SENATE BILL NO. 520


   April 20, 1999, Introduced by Senators SCHWARZ and PETERS and
        referred to the Committee on Health Policy.



        A bill to amend 1956 PA 218, entitled

   "The insurance code of 1956,"

   (MCL 500.100 to 500.8302) by adding section 3609.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 3609.  (1) ON AND AFTER JANUARY 1, 2000, EACH

 2    EXPENSE-INCURRED HOSPITAL, MEDICAL, OR SURGICAL GROUP POLICY OR

 3    CERTIFICATE DELIVERED, ISSUED FOR DELIVERY, OR RENEWED IN THIS

 4    STATE THAT COVERS 10 OR MORE EMPLOYEES OR MEMBERS AND PROVIDES

 5    PREGNANCY-RELATED COVERAGE SHALL PROVIDE COVERAGE FOR THE DIAGNO-

 6    SIS AND TREATMENT OF INFERTILITY, INCLUDING, BUT NOT LIMITED TO,

 7    IN VITRO FERTILIZATION, EMBRYO TRANSFER, ARTIFICIAL INSEMINATION,

 8    GAMETE INTRAFALLOPIAN TUBE TRANSFER, ZYGOTE INTRAFALLOPIAN TUBE

 9    TRANSFER, AND INTRACYTOPLASMIC SPERM INJECTION.

10         (2) COVERAGE UNDER SUBSECTION (1) FOR IN VITRO

11    FERTILIZATION, GAMETE INTRAFALLOPIAN TUBE TRANSFER, OR ZYGOTE


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 1    INTRAFALLOPIAN TUBE TRANSFER IS REQUIRED ONLY IF ALL OF THE

 2    FOLLOWING APPLY:

 3         (A) THE COVERED INDIVIDUAL HAS BEEN UNABLE TO ATTAIN OR SUS-

 4    TAIN A SUCCESSFUL PREGNANCY THROUGH REASONABLE, LESS COSTLY MEDI-

 5    CALLY APPROPRIATE INFERTILITY TREATMENTS FOR WHICH COVERAGE IS

 6    AVAILABLE UNDER THE POLICY OR CERTIFICATE.

 7         (B) THE COVERED INDIVIDUAL HAS NOT UNDERGONE 3 OR MORE COM-

 8    PLETED OOCYTE RETRIEVALS.  HOWEVER, IF A LIVE BIRTH FOLLOWS A

 9    COMPLETED OOCYTE RETRIEVAL, THEN 2 MORE COMPLETED OOCYTE RETRIEV-

10    ALS SHALL BE COVERED.

11         (C) THE PROCEDURES ARE PERFORMED AT MEDICAL FACILITIES THAT

12    CONFORM TO THE AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE GUIDE-

13    LINES FOR IN VITRO FERTILIZATION CLINICS AND MINIMAL STANDARDS

14    FOR PROGRAMS OF IN VITRO FERTILIZATION.

15         (3) THE PROCEDURES REQUIRED TO BE COVERED UNDER THIS SECTION

16    ARE NOT REQUIRED TO BE CONTAINED IN ANY POLICY OR CERTIFICATE

17    ISSUED TO A RELIGIOUS INSTITUTION OR ORGANIZATION OR TO AN ENTITY

18    SPONSORED BY A RELIGIOUS INSTITUTION OR ORGANIZATION THAT FINDS

19    THE PROCEDURES REQUIRED TO BE COVERED UNDER THIS SECTION TO VIO-

20    LATE ITS RELIGIOUS AND MORAL TEACHINGS AND BELIEFS.

21         (4) AS USED IN THIS SECTION, "INFERTILITY" MEANS THE INABIL-

22    ITY TO CONCEIVE AFTER 1 YEAR OF UNPROTECTED SEXUAL INTERCOURSE OR

23    THE INABILITY TO SUSTAIN A SUCCESSFUL PREGNANCY.











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