in this Bill:
None
Other Special Clauses:
This bill provides a special effective date.
Utah Code Sections Affected:
AMENDS:
49-20-418
, as last amended by Laws of Utah 2024, Chapter 422
Be it enacted by the Legislature of the state of Utah:
Section 1, Section 
49-20-418
 is amended to read:
49-20-418
. Expanded infertility treatment benefit.
(1)
As used in this section:
(a)
"Assisted reproductive technology" means the same as the term is defined in 42 
U.S.C. Sec. 263a-7.
(b)
"Physician" means the same as the term is defined in Section 
58-67-102
.
(c)
"Qualified assisted reproductive technology cycle" means the use of 
covered 
assisted 
reproductive technology to transfer a single embryo for implantation.
(d)
"Qualified individual" means an individual:
(i)
covered within the state risk pool; and
(ii)
eligible for maternity benefits under the program.
(2)
(a)
The program shall 
offer a benefit of $4,000 to a qualified individual toward the 
costs of each
provide coverage for
 qualified assisted reproductive technology 
cycle
cycles
.
(b)
The benefit is subject to the same cost sharing requirements as the qualified 
individual's plan.
(3)
A qualified individual shall receive the benefit described in Subsection (2) if:
(a)
the qualified individual is the patient who will use the assisted reproductive 
technology;
(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 complies with the 
program's clinical policies and 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
by a health care 
provider who contracts with or is otherwise approved by the program
.
(4)
(a)
The provision of a benefit in accordance with this section 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
.
(b)
If a qualified individual has received the adoption indemnity benefit required under 
Section 
31A-22-610.1
, the qualified individual may not receive a benefit in 
accordance with this section.
Section 2. 
Effective Date.
This bill takes effect on 
July 1, 2025
.
3-6-25 6:31 PM