SB 535 Oregon Senate · 2025 Regular Session

Relating to infertility; declaring an emergency.

Summary

] Requires health insurance coverage of specified fertility services and treatments with exemption for certain insurers. Directs the Oregon Health Authority and the Department of Consumer and Business Services to study access to fertility and reproductive endocrinology services and report findings to the committees or interim committees of the Legislative Assembly related to health. Directs the department to administer a program to provide reimbursement for certain fertility services not covered by exempt insurers. Establishes the Market Equity Fund and modifies how certain assessments on certain health benefit plans are utilized. Declares an emergency, effective on passage.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Jan 2025

Committee Review

Floor Vote

Governor

Introduced Jan 13, 2025 Last action Jun 28, 2025

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What changed between versions

Introduced → A-Engrossed · 5 edits

MODERATE

This bill was amended to expand fertility treatment coverage requirements while clarifying exemptions and adding new funding mechanisms. The changes reorganize the list of covered services, modify eligibility criteria for certain exemptions, and establish a new fund to help pay for services not covered by exempt insurers.

Scope change

The bill now explicitly amends ORS 731.292 and 731.804 in addition to 743B.005, broadening its statutory scope. A new program was added to provide reimbursement for fertility services not covered by exempt insurers, funded through a new Market Equity Fund.

REQUIREMENT

Reorganized and clarified the list of covered fertility services, moving from 17 items to 13 items with clearer categorization and combining some related services.

FISCAL

Created a new Market Equity Fund and directed the Department of Consumer and Business Services to administer a reimbursement program for fertility services not covered by exempt insurers.

ELIGIBILITY

Changed the reporting requirement for study findings from 'interim committees' to 'committees or interim committees' of the Legislative Assembly, broadening potential recipients of the study results.

DEFINITION

Added 'American College of Obstetricians and Gynecologists' to the list of organizations whose guidelines determine covered procedures, expanding the scope of recognized medical standards.

TECHNICAL

Added 'Representative NERON; Senator JAMA' as co-sponsors and updated the bill status to 'A-Engrossed' with Senate amendments dated April 16.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Jun 28, 2025

Upper · Passed

In committee upon adjournment.

upper

Apr 16, 2025

Committee

Referred to Ways and Means by prior reference.

upper

Apr 16, 2025

Upper · Passed

Recommendation: Do pass with amendments and be referred to Ways and Means by prior reference. (Printed A-Eng.)

upper

Jan 17, 2025

Committee

Referred to Health Care, then Ways and Means.

upper

Jan 13, 2025

Introduced

Introduction and first reading. Referred to President's desk.

upper

1 primary · 1 co-sponsor