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

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 admin...

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Veröffentlicht in:Fertility and sterility 2011, Vol.95 (1), p.72-78
Hauptverfasser: Quinn, Gwendolyn P., Ph.D, Vadaparampil, Susan T., Ph.D., M.P.H, McGowan Lowrey, Kerri, J.D., M.P.H, Eidson, Shelby, J.D, Knapp, Caprice, Ph.D, Bukulmez, Orhan, M.D
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container_end_page 78
container_issue 1
container_start_page 72
container_title Fertility and sterility
container_volume 95
creator Quinn, Gwendolyn P., Ph.D
Vadaparampil, Susan T., Ph.D., M.P.H
McGowan Lowrey, Kerri, J.D., M.P.H
Eidson, Shelby, J.D
Knapp, Caprice, Ph.D
Bukulmez, Orhan, M.D
description 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/A Intervention(s) N/A Main 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.
doi_str_mv 10.1016/j.fertnstert.2010.05.017
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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/A Intervention(s) N/A Main 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. 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Obstetrics</subject><subject>Health Services Accessibility - legislation &amp; jurisprudence</subject><subject>Humans</subject><subject>in vitro fertilization</subject><subject>infertility</subject><subject>Infertility, Female - etiology</subject><subject>Infertility, Female - therapy</subject><subject>Insurance</subject><subject>Insurance, Health, Reimbursement - legislation &amp; jurisprudence</subject><subject>Internal Medicine</subject><subject>issues and policy</subject><subject>laws and regulations</subject><subject>Medical sciences</subject><subject>Neoplasms - complications</subject><subject>Obstetrics and Gynecology</subject><subject>patients</subject><subject>Pregnancy</subject><subject>State Government</subject><subject>Sterility. 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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/A Intervention(s) N/A Main 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. 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source MEDLINE; Elsevier ScienceDirect Journals Complete; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects access to care
Biological and medical sciences
Birth control
Female
fertility preservation
Fertilization in Vitro - legislation & jurisprudence
Gynecology. Andrology. Obstetrics
Health Services Accessibility - legislation & jurisprudence
Humans
in vitro fertilization
infertility
Infertility, Female - etiology
Infertility, Female - therapy
Insurance
Insurance, Health, Reimbursement - legislation & jurisprudence
Internal Medicine
issues and policy
laws and regulations
Medical sciences
Neoplasms - complications
Obstetrics and Gynecology
patients
Pregnancy
State Government
Sterility. Assisted procreation
Survivors - legislation & jurisprudence
Survivors - statistics & numerical data
United States - epidemiology
title State laws and regulations addressing third-party reimbursement for infertility treatment: implications for cancer survivors
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