Require coverage for in vitro fertilization for state employees under the Nebraska State Insurance Program

Nebraska's LB 233 requires the Nebraska State Insurance Program to cover in vitro fertilization (IVF) for state employees starting July 1, 2025. The bill mandates that IVF treatment be included as a special coverage option, available uniformly to all eligible state employees who choose to enroll. Key limitations include capping coverage at four completed egg retrievals per individual, requiring employees to attempt less expensive infertility treatments first (with physician exceptions), and restricting care to facilities meeting specific medical standards. This policy change directly affects state employees enrolled in the Nebraska State Insurance Program, adding IVF as a covered benefit under existing special coverage rules.