,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bdjh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #bc1 #bjbe,mr4   
,book] introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to require heal? insurance  
plans to provide cov]age = f]tility     
treatm5t1 & = o!r purposes4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,access 
to ,f]tility ,treatm5t & ,c>e ,act4  #b4
 ,/&>ds relat+ to b5efits = f]tility    
treatm5t  7a7 ,9 g5]al  7#a7 ,,phsa ,"p 
,d ( title ,,xxvii ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aaa
 et seq47 is am5d$ by add+ at ! end !   
foll[+3  #bgii;,a-#aa4 ,/&>ds relat+ to 
b5efits = f]tility treatm5t  7a7 ,9     
g5]al ,a gr\p heal? plan or a heal?     
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age %all provide    
cov]age = f]tility treatm5t1 if su* plan
 or cov]age provides cov]age =          
ob/etrical s]vices4  7b7 ,def9ition ,9  
?is section1 ! t]m f]tility treatm5t    

includes ! foll[+3 7#a7 ,pres]vation (  
human oocytes1 sp]m1 or embryos4  7#b7  
,artificial insem9ation1 includ+        
intravag9al insem9ation1 intrac]vical   
insem9ation1 & intraut]9e insem9ation4  
7#c7 ,assi/$ reproductive te*nology1    
includ+ 9 vitro f]tilization & o!r      
treatm5ts or proc$ures 9 :i*            
reproductive g5etic mat]ial1 su* z      
oocytes1 sp]m1 & embryos1 are h&l$1 :5  
cl9ically appropriate4  7#d7 ,g5etic    
te/+ ( embryos4  7#e7 ,m$ications       
prescrib$ or obta9$ ov]-!-c\nt]1 z      
indicat$ = f]tility4  7#f7 ,gamete      
donation4  7#g7 ,su* o!r in=mation1     
ref]rals1 treatm5ts1 proc$ures1         
m$ications1 laboratory te/+1            
te*nologies1 & s]vices relat+ to        
f]tility z ! ,secret>y det]m9es         
appropriate4  7c7 ,requir$ cov]age ,a   
gr\p heal? plan & a heal? insurance     
issu] (f]+ gr\p or individual heal?     
insurance cov]age t includes cov]age =  
ob/etrical s]vices %all provide cov]age 
= f]tility treatm5t det]m9$ appropriate 

by ! heal? c>e provid]1 reg>dless ( :e!r
 ! p>ticipant1 b5efici>y1 or enrollee   
receiv+ su* treatm5t has be5 diagnos$ ) 
inf]tility z def9$ by ! ,am]ican        
,society = ,reproductive ,m$ic9e1 if !  
treatm5t is p]=m$ at1 or prescrib$ by1 a
 m$ical facility t is 9 compliance )    
relevant /&>ds set by an appropriate    
,f$]al ag5cy4  7d7 ,limitation ,co/-%>+1
 includ+ d$uctibles & co9surance1 or o!r
 limitations = f]tility treatm5t may n  
be impos$ ) respect to ! s]vices requir$
 to be cov]$ "u subsection 7c7 to !     
ext5t t su* co/-%>+ exce$s ! co/-%>+    
appli$ to o!r m$ical s]vices "u ! gr\p  
heal? plan or heal? insurance cov]age or
 su* o!r limitations are diff]5t f      
limitations impos$ ) respect to su*     
m$ical s]vices1 except :]e su*          
limitation is m favorable ) respect to  
f]tility treatm5t4 ,! ,secret>y %all    
promulgate int]im f9al regulations to   
c>ry out ?is subsection1 not)/&+ !      
notice & comm5t requirem5ts ( section   
#eec ( title #e1 ,unit$ ,/ates ,code4   

7e7 ,prohibitions ,a gr\p heal? plan & a
 heal? insurance issu] (f]+ gr\p or     
individual heal? insurance cov]age may  
n-- 7#a7 provide inc5tives 7monet>y or  
o!rwise7 to a p>ticipant1 b5efici>y1 or 
enrollee to enc\rage su* p>ticipant1    
b5efici>y1 or enrollee n to seek or     
obta9 f]tility treatm5t to :i* su*      
p>ticipant1 b5efici>y1 or enrollee is   
entitl$ "u ?is section or to provid]s to
 induce su* provid]s n to provide       
m$ically appropriate f]tility treatm5ts 
to p>ticipants1 b5efici>ies1 or         
enrollees2  7#b7 prohibit a provid] f   
discuss+ ) a p>ticipant1 b5efici>y1 or  
enrollee f]tility treatm5t relat+ to ?is
 section2  7#c7 p5alize or o!rwise r$uce
 or limit ! reimbursem5t ( a provid]    
because su* provid] provid$ f]tility    
treatm5t to a qualifi$ p>ticipant1      
b5efici>y1 or enrollee 9 accordance )   
?is section2 or  7#d7 on ! gr\nd        
prohibit$ "u title ,,vi ( ! ,civil      
,rights ,act ( #aifd1 title ,,ix ( !    
,education ,am5dm5ts ( #aigb1 ! ,age    

,discrim9ation ,act ( #aige1 section    
#ejd ( ! ,rehabilitation ,act ( #aigc1  
or section #aeeg ( ! ,pati5t ,protection
 & ,af=dable ,c>e ,act1 exclude any     
individual f cov]age 9 accordance ) ?is 
section1 or discrim9ate aga9/ any       
individual ) respect to su* cov]age4    
7f7 ,rule ( con/ruction ,no?+ 9 ?is     
section %all be con/ru$ to require a    
p>ticipant1 b5efici>y1 or enrollee to   
und]go f]tility treatm5t4  7g7 ,notice  
,a gr\p heal? plan & a heal? insurance  
issu] (f]+ gr\p or individual heal?     
insurance cov]age %all provide notice to
 ea* p>ticipant1 b5efici>y1 & enrollee  
"u su* plan or cov]age reg>d+ ! cov]age 
requir$ by ?is section 9 accordance )   
regulations promulgat$ by ! ,secret>y4  
,su* notice %all be 9 writ+ & prom95tly 
position$ 9 any lit]ature or            
correspond5ce made available or         
di/ribut$ by ! plan or issu] & %all be  
transmitt$-- 7#a7 n lat] ?an ! e>li] (--
 7,a7 9 ! fir/ /&>d mail+ made by ! plan
 or issu] to ! p>ticipant1 b5efici>y1 or

 enrollee foll[+ ! effective date ( su* 
regulations2  7,b7 z "p ( any ye>ly     
in=mational packet s5t to ! p>ticipant1 
b5efici>y1 or enrollee2 or  7,c7 ,janu>y
 #a1 #bjbg2  7#b7 9 ! case ( a          
p>ticipant1 b5efici>y1 or enrollee n    
enroll$ 9 ! plan or cov]age on ! date ( 
transmission "u p>agraph 7#a71 ^u       
initial enrollm5t ( su* p>ticipant1     
b5efici>y1 or enrollee2 &  7#c7 on an   
annual basis aft] ! transmission "u     
p>agraph 7#a7 or 7#b74  7h7 ,level &    
type ( reimbursem5ts ,no?+ 9 ?is section
 %all be con/ru$ to prev5t a gr\p heal? 
plan or a heal? insurance issu] (f]+    
gr\p or individual heal? insurance      
cov]age f negotiat+ ! level & type (    
reimbursem5t ) a provid] = c>e provid$ 9
 accordance ) ?is section4  4  7#b7     
,,erisa  7,a7 ,9 g5]al ,subp>t ,b ( "p  
#g ( subtitle ,b ( title ,i ( !         
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #aahe et    
seq47 is am5d$ by add+ at ! end !       
foll[+3  #gbf4 ,/&>ds relat+ to b5efits 

= f]tility treatm5t  7a7 ,9 g5]al ,a    
gr\p heal? plan or a heal? insurance    
issu] (f]+ gr\p heal? insurance cov]age 
%all provide cov]age = f]tility         
treatm5t1 if su* plan or cov]age        
provides cov]age = ob/etrical s]vices4  
7b7 ,def9ition ,9 ?is section1 ! t]m    
f]tility treatm5t includes ! foll[+3    
7#a7 ,pres]vation ( human oocytes1 sp]m1
 or embryos4  7#b7 ,artificial          
insem9ation1 includ+ intravag9al        
insem9ation1 intrac]vical insem9ation1 &
 intraut]9e insem9ation4  7#c7 ,assi/$  
reproductive te*nology1 includ+ 9 vitro 
f]tilization & o!r treatm5ts or         
proc$ures 9 :i* reproductive g5etic     
mat]ial1 su* z oocytes1 sp]m1 & embryos1
 are h&l$1 :5 cl9ically appropriate4    
7#d7 ,g5etic te/+ ( embryos4  7#e7      
,m$ications prescrib$ or obta9$         
ov]-!-c\nt]1 z indicat$ = f]tility4     
7#f7 ,gamete donation4  7#g7 ,su* o!r   
in=mation1 ref]rals1 treatm5ts1         
proc$ures1 m$ications1 laboratory te/+1 
te*nologies1 & s]vices relat+ to        

f]tility z ! ,secret>y ( ,heal? & ,human
 ,s]vices det]m9es appropriate4  7c7    
,requir$ cov]age ,a gr\p heal? plan & a 
heal? insurance issu] (f]+ gr\p heal?   
insurance cov]age t includes cov]age =  
ob/etrical s]vices %all provide cov]age 
= f]tility treatm5t det]m9$ appropriate 
by ! heal? c>e provid]1 reg>dless ( :e!r
 ! p>ticipant or b5efici>y receiv+ su*  
treatm5t has be5 diagnos$ ) inf]tility z
 def9$ by ! ,am]ican ,society =         
,reproductive ,m$ic9e1 if ! treatm5t is 
p]=m$ at1 or prescrib$ by1 a m$ical     
facility t is 9 compliance ) relevant   
/&>ds set by an appropriate ,f$]al      
ag5cy4  7d7 ,limitation ,co/-%>+1       
includ+ d$uctibles & co9surance1 or o!r 
limitations = f]tility treatm5t may n be
 impos$ ) respect to ! s]vices requir$  
to be cov]$ "u subsection 7c7 to ! ext5t
 t su* co/-%>+ exce$s ! co/-%>+ appli$  
to o!r m$ical s]vices "u ! gr\p heal?   
plan or heal? insurance cov]age or su*  
o!r limitations are diff]5t f           
limitations impos$ ) respect to su*     

m$ical s]vices1 except :]e su*          
limitation is m favorable ) respect to  
f]tility treatm5t4 ,! ,secret>y %all    
promulgate int]im f9al regulations to   
c>ry out ?is subsection1 not)/&+ !      
notice & comm5t requirem5ts ( section   
#eec ( title #e1 ,unit$ ,/ates ,code4   
7e7 ,prohibitions ,a gr\p heal? plan & a
 heal? insurance issu] (f]+ gr\p heal?  
insurance cov]age may n-- 7#a7 provide  
inc5tives 7monet>y or o!rwise7 to a     
p>ticipant or b5efici>y to enc\rage su* 
p>ticipant or b5efici>y n to seek or    
obta9 f]tility treatm5t to :i* su*      
p>ticipant or b5efici>y is entitl$ "u   
?is section or to provid]s to induce su*
 provid]s n to provide m$ically         
appropriate f]tility treatm5ts to       
p>ticipants or b5efici>ies2  7#b7       
prohibit a provid] f discuss+ ) a       
p>ticipant or b5efici>y f]tility        
treatm5t relat+ to ?is section2  7#c7   
p5alize or o!rwise r$uce or limit !     
reimbursem5t ( a provid] because su*    
provid] provid$ f]tility treatm5t to a  

qualifi$ p>ticipant or b5efici>y 9      
accordance ) ?is section2 or  7#d7 on ! 
gr\nd prohibit$ "u title ,,vi ( ! ,civil
 ,rights ,act ( #aifd 7#db ,u4,s4,c4    
#bjjj;d et seq471 title ,,ix ( !        
,education ,am5dm5ts ( #aigb 7#bj       
,u4,s4,c4 #afha et seq471 ! ,age        
,discrim9ation ,act ( #aige 7#db        
,u4,s4,c4 #faja et seq471 section #ejd (
 ! ,rehabilitation ,act ( #aigc 7#bi    
,u4,s4,c4 #gid71 or section #aeeg ( !   
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahaaf71 exclude any
 individual f cov]age 9 accordance ) ?is
 section1 or discrim9ate aga9/ any      
individual ) respect to su* cov]age4    
7f7 ,rule ( con/ruction ,no?+ 9 ?is     
section %all be con/ru$ to require a    
p>ticipant or b5efici>y to und]go       
f]tility treatm5t4  7g7 ,notice ,a gr\p 
heal? plan & a heal? insurance issu]    
(f]+ gr\p heal? insurance cov]age %all  
provide notice to ea* p>ticipant &      
b5efici>y "u su* plan or cov]age reg>d+ 
! cov]age requir$ by ?is section 9      

accordance ) regulations promulgat$ by !
 ,secret>y4 ,su* notice %all be 9 writ+ 
& prom95tly position$ 9 any lit]ature or
 correspond5ce made available or        
di/ribut$ by ! plan or issu] & %all be  
transmitt$-- 7#a7 n lat] ?an ! e>li] (--
 7,a7 9 ! fir/ /&>d mail+ made by ! plan
 or issu] to ! p>ticipant or b5efici>y  
foll[+ ! effective date ( su*           
regulations2  7,b7 z "p ( any ye>ly     
in=mational packet s5t to ! p>ticipant  
or b5efici>y2 or  7,c7 ,janu>y #a1      
#bjbg2  7#b7 9 ! case ( a p>ticipant or 
b5efici>y n enroll$ 9 ! plan or cov]age 
on ! date ( transmission "u p>agraph    
7#a71 ^u initial enrollm5t ( su*        
p>ticipant or b5efici>y2 &  7#c7 on an  
annual basis aft] ! transmission "u     
p>agraph 7#a7 or 7#b74  7h7 ,level &    
type ( reimbursem5ts ,no?+ 9 ?is section
 %all be con/ru$ to prev5t a gr\p heal? 
plan or a heal? insurance issu] (f]+    
gr\p heal? insurance cov]age f negotiat+
 ! level & type ( reimbursem5t ) a      
provid] = c>e provid$ 9 accordance ) ?is

 section4  4  7,b7 ,cl]ical am5dm5t ,!  
table ( cont5ts 9 section #a ( !        
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #ajja et    
seq47 is am5d$ by ins]t+ aft] ! item    
relat+ to section #gbe ! foll[+ new     
item3  ,sec4 #gbf4 ,/&>ds relat+ to     
b5efits = f]tility treatm5t4  4  7#c7   
,,irc  7,a7 ,9 g5]al ,sub*apt] ,b (     
*apt] #ajj ( ! ,int]nal ,rev5ue ,code ( 
#aihf is am5d$ by add+ at ! end !       
foll[+3  #ihbf4 ,/&>ds relat+ to b5efits
 = f]tility treatm5t  7a7 ,9 g5]al ,a   
gr\p heal? plan %all provide cov]age =  
f]tility treatm5t1 if su* plan provides 
cov]age = ob/etrical s]vices4  7b7      
,def9ition ,9 ?is section1 ! t]m        
f]tility treatm5t includes ! foll[+3    
7#a7 ,pres]vation ( human oocytes1 sp]m1
 or embryos4  7#b7 ,artificial          
insem9ation1 includ+ intravag9al        
insem9ation1 intrac]vical insem9ation1 &
 intraut]9e insem9ation4  7#c7 ,assi/$  
reproductive te*nology1 includ+ 9 vitro 
f]tilization & o!r treatm5ts or         

proc$ures 9 :i* reproductive g5etic     
mat]ial1 su* z oocytes1 sp]m1 & embryos1
 are h&l$1 :5 cl9ically appropriate4    
7#d7 ,g5etic te/+ ( embryos4  7#e7      
,m$ications prescrib$ or obta9$         
ov]-!-c\nt]1 z indicat$ = f]tility4     
7#f7 ,gamete donation4  7#g7 ,su* o!r   
in=mation1 ref]rals1 treatm5ts1         
proc$ures1 m$ications1 laboratory te/+1 
te*nologies1 & s]vices relat+ to        
f]tility z ! ,secret>y ( ,heal? & ,human
 ,s]vices det]m9es appropriate4  7c7    
,requir$ cov]age ,a gr\p heal? plan t   
includes cov]age = ob/etrical s]vices   
%all provide cov]age = f]tility treatm5t
 det]m9$ appropriate by ! heal? c>e     
provid]1 reg>dless ( :e!r ! p>ticipant  
or b5efici>y receiv+ su* treatm5t has   
be5 diagnos$ ) inf]tility z def9$ by !  
,am]ican ,society = ,reproductive       
,m$ic9e1 if ! treatm5t is p]=m$ at1 or  
prescrib$ by1 a m$ical facility t is 9  
compliance ) relevant /&>ds set by an   
appropriate ,f$]al ag5cy4  7d7          
,limitation ,co/-%>+1 includ+ d$uctibles

 & co9surance1 or o!r limitations =     
f]tility treatm5t may n be impos$ )     
respect to ! s]vices requir$ to be cov]$
 "u subsection 7c7 to ! ext5t t su*     
co/-%>+ exce$s ! co/-%>+ appli$ to o!r  
m$ical s]vices "u ! gr\p heal? plan or  
heal? insurance cov]age or su* o!r      
limitations are diff]5t f limitations   
impos$ ) respect to su* m$ical s]vices1 
except :]e su* limitation is m favorable
 ) respect to f]tility treatm5t4 ,!     
,secret>y %all promulgate int]im f9al   
regulations to c>ry out ?is subsection1 
not)/&+ ! notice & comm5t requirem5ts ( 
section #eec ( title #e1 ,unit$ ,/ates  
,code4  7e7 ,prohibitions ,a gr\p heal? 
plan may n-- 7#a7 provide inc5tives     
7monet>y or o!rwise7 to a p>ticipant or 
b5efici>y to enc\rage su* p>ticipant or 
b5efici>y n to seek or obta9 f]tility   
treatm5t to :i* su* p>ticipant or       
b5efici>y is entitl$ "u ?is section or  
to provid]s to induce su* provid]s n to 
provide m$ically appropriate f]tility   
treatm5ts to p>ticipants or b5efici>ies2

  7#b7 prohibit a provid] f discuss+ ) a
 p>ticipant or b5efici>y f]tility       
treatm5t relat+ to ?is section2  7#c7   
p5alize or o!rwise r$uce or limit !     
reimbursem5t ( a provid] because su*    
provid] provid$ f]tility treatm5t to a  
qualifi$ p>ticipant or b5efici>y 9      
accordance ) ?is section2 or  7#d7 on ! 
gr\nd prohibit$ "u title ,,vi ( ! ,civil
 ,rights ,act ( #aifd 7#db ,u4,s4,c4    
#bjjj;d et seq471 title ,,ix ( !        
,education ,am5dm5ts ( #aigb 7#bj       
,u4,s4,c4 #afha et seq471 ! ,age        
,discrim9ation ,act ( #aige 7#db        
,u4,s4,c4 #faja et seq471 section #ejd (
 ! ,rehabilitation ,act ( #aigc 7#bi    
,u4,s4,c4 #gid71 or section #aeeg ( !   
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahaaf71 exclude any
 individual f cov]age 9 accordance ) ?is
 section1 or discrim9ate aga9/ any      
individual ) respect to su* cov]age4    
7f7 ,rule ( con/ruction ,no?+ 9 ?is     
section %all be con/ru$ to require a    
p>ticipant or b5efici>y to und]go       

f]tility treatm5t4  7g7 ,notice ,a gr\p 
heal? plan %all provide notice to ea*   
p>ticipant & b5efici>y "u su* plan      
reg>d+ ! cov]age requir$ by ?is section 
9 accordance ) regulations promulgat$ by
 ! ,secret>y4 ,su* notice %all be 9     
writ+ & prom95tly position$ 9 any       
lit]ature or correspond5ce made         
available or di/ribut$ by ! plan & %all 
be transmitt$-- 7#a7 n lat] ?an ! e>li] 
(-- 7,a7 9 ! fir/ /&>d mail+ made by !  
plan to ! p>ticipant or b5efici>y foll[+
 ! effective date ( su* regulations2    
7,b7 z "p ( any ye>ly in=mational packet
 s5t to ! p>ticipant or b5efici>y2 or   
7,c7 ,janu>y #a1 #bjbg2  7#b7 9 ! case (
 a p>ticipant or b5efici>y n enroll$ 9 !
 plan on ! date ( transmission "u       
p>agraph 7#a71 ^u initial enrollm5t (   
su* p>ticipant or b5efici>y2 &  7#c7 on 
an annual basis aft] ! transmission "u  
p>agraph 7#a7 or 7#b74  7h7 ,level &    
type ( reimbursem5ts ,no?+ 9 ?is section
 %all be con/ru$ to prev5t a gr\p heal? 
plan f negotiat+ ! level & type (       

reimbursem5t ) a provid] = c>e provid$ 9
 accordance ) ?is section4  4  7,b7     
,cl]ical am5dm5t ,! table ( sections =  
sub*apt] ,b ( *apt] #ajj ( ! ,int]nal   
,rev5ue ,code ( #aihf is am5d$ by add+  
at ! end ! foll[+ new item3  ,sec4      
#ihbf4 ,/&>ds relat+ to b5efits =       
f]tility treatm5t4  4  7b7 ,con=m+      
am5dm5ts  7#a7 ,,phsa ,section #bgbd7;c7
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #cjj;gg-#bc7;c77 is am5d$ by  
/rik+ section #bgjd & ins]t+ sections   
#bgjd & #bgii;,a-#aa4  7#b7 ,,erisa     
,section #gca7;c7 ( ! ,employee         
,retirem5t ,income ,security ,act (     
#aigd 7#bi ,u4,s4,c4 #aaia7;c77 is am5d$
 by /rik+ section #gaa & ins]t+ sections
 #gaa & #gbf4  7c7 ,effective dates     
7#a7 ,9 g5]al ,! am5dm5ts made by       
subsections 7a7 & 7b7 %all apply = plan 
ye>s beg9n+ on or aft] ! date t is #f   
mon?s aft] ! date ( enactm5t ( ?is ,act4
  7#b7 ,collective b>ga9+ exception     
7,a7 ,9 g5]al ,9 ! case ( a gr\p heal?  
plan ma9ta9$ pursuant to "o or m        

collective b>ga9+ agreem5ts betwe5      
employee repres5tatives & "o or m       
employ]s ratifi$ be=e ! date ( enactm5t 
( ?is ,act1 ! am5dm5ts made by          
subsection 7a7 %all n apply to plan ye>s
 beg9n+ be=e ! lat] (-- 7i7 ! date on   
:i* ! la/ collective b>ga9+ agreem5ts   
relat+ to ! plan t]m9ates 7det]m9$ )\t  
reg>d to any ext5sion !re( agre$ to aft]
 ! date ( enactm5t ( ?is ,act71 or  7ii7
 ! date occurr+ #f mon?s aft] ! date ( !
 enactm5t ( ?is ,act4  7,b7             
,cl>ification ,= purposes ( subp>agraph 
7,a71 any plan am5dm5t made pursuant to 
a collective b>ga9+ agreem5t relat+ to !
 plan :i* am5ds ! plan solely to con=m  
to any requirem5t add$ by subsection 7a7
 %all n be treat$ z a t]m9ation ( su*   
collective b>ga9+ agreem5t4  #c4 ,f$]al 
,employees ,heal? ,b5efits ,program  7a7
 ,9 g5]al ,section #hijb ( title #e1    
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+3  7q7 7#a7 ,9 ?is       
subsection1 ! t]m f]tility treatm5t has 
! mean+ giv5 ! t]m 9 section            

#bgii;,a-#aa7;b7 ( ! ,public ,heal?     
,s]vice ,act4  7#b7 ,a contract "u ?is  
*apt] %all provide1 9 a mann] consi/5t )
 section #bgii;,a-#aa ( ! ,public ,heal?
 ,s]vice ,act1 cov]age = f]tility       
treatm5t1 if t contract cov]s ob/etrical
 b5efits4  7#c7 ,cov]age = f]tility     
treatm5t "u a heal? b5efits plan        
describ$ 9 section #hijc or #hijc;a may 
n be subject to any copaym5t or         
d$uctible great] ?an ! copaym5t or      
d$uctible1 respectively1 applicable to  
ob/etrical b5efits "u ! plan4  7#d7     
,subsection 7m77#a7 %all n1 ) respect to
 a contract "u ?is *apt]1 prev5t !      
inclusion ( any t]ms t1 "u p>agraph 7#b7
 ( ?is subsection1 are requir$ by reason
 ( section #bgii;,a-#aa ( ! ,public     
,heal? ,s]vice ,act4  4  7b7 ,effective 
date ,! am5dm5t made by subsection 7a7  
%all apply ) respect to-- 7#a7 any      
contract ent]$ into or r5ew$ = a        
contract ye> beg9n+ on or aft] ! date t 
is #ahj days aft] ! date ( enactm5t (   
?is ,act2 &  7#b7 any heal? b5efits plan

 (f]$ "u a contract describ$ 9 p>agraph 
7#a74  #d4 ,b5efits = f]tility treatm5t 
"u ! ,,tric>e program  7a7 ,9 g5]al     
,*apt] #ee ( title #aj1 ,unit$ ,/ates   
,code1 is am5d$ by add+ at ! end !      
foll[+ new section3  #aaaj;c4           
,ob/etrical & f]tility b5efits  7a7 ,9  
g5]al ,any heal? c>e plan "u ?is *apt]  
%all provide1 9 a mann] consi/5t )      
section #bgii;,a-#aa ( ! ,public ,heal? 
,s]vice ,act1 cov]age = f]tility        
treatm5t1 if su* plan cov]s ob/etrical  
b5efits4  7b7 ,copaym5t ,! ,secret>y (  
,def5se %all e/abli% co/-%>+ requirem5ts
 = ! cov]age ( f]tility treatm5t t are  
consi/5t ) ! co/-%>+ requirem5ts        
applicable to heal? plans & heal?       
insurance cov]age "u section            
#bgii;,a-#aa7;d7 ( ! ,public ,heal?     
,s]vice ,act4  7c7 ,regulations ,!      
,secret>y ( ,def5se %all prescribe any  
regulations necess>y to c>ry out ?is    
section4  7d7 ,def9itions ,9 ?is        
section1 ! t]m f]tility treatm5t has !  
mean+ giv5 ! t]m 9 section              

#bgii;,a-#aa7;b7 ( ! ,public ,heal?     
,s]vice ,act4  4  7b7 ,cl]ical am5dm5t  
,! table ( sections at ! beg9n+ ( *apt] 
#ee ( su* title is am5d$ by add+ at !   
end ! foll[+ new item3  #aaaj;c4        
,ob/etrical & f]tility b5efits4  4  #e4 
,f]tility treatm5t = vet]ans & sp\ses or
 p>tn]s ( vet]ans  7a7 ,9 g5]al         
,sub*apt] ,,ii ( *apt] #ag ( title #ch1 
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+ new section3  #agbj,m4  
,f]tility treatm5t = vet]ans & sp\ses or
 p>tn]s ( vet]ans  7a7 ,9 g5]al ,!      
,secret>y %all furni% f]tility treatm5t 
s]vices to a vet]an or a sp\se or p>tn] 
( a vet]an if ! vet]an1 & ! sp\se or    
p>tn] ( ! vet]an1 z applicable1 apply   
jo9tly = su* f]tility treatm5t ?r\gh a  
process prescrib$ by ! ,secret>y =      
purposes ( ?is section4  7b7 ,def9itions
 ,9 ?is section1 ! t]m f]tility treatm5t
 has ! mean+ giv5 ! t]m 9 section       
#bgii;,a-#aa7;b7 ( ! ,public ,heal?     
,s]vice ,act4  4  7b7 ,cl]ical am5dm5t  
,! table ( sections at ! beg9n+ ( *apt] 

#ag ( su* title is am5d$ by ins]t+ aft] 
! item relat+ to section #agbj,l !      
foll[+ new item3  #agbj,m4 ,f]tility    
treatm5t = vet]ans & sp\ses or p>tn]s ( 
vet]ans4  4  7c7 ,regulations ,n lat]   
?an #ah mon?s aft] ! date ( ! enactm5t (
 ?is ,act1 ! ,secret>y ( ,vet]ans       
,affairs %all prescribe regulations to  
c>ry out section #agbj,m ( title #ch1   
,unit$ ,/ates ,code1 z add$ by          
subsection 7a74  #f4 ,requirem5t = ,/ate
 ,m$icaid plans to provide m$ical       
assi/ance = f]tility treatm5t  7a7 ,9   
g5]al ,section #aije ( ! ,social        
,security ,act 7#db ,u4,s4,c4 #acif;d7  
is am5d$-- 7#a7 9 subsection            
7a77#d77;,c71 by ins]t+ 7:i* %all       
include f]tility treatm5t provid$ 9     
accordance ) subsection 7kk77 aft]      
family plann+ s]vices & supplies2 &     
7#b7 by add+ at ! end ! foll[+ new      
subsection3  7kk7 ,requirem5ts = cov]age
 ( f]tility treatm5t ,= purposes (      
subsection 7a77#d77;,c71 a ,/ate %all   
ensure t ! m$ical assi/ance provid$ "u !

 ,/ate plan 7or waiv] ( su* plan7 =     
f]tility treatm5t complies ) !          
requirem5ts ( section #bgii;,a-#aa7;b7 (
 ! ,public ,heal? ,s]vice ,act 9 ! same 
mann] z su* requirem5ts & limitations   
apply to heal? insurance cov]age (f]$ by
 a gr\p heal? plan or heal? insurance   
issu]4  4  7b7 ,te*nical am5dm5t        
,section #aijc7;a77#e7 ( ! ,social      
,security ,act 7#db ,u4,s4,c4           
#acif;b7a77#e77 is am5d$ by ins]t+      
describ$ 9 section #aije7;a77#d77;,c7   
aft] family plann+ s]vices & supplies4  
7c7 ,effective date  7#a7 ,9 g5]al      
,except z provid$ 9 p>agraph 7#b71 !    
am5dm5ts made by ?is section %all take  
effect on ,octob] #a1 #bjbf4  7#b7      
,delay p]mitt$ if ,/ate legislation     
requir$ ,9 ! case ( a ,/ate plan approv$
 "u title ,,xix ( ! ,social ,security   
,act :i* ! ,secret>y ( ,heal? & ,human  
,s]vices det]m9es requires ,/ate        
legislation 7o!r ?an legislation        
appropriat+ funds7 9 ord] = ! plan to   
meet ! additional requirem5t impos$ by  

?is section1 ! ,/ate plan %all n be     
reg>d$ z fail+ to comply ) ! requirem5ts
 ( su* title solely on ! basis ( !      
failure ( ! plan to meet su* additional 
requirem5t be=e ! fir/ day ( ! fir/     
cal5d> qu>t] beg9n+ aft] ! close ( !    
fir/ regul> session ( ! ,/ate           
legislature t ends aft] ! #a-ye> p]iod  
beg9n+ ) ! date ( ! enactm5t ( ?is      
section4 ,= purposes ( ! prec$+ s5t5ce1 
9 ! case ( a ,/ate t has a #b-ye>       
legislative session1 ea* ye> ( ! session
 is deem$ to be a sep>ate regul> session
 ( ! ,/ate legislature4  #g4 ,m$ic>e    
cov]age ( f]tility treatm5t  7a7        
,cov]age ,section #ahfa7s77#b7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7s77#b77 is am5d$-- 7#a7 9        
subp>agraph 7,,jj71 by ins]t+ & aft] !  
semicolon at ! end2 &  7#b7 by add+ at !
 end ! foll[+ new subp>agraph3  7,,kk7  
f]tility treatm5t 7z def9$ 9 section    
#bgii;,a-#aa7;b7 ( ! ,public ,heal?     
,s]vice ,act72  4  7b7 ,paym5t & waiv] (
 co9surance ,section #ahcc7;a77#a7 ( !  

,social ,security ,act 7#db ,u4,s4,c4   
#aciel7a77#a77 is am5d$-- 7#a7 by /rik+ 
& be=e 7,,hh72 &  7#b7 by ins]t+ be=e ! 
semicolon at ! end ! foll[+3 1 & 7,,ii7 
) respect to f]tility treatm5t 7z       
describ$ 9 section #ahfa7s77#b77,,kk771 
! am\nt paid %all be equal to #ajj p]c5t
 ( ! less] ( ! actual *>ge = ! treatm5t 
or ! am\nt det]m9$ "u ! paym5t basis    
det]m9$ "u section #ahdh4  7c7 ,waiv] ( 
application ( d$uctible ,! fir/ s5t5ce (
 section #ahcc7;b7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciel7b77 is      
am5d$-- 7#a7 by /rik+ 1 & 7#ac7 & ins]t+
 7#ac72 &  7#b7 by /rik+ #ahfa7n744 &   
ins]t+ #ahfa7n71 & 7#ad7 su* d$uctible  
%all n apply ) respect to f]tility      
treatm5t 7z describ$ 9 section          
#ahfa7s77#b77,,kk7744  7d7 ,paym5t "u   
physician fee s*$ule ,section           
#ahdh7;j77#c7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #aciew-#d7;j77#c77 is   
am5d$ by ins]t+ 7#b77,,kk71 aft] risk   
assessm5t714  7e7 ,con=m+ am5dm5t reg>d+
 cov]age ,section #ahfb7;a77#a77;,a7 ( !

 ,social ,security ,act 7#db ,u4,s4,c4  
#aciey7a77#a77;,a77 is am5d$-- 7#a7 by  
/rik+ or additional & ins]t+ 1          
additional2 &  7#b7 by ins]t+ 1 or      
f]tility treatm5t 7z describ$ 9 section 
#ahfa7s77#b77,,kk77 aft]                
#ahfa7;ddd77#a774  7f7 ,effective date  
,! am5dm5ts made by ?is section %all    
apply to s]vices furni%$ on or aft]     
,janu>y #a1 #bjbf4