Full Text of SB1764 99th General Assembly
SB1764enr 99TH GENERAL ASSEMBLY |
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| 1 | | AN ACT concerning insurance.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Illinois Insurance Code is amended by | 5 | | changing Section 356m as follows:
| 6 | | (215 ILCS 5/356m) (from Ch. 73, par. 968m)
| 7 | | Sec. 356m. Infertility coverage.
| 8 | | (a) No group policy of accident and health insurance | 9 | | providing coverage
for more than 25 employees that provides | 10 | | pregnancy related benefits may be
issued, amended, delivered, | 11 | | or
renewed in this State after the effective date of this | 12 | | amendatory Act of the 99th General Assembly the effective date | 13 | | of this amendatory Act of
1991 unless the policy contains | 14 | | coverage for the diagnosis and treatment of
infertility | 15 | | including, but not limited to, in vitro fertilization, uterine
| 16 | | embryo lavage, embryo transfer, artificial insemination, | 17 | | gamete
intrafallopian tube transfer, zygote intrafallopian | 18 | | tube transfer, and low
tubal ovum transfer.
| 19 | | (b) The coverage required under subsection (a) is subject | 20 | | to the following conditions:
| 21 | | (1) Coverage for procedures for in vitro | 22 | | fertilization, gamete
intrafallopian tube transfer, or | 23 | | zygote intrafallopian tube transfer shall
be required only |
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| 1 | | if:
| 2 | | (A) the covered individual has been unable to | 3 | | attain a viable pregnancy, maintain a viable | 4 | | pregnancy, or sustain a
successful pregnancy through | 5 | | reasonable, less costly medically appropriate
| 6 | | infertility treatments for which coverage is available | 7 | | under the policy,
plan, or contract;
| 8 | | (B) the covered individual has not undergone 4 | 9 | | completed oocyte
retrievals, except that if a live | 10 | | birth follows a completed oocyte
retrieval, then 2 more | 11 | | completed oocyte retrievals shall be covered; and
| 12 | | (C) the procedures are performed at medical | 13 | | facilities that conform to
the American College of | 14 | | Obstetric and Gynecology guidelines for in vitro
| 15 | | fertilization clinics or to the American Fertility | 16 | | Society minimal
standards for programs of in vitro | 17 | | fertilization.
| 18 | | (2) The procedures required to be covered under this | 19 | | Section are not
required to be contained in any policy or | 20 | | plan issued to or by a religious
institution or | 21 | | organization or to or by an entity sponsored by a religious
| 22 | | institution or organization that finds the procedures | 23 | | required to be
covered under this Section to violate its | 24 | | religious
and moral teachings and beliefs.
| 25 | | (c) For purpose of this Section, "infertility" means the | 26 | | inability to
conceive after one year of unprotected sexual |
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| 1 | | intercourse , the inability to conceive after one year of | 2 | | attempts to produce conception, the inability to conceive after | 3 | | an individual is diagnosed with a condition affecting | 4 | | fertility, or the inability
to sustain a successful pregnancy.
| 5 | | (Source: P.A. 89-669, eff. 1-1-97.)
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