State laws and regulations addressing third-party reimbursement for infertility treatment: implications for cancer survivors  

Oleh:

Quinn, Gwendolyn P. ; Vadaparampil, Susan T. ; Lowrey, Kerri McGowan ; Eidson, Shelby ; Knapp, Caprice ; Bukulmez, Orhan

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 95 no. 01 (Jan. 2011), page 72-78.
Topik: Insurance; fertility preservation; infertility; access to care

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective: To examine codified state policies related to infertility and assess their implications for cancer patients. Lack of insurance is often identified as a barrier to use of fertility preservation (FP) services. Design: None. Setting: A keyword search was developed to identify statutes and administrative regulations of insurance coverage for FP in the United States. Patient(s): N/AIntervention(s): N/AMain Outcome Measure(s): Laws addressing the general population but pertaining to FP were compiled using Lexis-Nexis. Data were analyzed by reviewing the 'plain meaning' of the text, legislative/administrative history, and annotated case law. Legal reasoning and common rules of statutory construction and legislative interpretation were used. Result(s): Fifteen states (29.4%) had laws relating to insurance coverage for infertility or in vitro fertilization (IVF) procedures and two states (CA and IL) specifically excluded IVF from a mandatory offer of coverage. No state laws or regulations addressed insurance coverage for FP methods specific to cancer patients. Conclusion(s): There is an argument for policies that require coverage for FP for cancer survivors before treatment.

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