SPRINGFIELD – Illinois is one step closer to having a law on the books to help guarantee insurance coverage for medically prescribed infertility treatments, thanks to State Senator Michael E. Hastings.
“My daughter was born via in vitro fertilization, so this initiative is near and dear to my heart,” said Hastings (D-Frankfort). “Unfortunately I know firsthand the heartbreak and stress that families and individuals face due to infertility complications. It is problematic that the health care system is set up in a way that insurance companies can trump the treatment plan recommended by your physician.”
Hastings spearheaded Senate Bill 2639 in response to a constituent whose physician had recommended that they seek in vitro fertilization treatment. However, when the constituent tried to access IVF care, they were told by their insurance provider that they had to complete other procedures before it would be covered by their insurance company, even with the recommendation of their licensed physician.
This measure would ensure that insurance companies provide coverage for infertility treatments that are recommended by a physician without requiring them to complete treatments that were deemed ineffective by their doctor.
Senate Bill 2639 would also allow a licensed physician to immediately approve any of these procedures based on the covered patient's medical, sexual, and reproductive history, age, physical findings, or diagnostic testing.
According to the Kaiser Family Foundation, approximately 10% of couples receive medical help to become pregnant.
“We all know at least one person struggling to start or expand their family,” said Hastings. “These personal decisions should be made between a medical professional and patient – not by their insurance company. This legislation removes this barrier and helps alleviate some of the pain and anguish that many families experiencing infertility problems face.”
Senate Bill 2639 passed the Senate with bipartisan support and now heads to the House for further consideration.
