State Infertility Insurance Mandates Leave out Many
Oct 15, 2019
Origin: ASRM Press Release
HIGHLIGHTS FROM THE AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE’S 2019 SCIENTIFIC CONGRESS & EXPONote: Press room (PCC 203A) open Sun. October 13, 2pm-5pm EDT; Mon. October 14-Wed. October 16, 8:00am-5:30pm EDT.
Philadelphia, Pa – Research presented at the 75th Scientific Congress of the American Society for Reproductive Medicine today showed that many patients are still not covered for their infertility despite the passage of infertility insurance mandates by the states.
Combining state census data, Department of Defense data, and figures from the Center for Health Information and Analysis, the researchers concluded that only 36% of reproductive age women in Massachusetts were covered by the state’s infertility insurance mandates. Massachusetts has one of the oldest and most comprehensive infertility mandates in the country, yet like all state insurance mandates, it has significant exemptions that allow employers to avoid providing coverage. Over 43% of reproductive age women obtain their insurance through large self-insured employers, under Federal law, these plans are exempt from state regulation. The study found that 16% obtained health coverage through public assistance insurance, which does not cover infertility. As with every state in the country, a significant number of women in Massachusetts don’t have any health insurance at all.
All in all, by the time all the exemptions are accounted for, Massachusetts mandate only applies to 36% of reproductive age women in the commonwealth.
“We are grateful for all the states who have passed infertility insurance mandates, but this research shows that more must be done. We must get more Americans health insurance and that insurance must cover reproductive medical services for all,” said ASRM President Peter Schlegel, MD.
O-99 Koniares et al “Has the Massachusetts Infertility Mandate Lived up to its Promise?”
ASRM is a multidisciplinary organization dedicated to the advancement of the science and practice of reproductive medicine. The Society accomplishes its mission through the pursuit of excellence in education and research and through advocacy on behalf of patients, physicians, and affiliated health care providers. The Society is committed to facilitating and sponsoring educational activities for the lay public and continuing medical education activities for professionals who are engaged in the practice of and research in reproductive medicine. www.asrm.org