SENATE BILL NO. 521


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



        A bill to amend 1980 PA 350, entitled

   "The nonprofit health care corporation reform act,"

   (MCL 550.1101 to 550.1704) by adding section 416b.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 416B.  (1) ON AND AFTER JANUARY 1, 2000, EACH GROUP

 2    CERTIFICATE THAT COVERS 10 OR MORE MEMBERS AND PROVIDES

 3    PREGNANCY-RELATED COVERAGE SHALL PROVIDE BENEFITS FOR THE DIAGNO-

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

 5    IN VITRO FERTILIZATION, EMBRYO TRANSFER, ARTIFICIAL INSEMINATION,

 6    GAMETE INTRAFALLOPIAN TUBE TRANSFER, ZYGOTE INTRAFALLOPIAN TUBE

 7    TRANSFER, AND INTRACYTOPLASMIC SPERM INJECTION.

 8         (2) COVERAGE UNDER SUBSECTION (1) FOR PROCEDURES FOR IN

 9    VITRO FERTILIZATION, GAMETE INTRAFALLOPIAN TUBE TRANSFER, OR

10    ZYGOTE INTRAFALLOPIAN TUBE TRANSFER IS REQUIRED ONLY IF ALL OF

11    THE FOLLOWING APPLY:


   02993'99                                                 DKH
           
                                   2

 1         (A) THE MEMBER HAS BEEN UNABLE TO ATTAIN OR SUSTAIN A

 2    SUCCESSFUL PREGNANCY THROUGH REASONABLE, LESS COSTLY MEDICALLY

 3    APPROPRIATE INFERTILITY TREATMENTS FOR WHICH COVERAGE IS AVAIL-

 4    ABLE UNDER THE CERTIFICATE.

 5         (B) THE MEMBER HAS NOT UNDERGONE 3 OR MORE COMPLETED OOCYTE

 6    RETRIEVALS.  HOWEVER, IF A LIVE BIRTH FOLLOWS A COMPLETED OOCYTE

 7    RETRIEVAL, THEN 2 MORE COMPLETED OOCYTE RETRIEVALS SHALL BE

 8    COVERED.

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

10    CONFORM TO THE AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE GUIDE-

11    LINES FOR IN VITRO FERTILIZATION CLINICS AND MINIMAL STANDARDS

12    FOR PROGRAMS OF IN VITRO FERTILIZATION.

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

14    ARE NOT REQUIRED TO BE CONTAINED IN ANY CERTIFICATE ISSUED TO A

15    RELIGIOUS INSTITUTION OR ORGANIZATION OR TO AN ENTITY SPONSORED

16    BY A RELIGIOUS INSTITUTION OR ORGANIZATION THAT FINDS THE PROCE-

17    DURES REQUIRED TO BE COVERED UNDER THIS SECTION TO VIOLATE ITS

18    RELIGIOUS AND MORAL TEACHINGS AND BELIEFS.

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

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

21    THE INABILITY TO SUSTAIN A SUCCESSFUL PREGNANCY.















   02993'99          Final page.                            DKH