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.