SENATE BILL NO. 522


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



        A bill to amend 1978 PA 368, entitled

   "Public health code,"

   (MCL 333.1101 to 333.25211) by adding section 21053e.

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 1         SEC. 21053E.  (1) ON AND AFTER JANUARY 1, 2000, EACH HEALTH

 2    MAINTENANCE ORGANIZATION GROUP CONTRACT THAT COVERS 10 OR MORE

 3    EMPLOYEES OR MEMBERS AND PROVIDES PREGNANCY-RELATED COVERAGE

 4    SHALL PROVIDE COVERAGE FOR THE DIAGNOSIS AND TREATMENT OF INFER-

 5    TILITY, INCLUDING, BUT NOT LIMITED TO, IN VITRO FERTILIZATION,

 6    EMBRYO TRANSFER, ARTIFICIAL INSEMINATION, GAMETE INTRAFALLOPIAN

 7    TUBE TRANSFER, ZYGOTE INTRAFALLOPIAN TUBE TRANSFER, AND INTRACY-

 8    TOPLASMIC SPERM INJECTION.

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

10    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 CONTRACT.

 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 CONTRACT ISSUED TO A

17    RELIGIOUS INSTITUTION OR ORGANIZATION OR TO AN ENTITY SPONSORED

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

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

20    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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