Concerning health plan coverage of fertility-related services.

Washington's SB 5121 requires most group health plans (excluding small groups) and employer-sponsored health plans to cover infertility diagnosis, treatment, and standard fertility preservation services. Starting January 1, 2026, plans must cover fertility preservation, and by January 1, 2027, they must cover infertility treatment - including two egg retrieval procedures with unlimited embryo transfers per medical guidelines - and diagnose infertility. The law prohibits higher deductibles, copays, or restrictions for these services compared to other pregnancy-related care and applies to all enrollees, including spouses and nonspouse dependents. It directly affects individuals seeking fertility care, aiming to improve access for people facing infertility, including LGBTQ+ individuals and racial/ethnic minorities.