California Health and Safety Code

§ 1374.55

HSC § 1374.55 Effective Jun 30, 2025Div. 2 · Ch. 2.2 · Art. 5

Statute text

(a)(1) A large group health care service plan contract, except a specialized health care service plan contract, that is issued, amended, or renewed on or after January 1, 2026, shall provide coverage for the diagnosis and treatment of infertility and fertility services, including a maximum of three completed oocyte retrievals with unlimited embryo transfers in accordance with the guidelines of the American Society for Reproductive Medicine (ASRM), using single embryo transfer when recommended and medically appropriate.

(2)A small group health care service plan contract, except a specialized health care service plan contract, that is issued, amended, or renewed on or after January 1, 2026, shall offer coverage for the diagnosis and treatment of infertility and fertility services. This paragraph shall not be construed to require a small group health care service plan contract to provide coverage for infertility services.

(3)A health care service plan shall include notice of the coverage specified in this section in the plan’s evidence of coverage.

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Legislative history

Amended by Stats. 2025, Ch. 21, Sec. 8. (AB 116) Effective June 30, 2025.