An infertile 38-year-old in Connecticut can receive Medicaid coverage for postpartum care up to 12 months after giving birth, yet under Connecticut’s current state law, she cannot access Medicaid coverage for fertility treatments to become pregnant in the first place.
Access to health care, in general, is crucial for a society that aspires to become more inclusive. Infertility must be included in such health care, as it is a significant public health issue with many socioeconomic disparities.
By passing House Bill 5240, Connecticut has an opportunity to address this significant health care disparity by providing Medicaid coverage for infertility treatments, such as In-Vitro Fertilization (IVF) and other assisted reproductive technologies to low-income people. This legislation is not merely about expanding services, but is more of a statement on equal access to health care.
Many assume that these procedures are unimportant; however, infertility treatments are often medically necessary, rather than merely a choice. According to the Centers for Disease Control, about 12% of women aged 15 to 44 in the United States are infertile and this infertility can be caused by underlying health issues like Polycystic Ovary Syndrome (PCOS) or endometriosis. These conditions require specialized care that includes fertility treatments and, without coverage, the high cost of treatments leave many unable to pursue the medically necessary care they need.
Everyone should have the right to access the medically necessary treatments they need. This not only can be life-saving, but it also empowers women to make decisions about their reproductive health without financial barriers.
Medicaid currently plays a crucial role in reproductive health care as it covers 41% of births in the U.S. An extension to cover infertility treatments would bridge the gap in health care access between socioeconomic classes and support many in need. Passing this bill would ensure that individuals on Medicaid have the same access to these necessary treatments as those with private insurance.
And, Connecticut would not be alone in their coverage of infertility treatment with the passage of this bill. Currently, two other states offer a portion of Medicaid coverage for infertility issues. For instance, New York offers coverage for fertility medications, while Illinois Medicaid covers the cost of storing sperm or eggs for people who are undergoing medical treatments that may affect their fertility (ie. cancer treatment). These initiatives showcase that some Medicaid coverage for infertility is feasible and has the potential to influence legislation in states around the nation.
Infertility is not a selective issue; it impacts many individuals in all states across all socio-economic backgrounds. Extending Medicaid to cover infertility treatments, Connecticut can demonstrate its commitment to health care equality. Policymakers must recognize the broader implications of infertility and create a more equitable health care system by supporting House Bill 5240.
Maryan Kelada is a member of the Yale College Democrats.