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.