HB 4155 Oregon House · 2026 Regular Session

Relating to infertility.

Summary

] Requires certain health insurers[ , the Oregon Educators Benefit Board and the Public Employees' Benefit Board ] to cover fertility services and treatments. Exempts certain insurers from specific coverage requirements. [ 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 interim committees of the Legislative Assembly related to health. ] [ Declares an emergency, effective on passage. ] Directs the Department of Consumer and Business Services to administer a program to provide reimbursement for the costs for treatments when not covered by exempted insurers. Establishes the Family Building Fund in the State Treasury.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Feb 2026

Committee Review

Floor Vote

Governor

Introduced Feb 2, 2026 Last action Mar 7, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → A-Engrossed · 7 edits

MODERATE

This bill was amended to expand fertility treatment coverage requirements for insurers, add exemptions for certain insurers with a reimbursement program to offset costs, and create a new Family Building Fund. The bill also updated the specific fertility treatments that must be covered and changed the referenced Oregon Revised Statutes from 243.144 and 243.877 to 731.292 and 731.804.

Scope change

The bill's scope was expanded to include exemptions for certain insurers who would otherwise be required to cover fertility treatments, with a new program to reimburse those costs. The list of covered fertility treatments was significantly expanded from a general requirement to specific procedures.

REQUIREMENT

Added specific list of fertility treatments that must be covered, including egg retrievals, embryo transfers, assisted hatching, cryopreservation, IVF with donor eggs/sperm/embryos, ICSI, intrauterine insemination, and various tissue cryopreservations.

Added requirement for DCBS to administer a program providing reimbursement for fertility treatment costs when not covered by exempted insurers.

Removed the requirement for OHA and DCBS to study access to reproductive treatments and report findings to legislative committees.

Removed the declaration of emergency that was effective upon passage.

FISCAL

Established a new Family Building Fund in the State Treasury to support the program for reimbursing costs when treatments are not covered by exempted insurers.

ELIGIBILITY

Modified coverage requirements to exempt certain insurers from specific fertility coverage obligations, while directing DCBS to create a reimbursement program for those costs.

TECHNICAL

Changed referenced statutes from ORS 243.144 and 243.877 to ORS 731.292 and 731.804, and updated sponsor list to include additional representatives.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Mar 7, 2026

Lower · Passed

In committee upon adjournment.

lower

Feb 17, 2026

Committee

Referred to Ways and Means by prior reference.

lower

Feb 17, 2026

Lower · Passed

Recommendation: Do pass with amendments, be printed A-Engrossed, and be referred to Ways and Means by prior reference.

lower

Feb 2, 2026

Committee

Referred to Health Care with subsequent referral to Ways and Means.

lower

Feb 2, 2026

Introduced

First reading. Referred to Speaker's desk.

lower

1 primary · 16 co-sponsors