Florida Senate - 2025                                     SB 924
       
       
        
       By Senator Calatayud
       
       
       
       
       
       38-01270-25                                            2025924__
    1                        A bill to be entitled                      
    2         An act relating to coverage for fertility preservation
    3         services; amending s. 110.12303, F.S.; requiring the
    4         Department of Management Services to provide coverage
    5         of certain fertility preservation services for state
    6         group health insurance plan policies issued on or
    7         after a specified date; specifying requirements and
    8         limitations regarding such coverage; prohibiting a
    9         state group health insurance plan from requiring
   10         preauthorization for certain covered services;
   11         authorizing health benefit plans to contain certain
   12         provisions under specified conditions; defining terms;
   13         providing an effective date.
   14          
   15  Be It Enacted by the Legislature of the State of Florida:
   16  
   17         Section 1. Subsection (7) is added to section 110.12303,
   18  Florida Statutes, to read:
   19         110.12303 State group insurance program; additional
   20  benefits; price transparency program; reporting.—
   21         (7)(a) For state group health insurance plan policies
   22  issued on or after January 1, 2026, the department shall provide
   23  coverage of medically necessary expenses relating to standard
   24  fertility preservation services when a medically necessary
   25  treatment may directly or indirectly cause iatrogenic
   26  infertility. Coverage under this section extends to covered
   27  individuals who have been diagnosed with cancer for which
   28  necessary cancer treatment may directly or indirectly cause
   29  iatrogenic infertility and who are within reproductive age.
   30         (b) Coverage of standard fertility preservation services
   31  under this subsection includes the costs associated with the
   32  storage of oocytes and sperm, for a period not to exceed 3
   33  years.
   34         (c) A state group health insurance plan may not require
   35  preauthorization for coverage of standard fertility preservation
   36  services; however, a health benefit plan may contain provisions
   37  for maximum benefits and may subject the covered service to the
   38  same deductible, copayment, coinsurance, and reasonable
   39  limitations and exclusions to the extent that these applications
   40  are not inconsistent with this subsection.
   41         (d) As used in this subsection, the term:
   42         1. “Iatrogenic infertility” means an impairment of
   43  fertility caused directly or indirectly by surgery,
   44  chemotherapy, radiation, or other medical treatment with a
   45  potential side effect of impaired fertility as established by
   46  the American Society of Clinical Oncology or the American
   47  Society for Reproductive Medicine.
   48         2. “Reproductive age” means the age range in which an
   49  individual is deemed fertile as established by the American
   50  Society of Clinical Oncology or the American Society for
   51  Reproductive Medicine.
   52         3. “Standard fertility preservation services” means oocyte
   53  and sperm preservation procedures, including ovarian tissue,
   54  sperm, and oocyte cryopreservation, which are consistent with
   55  established medical practices or professional guidelines
   56  published by the American Society of Clinical Oncology or the
   57  American Society for Reproductive Medicine.
   58         Section 2. This act shall take effect July 1, 2025.