Fertility Care Is Healthcare: A Mandate to Cover Fertility Healthcare in California Promotes Reproductive Equity

Author:

Gehred Natalie D.1ORCID,Stevens Alexander1ORCID,Moncada Natalie1ORCID

Affiliation:

1. University of California, Los Angeles

Abstract

Infertility is a prevalent disease that causes mental and financial distress for those who suffer from it. For Californians affected by infertility, treatment access is limited by high out-of-pocket costs, as the State does not currently require health insurance plans to cover the cost of fertility services. However, California is currently considering a bill (SB 729) to mandate coverage of fertility care in the large-group insurance market. We recommend the State Assembly pass SB 729 as written to increase the availability of fertility treatments in a politically and economically feasible way. Additionally, we recommend the State amend informed consent procedures to better relay the fertility care options available to patients. Individually and jointly, these measures will alleviate the financial burden of fertility healthcare on California families.

Publisher

Journal of Science Policy and Governance, Inc.

Subject

Environmental Engineering

Reference43 articles.

1. American Society for Reproductive Medicine. 2019. “Fertility preservation in patients undergoing gonadotoxic therapy or gonadectomy: a committee opinion.” Fertility and Sterility 112(6):1022-1033. https://doi.org/10.1016/j.fertnstert.2019.09.013

2. American Society for Reproductive Medicine. 2023a. “What Is Infertility?” American Society for Reproductive Medicine. 2023. https://www.reproductivefacts.org/faqs/frequently-asked-questions-about-infertility/q01-what-is-infertility/.

3. ———. 2023b. “California State Infertility Insurance.” May 21, 2023. https://www.reproductivefacts.org/resources/state-infertility-insurance-laws/states/california/.

4. California Health and Safety Code. 2023. HSC. https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=1374.55.

5. California Health Benefits Review Program. 2020. “Analysis of California Assembly Bill 2781: Treatment of Infertility.”

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