CITIZEN VOICES® Mandatory fertility coverage?

Feb 15, 2019

Sen. Martha Hennessey is sponsoring a 2019 bill that would require health insurers to cover some fertility treatments and fertility preservation.  

The bill, SB 279, specifically requires coverage for:

  • Diagnosis of the cause of infertility
  • Fertility treatment, if it is medically necessary
  • Fertility preservation prior to surgery, radiation, chemotherapy, or other medical treatment that may cause infertility

The bill would not apply to self-funded employer plans, which are regulated by the federal government.

Seventeen other states – including Massachusetts, Connecticut, and Rhode Island – require some coverage for fertility treatment and/or fertility preservation.  

Arguments for fertility coverage

Supporters of SB 279 note that fertility treatment and preservation are incredibly expensive for patients, while infertility takes a terrible emotional toll. With the average cost of adoption through an agency ranging from $20,000 to $45,000, adoption isn’t an affordable alternative. Lack of insurance coverage for IVF can also push some patients to choose risky multiple births in order to save money, which can result in far more costly medical interventions down the road. 

Arguments against fertility coverage

Opponents of SB 279 argue that any new mandate will disrupt the insurance market and increase costs for consumers.

The Affordable Care Act also requires the state to cover some of those increased costs if it adds a new insurance mandate, so this bill could result in a new cost for taxpayers, as well.

Learn more about the Affordable Care Act health insurance marketplace in New Hampshire 

Should the state require health insurers to cover fertility treatment if it is medically necessary?


Macenzie Lacaillade
- Hudson

Mon, 02/18/2019 - 1:53pm

Yes, absolutely! NH

David Lacaillade
- Londonderry

Mon, 02/18/2019 - 1:48pm

Yes - absolutely. NH Resident

Katie Flaherty
- West Bridgewater

Mon, 02/18/2019 - 1:29pm

Yes! Yes! Yes!

Jenelle Gibney
- Salem

Mon, 02/18/2019 - 1:13pm


Lori Gagne
- Merrimack

Mon, 02/18/2019 - 12:20pm

Yes!! #NHResident
This is so important to so many families in NH. I personally had to stop working in NH for this reason. It’s an unspoken about issue for so many!

Tahani Alturkistani
- Bedford

Mon, 02/18/2019 - 12:11pm


Michelle Patten
- Merrimack

Mon, 02/18/2019 - 12:09pm

Yes, this bill should pass.
As a resident of NH I believe it would help many families in NH.

Jill Lacaillade
- Londonderry

Mon, 02/18/2019 - 12:06pm

YES #NHCitizen Infertility affects so many. People currently seek employment out of state for the coverage. Birth rates are declining. Let’s make NH a state where people want to live and stay.

Kristine Pries
- Manchester

Mon, 02/18/2019 - 11:53am

YES #NHresident

Anne Everitt
- Merrimack

Mon, 02/18/2019 - 11:02am



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