{"data":{"id":"us-ky/krs-304.17a-261","jurisdiction":"us-ky","citation":"KRS 304.17A-261","heading":"Coverage under health benefit plan for oocyte and sperm","body":"preservation services.\n(1) As used in this section:\n(a) \"Health benefit plan\" has the same meaning as in KRS 304.17A -005, except\nthat for purposes of this section, the term  includes student health insurance\noffered by a Kentucky -licensed insurer under written contract with a\nuniversity or college whose students it proposes to insure;\n(b) \"Iatrogenic infertility\" means an impairment of fertility caused by surgery,\nradiation, chemotherapy, or any other medical treatment affecting\nreproductive organs or processes;\n(c) \"May directly or indirectly cause\" means the treatment has a likely side effect\nof infertility as established by the American Society for Reproductive\nMedicine, the American Society of Clinical Oncology, or any other reputable\nprofessional medical organization;\n(d) \"Oocyte and sperm preservation services\" means oocyte and sperm\npreservation procedures that are consistent with established medical practices\nand profes sional guidelines published by the American Society for\nReproductive Medicine, the American Society of Clinical Oncology, or any\nother reputable professional medical organization; and\n(e) \"Religious organization\" includes but is not limited to a religious group,\ncorporation, association, school or educational institution, ministry, order,\nsociety, or similar entity, regardless of whether it is integrated or affiliated\nwith a church or other house of worship.\n(2) Except as provided in subsection (5) of this section, all health benefit plans shall\nprovide coverage for oocyte and sperm preservation services when a medically\nnecessary treatment may directly or indirectly cause iatrogenic infertility to an\ninsured.\n(3) The coverage required by subsection (2) of this section:\n(a) Shall include:\n1. Evaluation expenses;\n2. Laboratory assessments; and\n3. Medications and treatment associated with oocyte and sperm\ncryopreservation procedures, including obtaining, freezing, and storing\ngametes for up to one (1) year; and\n(b) May:\n1. Exclude costs associated with storage of oocytes or sperm after one (1)\nyear;\n2. Include age restrictions in accordance with guidelines set forth by the\nAmerican Society for Reproductive Medicine or the American Society\nof Clinical Oncology;\n3. Include a lifetime limit of one (1) oocyte or sperm cryopreservation\nprocedure per eligible insured; and\n4. Be limited to nonexperimental procedures, as defined by the American\nSociety for Reproductive Medicine or the American Society of Clinical\nOncology.\n(4) Procedures covered by this section shall:\n(a) Be performed at a health facility lic ensed or certified in Kentucky or another\nstate; and\n(b) Conform to the guidelines of the American Society for Reproductive\nMedicine or the American Society of Clinical Oncology.\n(5) This section shall not apply to an employer -sponsored health benefit plan  if the\nemployer is a religious organization.","path":[],"source_url":"https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=54272","current_through":"Includes enactments through the 2026 Regular Session","vintage":"09/05/2026","retrieved_at":"2026-09-05T20:57:47Z","sha256":"f29c8e24cfeaa5c88efb447c7c15cb25a81bb8ad3a8ab97880aef43d8f4ff207","source_id":"us-ky","stale":false,"prev":"us-ky/krs-304.17a-260","next":"us-ky/krs-304.17a-262"},"notice":"GroundRules: Original legal text. Not legal advice."}
