Florida Senate - 2025                              CS for SB 924
       
       
        
       By the Committee on Governmental Oversight and Accountability;
       and Senator Calatayud
       
       
       
       
       585-02289-25                                           2025924c1
    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.
   27         (b) Coverage of standard fertility preservation services
   28  under this subsection includes the costs associated with
   29  preserving sperm and oocyte materials which are consistent with
   30  nationally recognized clinical practice guidelines and
   31  definitions. Coverage of storage expires after a period of 3
   32  years from the date of the procedures presenting a risk of
   33  iatrogenic infertility or when the individual is no longer
   34  covered under the state group health insurance plan, whichever
   35  occurs first.
   36         (c) A state group health insurance plan may not require
   37  preauthorization for coverage of standard fertility preservation
   38  services; however, a health benefit plan may contain provisions
   39  for maximum benefits and may subject the covered service to the
   40  same deductible, copayment, and coinsurance.
   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 medically necessary treatment
   45  with a potential side effect of impaired fertility as
   46  established by the American Society for Reproductive Medicine.
   47         2. “Nationally recognized clinical practice guidelines and
   48  definitions” mean evidence-based clinical practice guidelines
   49  developed by independent organizations or medical professional
   50  societies using a transparent methodology and reporting
   51  structure and with a conflict-of-interest policy, and
   52  definitions used or established in said guidelines. Guidelines
   53  developed by such organizations or societies must establish
   54  standards of care informed by a systematic review of evidence
   55  and an assessment of the benefits and costs of alternative care
   56  options and include recommendations intended to optimize patient
   57  care.
   58         3. “Standard fertility preservation services” means oocyte
   59  and sperm preservation procedures and storage, including ovarian
   60  tissue, sperm, and oocyte cryopreservation, which are consistent
   61  with nationally recognized clinical practice guidelines and
   62  definitions.
   63         Section 2. This act shall take effect July 1, 2025.