Florida Senate - 2025                       CS for CS for SB 924
       
       
        
       By the Committees on Banking and Insurance; and Governmental
       Oversight and Accountability; and Senators Calatayud and Sharief
       
       
       
       
       597-03072-25                                           2025924c2
    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 retrieval and preservation
    6         services for state group health insurance plan
    7         policies issued on or after a specified date;
    8         specifying requirements and limitations regarding such
    9         coverage; prohibiting a state group health insurance
   10         plan from requiring preauthorization for certain
   11         covered services; authorizing health benefit plans to
   12         contain certain provisions under specified conditions;
   13         defining terms; 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
   23  provide, consistent with the laws of this state, coverage of
   24  medically necessary expenses relating to standard fertility
   25  preservation services when cancer treatments may directly or
   26  indirectly cause iatrogenic infertility.
   27         (b) Coverage of standard fertility preservation services
   28  under this subsection includes the costs associated with
   29  retrieving and preserving sperm and oocyte materials which are
   30  consistent with nationally recognized clinical practice
   31  guidelines and definitions. Coverage of retrieval and storage
   32  expires after a period of 3 years from the date of the
   33  procedures presenting a risk of iatrogenic infertility or when
   34  the individual is no longer covered under the state group health
   35  insurance plan, whichever occurs first.
   36         (c) A state group health insurance plan may not require
   37  preauthorization for coverage of standard fertility retrieval
   38  and preservation services; however, a health benefit plan may
   39  contain provisions for maximum benefits and may subject the
   40  covered service to the same deductible, copayment, and
   41  coinsurance.
   42         (d) As used in this subsection, the term:
   43         1. “Iatrogenic infertility” means an impairment of
   44  fertility caused directly or indirectly by surgery,
   45  chemotherapy, radiation, or other associated medically necessary
   46  treatment with a potential side effect of impaired fertility as
   47  established by the American Society for Clinical Oncology.
   48         2. “Nationally recognized clinical practice guidelines and
   49  definitions” mean evidence-based clinical practice guidelines
   50  developed by independent organizations or medical professional
   51  societies using a transparent methodology and reporting
   52  structure and with a conflict-of-interest policy, and
   53  definitions used or established in said guidelines. Guidelines
   54  developed by such organizations or societies must establish
   55  standards of care informed by a systematic review of evidence
   56  and an assessment of the benefits and costs of alternative care
   57  options and include recommendations intended to optimize patient
   58  care.
   59         3. “Standard fertility retrieval and preservation services”
   60  means oocyte and sperm retrieval and preservation procedures and
   61  storage, including ovarian tissue, sperm, and oocyte
   62  cryopreservation, which are consistent with nationally
   63  recognized clinical practice guidelines and definitions.
   64         Section 2. This act shall take effect July 1, 2025.