HB 24-1025

House Bill 24-1025, which has been signed into law, requires health plans in Colorado to cover fertility services starting January 1, 2025. This means that insurance companies must provide coverage for diagnosing and treating infertility as well as preserving fertility options without placing any restrictions based on a person's use of these services for others. The bill also updates the definition of "infertility" to include it as a status similar to a disease or condition, ensuring broader eligibility for coverage. This law will affect individuals seeking fertility treatments and their insurance providers.

Official Summary

Under current law, individual and small group health benefit plans (plans) are required to cover fertility diagnosis and treatment and fertility preservation services (fertility services) in the state 12 months after the federal department of health and human services determines that coverage for fertility services does not require defrayal of costs by the state. The bill removes the language relating to state defrayal of costs and requires the division of insurance to implement the coverage for plans issued or renewed on and after January 1, 2025. In addition, the bill: Prohibits a health benefit plan from imposing any exclusions, limitations, or other restrictions on coverage of any fertility services based on a covered individual's participation in fertility services provided by or to a third party; and Amends the definition of "infertility" to include a "status" as well as a disease or condition.(Note: This summary applies to this bill as introduced.)

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