Author Archives: California State Senator Caroline Menjivar

California Legislature Approves Landmark IVF Bill to Require Insurance Coverage for Fertility Healthcare, Sending Measure to Governor Newsom

SACRAMENTO, Calif. /ScoopCloud/ -- The California State Legislature approved Senate Bill 729, authored by State Senator Caroline Menjivar (D-San Fernando Valley) and sponsored by California State Insurance Commissioner Ricardo Lara, with bipartisan support today sending the measure to Governor Newsom's desk with votes of 55-0 in the Assembly and 30-8 in the Senate.

SB 729 requires large group health plans to provide coverage for fertility care, including treatment for infertility and in vitro fertilization (IVF) - expanding access and removing economic barriers for 10 million eligible Californians. Fourteen other states have enacted similar insurance laws.

"For almost 30 years the archaic and discriminatory Knox-Keene Act has blocked the pathway to family building for Californians without the financial means and has deplorably excluded LGBTQ+ folks from fertility treatment coverage. The current mandate to offer fertility care is toothless and does not include IVF, one of the most successful modern advancements available," said Senator Menjivar. "IVF has become a national topic, and as other states look to restrict access the California Legislature has affirmed we are the torch bearers of reproductive freedom by sending SB 729, mandating fertility treatment coverage in large group insurance plans, to the Governor. Never before have we been so close to victory over this barrier to reproductive justice, and I urge Governor Newsom to live up to his claim to be a reproductive rights champion by signing SB 729 into law."

"As Insurance Commissioner, my role is to protect consumers and ensure they receive the best value from their coverage. This measure is one way we are achieving this goal," said Insurance Commissioner Ricardo Lara. "California has led the nation in safeguarding access to reproductive healthcare, yet we still have significant work to do. The safest and most reliable methods of fertility care have been out of reach for most Californians, with rates of access the lowest for Black and Latina women, as well as the LGBTQ+ community. SB 729 is a powerful reminder of how we define family and how we can help Californians build theirs by being a leader in reproductive healthcare."

SB 729 is in alignment with model legislation created in 2020 by RESOLVE: The National Infertility Association as it provides equitable access to the LGBTQ+ community and unpartnered individuals by expanding the definition of "infertility" to include anyone seeking to build a family - regardless of relationship status or sexual preference. The American Society for Reproductive Medicine (ASRM) published a similar more inclusive definition of infertility in October 2023, further establishing that every person deserves equal access to reproductive medicine.

"With the overwhelming support of SB 729, our legislature sent a clear message - we need to bring California out of the dark ages on fertility care," said State Assemblymember Buffy Wicks (D-Oakland). Wicks co-authored SB 729 and has introduced several measures since 2019 to address this issue. "California's current law not only leaves out coverage for IVF, it also defines infertility in such a narrow way as to exclude the LGBTQ+ community and single people needing medical intervention to build their families. We must address this gap in our healthcare system."

SB 729 ensures cancer patients are eligible for IVF insurance to continue their family building after preserving their eggs, sperm or embryos under SB 600. In 2019, Governor Newsom signed SB 600 into law requiring insurers to cover the cost of fertility preservation for patients facing chemotherapy and radiation.

"SB 600 gave cancer patients access to emergency services to prevent imminent sterility and infertility as a side effect of cancer treatments. This is the critical first step in the IVF process" said State Senator Anthony Portantino (D-Burbank), who introduced SB 600. "But SB 729 is an essential next step that would allow these survivors to use their frozen tissues to realize their family-building dreams."

"I can attest to the adverse consequences of California's outdated law and the downstream health issues and costs when patients cannot access or afford fertility care due to lack of health insurance coverage," said Dr. Marcelle Cedars, the Immediate Past President of American Society for Reproductive Medicine and Director of UCSF Center for Reproductive Health. "When fertility services including IVF are covered, physicians can tailor care to provide the most medically and cost-effective treatment, sparing families unnecessary health risks and costs."

"Our state is a leader in reproductive freedom, but we're lagging behind when it comes to ensuring that all people who want to have children are able to do so," said Reproductive Freedom for All Director of State Campaigns Caroline Mello Roberson. "California's existing law is grossly inadequate; coverage for fertility and infertility treatment is the only element of reproductive care excluded from insurance coverage. By excluding IVF alone, it leaves out the most effective treatment for infertility."

"With the financial burden of fertility treatments being simply insurmountable for most, SB 729 is a long overdue bill that will finally make IVF and other treatments more affordable and accessible in California. The bill also addresses the outdated and discriminatory definitions that have shut out too many LGBTQ+ couples from accessing the care they need to start a family," said Equality California Executive Director Tony Hoang. "We commend the Legislature for recognizing the importance of inclusive fertility care and for taking bold action to support all families. It's time that we join the growing list of states that have already guaranteed this essential coverage. We urge Governor Newsom to sign SB 729 into law and solidify California's role as a leader in reproductive freedom and LGBTQ+ rights."

"How much should equality cost California?" said Our Family Coalition Executive Director Mimi Demissew. "Passing SB 729 will finally bring an end to California's bigoted law and bring California closer to standing on the right side of history by supporting the human right of wanting to and having children. I trust that Governor Newsome will not stand in the way of progress and am hopeful that he will sign SB 729 into law. Like our former First Lady, Michelle Obama, for many Californians medically assisted fertility treatment is the only way to have children."

SB 729 is cosponsored by Insurance Commissioner Lara, RESOLVE: The National Infertility Association; Reproductive Freedom for All California; The Alliance for Fertility Preservation; Equality California; American Society for Reproductive Medicine; Our Family Coalition; and the Service Employees International Union (SEIU).

SB 729 has received the endorsement of more than 75 non-profits, associations, and organizations across the state, as well as thousands of advocate letters to lawmakers voicing support for the bill.

Learn more about Senator Caroline Menjivar (D-San Fernando Valley) at: https://sd20.senate.ca.gov/

Image of senator for media: https://sd20.senate.ca.gov/sites/sd20.senate.ca.gov/files/website/sd20_headshot.jpg

RELATED LINKS:

https://asrmcongress.org/asrm-publishes-a-new-more-inclusive-definition-of-infertility/

News from California State Senator Caroline Menjivar

The California State Legislature approved Senate Bill 729, authored by State Senator Caroline Menjivar (D-San Fernando Valley) and sponsored by California State Insurance Commissioner Ricardo Lara, with bipartisan support today sending the measure to Governor Newsom's desk with votes of 55-0 in the Assembly and 30-8 in the Senate.

Related link: https://sd20.senate.ca.gov/

This version of news story was published on ScoopCloud™ (ScoopCloud.com) - part of and © the Neotrope® News Network - all rights reserved.

Senate Bill 729 to Increase Access to Fertility Care for Millions of Californians Postponed to 2024 by Assembly Appropriations Committee

SACRAMENTO, Calif. /ScoopCloud/ -- State Senator Caroline Menjivar's (D-San Fernando Valley) Senate Bill 729, sponsored by California State Insurance Commissioner Ricardo Lara, was converted to a two-year bill by the California State Assembly Appropriations Committee on Friday. The bill can be considered again as early as January 2024. SB 729 would require large group health plans to provide coverage for fertility care, including treatment for infertility and in vitro fertilization (IVF) - expanding access, improving care, and removing economic barriers for millions of eligible Californians.

SB 729 passed the state Senate in May by a large margin of 31-3 and advanced out of the Assembly Health Committee in August. Fourteen states have passed IVF insurance laws.

"A two year bill is not the outcome we hoped for, but it does allow us to continue our fight," said Senator Menjivar. "SB 729 progressed farther in the legislative process than any similar bills attempting to decrease inequities in fertility care coverage, which is why I am optimistic and will not give up. Californians who wish to build a family deserve equity and justice, not the current discriminatory law that withholds the safest and most reliable methods of fertility care from many of them. Soon, we will make California the true leader in reproductive justice."

According to a recent report, the World Health Organization estimates 1 in 6 people globally experience infertility. Lack of insurance coverage for fertility services is the most significant barrier to creating a family.

"Infertility affects people of all socioeconomic levels, racial identities, ethnic backgrounds, sexual orientations, gender identities, and religious beliefs," said Insurance Commissioner Lara. "As someone who has fought for affordable and more equitable access to healthcare services during my time in the California State Legislature and as Insurance Commissioner, I am proud to co-sponsor SB 729 to ensure fair and equal access to fertility treatments."

"I remain committed to this important issue that unfairly impacts so many Californians," said State Assemblymember Buffy Wicks (D-Oakland), who has introduced several pieces of legislation since 2019 to address this issue. "Paying out of pocket for infertility treatment imposes an insurmountable financial burden on the LGBTQ+ population and others whose insurance does not cover this medically-necessary care. We must address this gap in our healthcare system."

In addition to protecting against exclusionary insurance coverage for infertility, SB 729 ensures cancer patients are eligible for IVF insurance to complete their family building after preserving their eggs, sperm, or embryos under SB 600. In 2019, SB 600 passed to provide insurance coverage for fertility preservation for patients with medical indications.

"Nobody should be faced with the heartbreaking choice of deciding whether to have a child or to get lifesaving treatment such as chemotherapy and radiation, which can impact fertility," said State Senator Anthony Portantino (D-Burbank), who introduced SB 600. "SB 600 helped give cancer patients a path to preserve their fertility. SB 729 is the crucial next step in our fight for California families."

"Infertility is recognized as a disease by the World Health Organization, the American Medical Association, and The American Society for Reproductive Medicine," said Dr. Marcelle Cedars, the Immediate Past President of American Society for Reproductive Medicine and Director of UCSF Center for Reproductive Health. "Yet California continues to set infertility apart from other diseases in one basic, shameful way - by allowing insurance companies to diagnose but not to comprehensively treat."

"Our state is a leader in reproductive freedom, but we're lagging behind when it comes to ensuring that all people who want to have children are able to do so," said NARAL Pro-Choice California Director Shannon Olivieri Hovis. "California's existing law is grossly inadequate; coverage for fertility and infertility treatment is the only element of reproductive care excluded from insurance coverage. By excluding IVF alone, it leaves out the most effective treatment for infertility."

"No one should have to choose between their livelihood and their aspiration to become a parent, including members of the LGBTQ+ community," said Equality California Executive Director Tony Hoang. "SB 729 is a long overdue step to expand access to fertility coverage for all Californians and remove discriminatory language from our state's insurance laws. We are grateful to Senator Menjivar for being such a fierce champion for LGBTQ+ families and look forward to continuing this fight with her next year."

In addition to Insurance Commissioner Lara, the bill is cosponsored by RESOLVE: The National Infertility Association; NARAL Pro-Choice California; The Alliance for Fertility Preservation; Equality California; American Society for Reproductive Medicine; and Our Family Coalition. SB 729 has received the endorsement of more than 65 non-profits, associations, and organizations across the state, as well as thousands of advocate letters to lawmakers voicing support for the bill.

Learn more about Senator Caroline Menjivar (D-San Fernando Valley) at: https://sd20.senate.ca.gov/

CITATIONS:

https://www.who.int/publications/i/item/978920068315

News from California State Senator Caroline Menjivar

State Senator Caroline Menjivar's (D-San Fernando Valley) Senate Bill 729, sponsored by California State Insurance Commissioner Ricardo Lara, was converted to a two-year bill by the California State Assembly Appropriations Committee on Friday. The bill can be considered again as early as January 2024.

Related link: https://sd20.senate.ca.gov/

This version of news story was published on ScoopCloud™ (ScoopCloud.com) - part of and © the Neotrope® News Network - all rights reserved.