OFFICE OF FISCAL ANALYSIS

Legislative Office Building, Room 5200

Hartford, CT 06106 (860) 240-0200

http: //www.cga.ct.gov/ofa

SB-508

AN ACT CONCERNING HEALTH INSURANCE COVERAGE FOR INFERTILITY TREATMENT AND PROCEDURES.

AMENDMENT

LCO No.: 7500

File Copy No.: 765

House Calendar No.: 611

Senate Calendar No.: 219

OFA Fiscal Note

State Impact:

Agency Affected

Fund-Effect

Comptroller Misc. Accounts (Fringe Benefits)

Various - Eliminates Cost in Bill

Department of Social Services

GF –Significant Cost

Municipal Impact:

Municipalities

Effect

Various Municipalities

Eliminates Potential Cost in Bill, Potential Savings

Explanation

This amendment eliminates the underlying bill and its associated potential cost for state and municipal employee health benefit programs.

The amendment further establishes a program within the Department of Social Services (DSS) to fund infertility treatment for Connecticut residents. This program will provide medically necessary coverage for the diagnosis and treatment of infertility, and appears to be open to any state resident who applies to DSS for the program. The amendment allows DSS to establish certain limits to this coverage. This initiative will result in additional costs to the state as the department currently does not offer such services. Given the open eligibility and the high cost of infertility treatments (in-vitro fertilization alone can cost $10, 000 to $12, 000 per cycle) , the cost to DSS for this new program is substantial (likely in excess of $100 million annually) . Additionally, DSS will need significant administrative resources to establish and operate the program.

To the extent that any municipal health plans currently offer infertility treatment, a savings to the municipalities may result as DSS would likely assume some if not all of the cost for infertility treatments.

The preceding Fiscal Impact statement is prepared for the benefit of the members of the General Assembly, solely for the purposes of information, summarization and explanation and does not represent the intent of the General Assembly or either House thereof for any purpose.