Connecticut Seal

General Assembly

Amendment

 

January Session, 2005

LCO No. 7500

   
 

*SB0050807500HRO*

Offered by:

 

REP. FARR, 19th Dist.

 

To: Subst. Senate Bill No. 508

File No. 765

Cal. No. 611

Strike everything after the enacting clause and substitute the following in lieu thereof:

"Section 1. (NEW) (Effective October 1, 2005) (a) There is established a program to fund infertility treatment for residents of this state. The Commissioner of Social Services shall administer the program. For purposes of this section, "infertility" means the condition of a presumably healthy individual who is unable to conceive or produce conception or sustain a successful pregnancy during a one-year period.

(b) The program shall provide coverage for the medically necessary expenses of the diagnosis and treatment of infertility, including, but not limited to, ovulation induction, intrauterine insemination, in-vitro fertilization, uterine embryo lavage, embryo transfer, gamete intra-fallopian transfer, zygote intra-fallopian transfer and low tubal ovum transfer.

(c) The program may:

(1) Limit such coverage to an individual until the date of such individual's fortieth birthday;

(2) Limit such coverage for ovulation induction to a lifetime maximum benefit of four cycles;

(3) Limit such coverage for intrauterine insemination to a lifetime maximum benefit of three cycles;

(4) Limit lifetime benefits to a maximum of two cycles, with not more than two embryo implantations per cycle, for in-vitro fertilization, gamete intra-fallopian transfer, zygote intra-fallopian transfer or low tubal ovum transfer, provided each such fertilization or transfer shall be credited toward such maximum as one cycle;

(5) Limit coverage for in-vitro fertilization, gamete intra-fallopian transfer, zygote intra-fallopian transfer and low tubal ovum transfer to those individuals who have been unable to conceive or produce conception or sustain a successful pregnancy through less expensive and medically viable infertility treatment or procedures covered under the program. Nothing in this subdivision shall be construed to deny the coverage provided by this section to any individual who foregoes a particular infertility treatment or procedure if the individual's physician determines that such treatment or procedure is likely to be unsuccessful; and

(6) Require that covered infertility treatment or procedures be performed at facilities that conform to the standards and guidelines developed by the American Society of Reproductive Medicine or the Society of Reproductive Endocrinology and Infertility.

(d) In order to obtain coverage under the program, a resident of this state shall apply to the commissioner on such form as the commissioner may prescribe.

(e) The Commissioner of Social Services may adopt regulations, in accordance with chapter 54 of the general statutes, to implement the program established under this section. "

This act shall take effect as follows and shall amend the following sections:

Section 1

October 1, 2005

New section