GeorgiaHB 942025-2026 Regular SessionHouseWALLET

Insurance; medically necessary expenses for standard fertility preservation services when a medically necessary treatment for cancer, sickle cell disease, or lupus may directly or indirectly cause an impairment of fertility; require coverage

Sponsored By: Sharon Cooper (Republican), Lee Hawkins (Republican), Eddie Lumsden (Republican), Kim Schofield (Democrat), Deborah Silcox (Republican), Darlene Taylor (Republican)

Signed by Governor

HealthInsurance and LaborGeneral Bill

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 3 benefits, 1 costs, 0 mixed.

Fertility preservation coverage for cancer care

Beginning January 1, 2026, health plans issued or renewed in Georgia must cover standard fertility preservation when treatment for cancer, sickle cell disease, or lupus may cause infertility. Covered items include evaluation, lab tests, medicines, and freezing of eggs, sperm, embryos, or ovarian tissue. Plans also cover storage of eggs, sperm, or embryos for up to one year. This applies to individual and fully insured group plans, not self-funded employer plans or state employee plans. The rule lowers out‑of‑pocket costs for eligible patients.

No extra copays for preservation care

Starting January 1, 2026, insurers cannot add special higher deductibles, coinsurance, or copays for fertility preservation services. These services use the same cost-sharing rules as other medical or surgical care in your plan. This prevents extra out‑of‑pocket charges for eligible patients.

Limits plans can set on coverage

For plans issued or renewed on or after January 1, 2026, insurers may set certain limits on this coverage. They can exclude storage beyond one year, set age rules, set a lifetime cap per procedure, and cover only nonexperimental services. These limits can reduce how much coverage some people receive.

State rules to enforce coverage

The Georgia Insurance Commissioner sets rules to carry out these coverage requirements. The rules follow guidance from medical groups like the American Society of Clinical Oncology and the American Society for Reproductive Medicine. This helps insurers apply the law consistently.

Sponsors & Cosponsors

Sponsors

  • Sharon Cooper

    Republican • House

  • Lee Hawkins

    Republican • House

  • Eddie Lumsden

    Republican • House

  • Kim Schofield

    Democrat • House

  • Deborah Silcox

    Republican • House

  • Darlene Taylor

    Republican • House

Cosponsors

  • Chuck Hufstetler

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 376 • No: 6

House vote 4/2/2025

Agree to Senate Substitute

Yes: 162 • No: 3

Senate vote 3/31/2025

PASSAGE BY SUBSTITUTE

Yes: 52 • No: 1

House vote 2/27/2025

PASSAGE

Yes: 162 • No: 2

Actions Timeline

  1. House Date Signed by Governor

    5/1/2025House
  2. Act 42

    5/1/2025
  3. Effective Date

    5/1/2025
  4. House Sent to Governor

    4/8/2025House
  5. House Agreed Senate Amend or Sub

    4/2/2025House
  6. Senate Third Read

    3/31/2025Senate
  7. Senate Passed/Adopted By Substitute

    3/31/2025Senate
  8. Senate Read Second Time

    3/21/2025Senate
  9. Senate Committee Favorably Reported By Substitute

    3/20/2025Senate
  10. Senate Read and Referred

    2/28/2025Senate
  11. House Third Readers

    2/27/2025House
  12. House Passed/Adopted

    2/27/2025House
  13. House Committee Favorably Reported

    2/4/2025House
  14. House Second Readers

    1/28/2025House
  15. House First Readers

    1/27/2025House
  16. House Hopper

    1/17/2025House

Bill Text

  • HB 94/AP* (v7)

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