"Assisted reproductive technology" means the same as the term is defined in 42 U.S.C. Sec. 263a-7.
(b)
"Physician" means the same as the term is defined in Section 58-67-102.
(c)
"Qualified assisted reproductive technology cycle" means the use of covered assisted reproductive technology to transfer a single embryo for implantation.
(d)
"Qualified individual" means an individual:
(i)
covered within the state risk pool; and
(ii)
eligible for maternity benefits under the program.
(2)
(a)
The program shall provide coverage for qualified assisted reproductive technology cycles.
(b)
The benefit is subject to the same cost sharing requirements as the qualified individual's plan.
(3)
A qualified individual shall receive the benefit described in Subsection (2) if:
(a)
the qualified individual is the patient who will use the assisted reproductive technology;
(b)
(i)
the patient's physician verifies that the patient or the patient's spouse has a demonstrated condition recognized by a physician as a cause of infertility; or
(ii)
the patient attests that the patient is unable to conceive a pregnancy or carry a pregnancy to a live birth after a year or more of regular sexual relations without contraception;
(c)
the patient attests that the patient has been unable to attain a successful pregnancy through any less-costly, potentially effective infertility treatments for which coverage is available under the health benefit plan; and
(d)
the use of the assisted reproductive technology procedure complies with the program's clinical policies and is performed by a health care provider who contracts with or is otherwise approved by the program.
(4)
(a)
The provision of a benefit in accordance with this section shall satisfy, in accordance with Subsection 31A-22-610.1(1)(c)(ii), the requirement to provide an adoption indemnity benefit to a qualified individual under Section 31A-22-610.1.
(b)
If a qualified individual has received the adoption indemnity benefit required under Section 31A-22-610.1, the qualified individual may not receive a benefit in accordance with this section.
Section 49-20-418 ("Expanded infertility treatment benefit.") is part of the Utah Code, the codified statutory law of Utah. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Utah § 49-20-418?
A common citation format is "Utah Code § 49-20-418" (Utah). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Utah law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Utah official source linked on this page or consult a licensed Utah attorney.
How does Utah § 49-20-418 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Utah can advise on how this section applies to you. Contact your state or local bar association for a referral.
