49-20-420.  Coverage for in vitro fertilization and genetic testing.

(1)  As used in this section:

Terms Used In Utah Code 49-20-420

  • Covered individual: means an employee and the employee's dependents eligible for coverage under this chapter. See Utah Code 49-20-102
  • Plan: means the Utah Governors' and Legislators' Retirement Plan created by Chapter 19, Utah Governors' and Legislators' Retirement Act, the New Public Employees' Tier II Defined Contribution Plan created by 4, the New Public Safety and Firefighter Tier II Defined Contribution Plan created by 4, or the defined contribution plans created under Section 49-11-801. See Utah Code 49-11-102
  • Program: means the Public Employees' Benefit and Insurance Program. See Utah Code 49-20-102
  • State: when applied to the different parts of the United States, includes a state, district, or territory of the United States. See Utah Code 68-3-12.5
(a)  “Qualified condition” means:

(i)  cystic fibrosis;

(ii)  spinal muscular atrophy;

(iii)  Morquio Syndrome;

(iv)  myotonic dystrophy; or

(v)  sickle cell anemia.

(b)  “Qualified individual” means a covered individual who:

(i)  has been diagnosed by a physician as having a genetic trait associated with a qualified condition; and

(ii)  intends to get pregnant with a partner who is diagnosed by a physician as having a genetic trait associated with the same qualified condition as the covered individual.

(2)  For a plan year that begins on or after July 1, 2020, the program shall provide coverage for a qualified individual for:

(a)  in vitro fertilization services; and

(b)  genetic testing of a qualified individual who receives in vitro fertilization services under Subsection (2)(a).

(3)  Before November 1, 2022, and before November 1 of every third year thereafter, the program shall:

(a)  calculate the change in state spending attributable to the coverage under this section; and

(b)  report the amount described in Subsection (3)(a) to the Health and Human Services Interim Committee and the Social Services Appropriations Subcommittee.

Enacted by Chapter 187, 2020 General Session