A bill for an act relating to health insurance coverage for infertility.

HF 2258 requires most health insurance plans in Iowa to cover infertility diagnosis, treatment, and fertility preservation services (like egg freezing before cancer treatment). It mandates coverage for up to three completed egg retrieval cycles with unlimited embryo transfers (using single embryo transfer when medically appropriate), plus fertility medications on par with other prescription drug coverage. Religious employers may request an exclusion from this coverage if it conflicts with their beliefs, but must notify employees about the exclusion. The law applies to new or renewed health insurance plans issued on or after July 1, 2026, and excludes accident-only, dental, vision, and other specific coverage types.