HB 22-1008

House Bill 22-1008, which has been signed into law, requires health insurance plans in Colorado to cover fertility services like diagnosis and treatment for large employers starting January 1, 2023. For individual and small group policies, coverage must begin once the federal government confirms that state funding isn’t needed for this requirement, but no later than a year after that determination is made. This means that insurance plans will need to provide fertility services without additional costs to patients who qualify under these categories.

Official Summary

With respect to mandatory coverage for fertility diagnosis and treatment and fertility preservation services (fertility services) under health benefit plans, the act requires large employer health benefit plans issued or renewed in this state on or after January 1, 2023, to cover fertility services and requires the division of insurance to implement the coverage requirement. In addition, for individual and small group policies and contracts, the act requires coverage for fertility services under individual and small group policies and contracts issued or renewed in this state 12 months after the federal department of health and human services determines that coverage for fertility services does not require defrayal by the state, and requires the division to implement the fertility services coverage requirement once effective. (Note: This summary applies to this bill as enacted.)

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