PRINTER'S NO. 2201

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE RESOLUTION

No. 232 Session of 1997


        INTRODUCED BY BOSCOLA, THOMAS, WOJNAROSKI, LEDERER, READSHAW,
           CAPPABIANCA, MARKOSEK, PESCI, SANTONI, McNAUGHTON, DONATUCCI,
           DiGIROLAMO, SHANER, PISTELLA AND BROWNE, SEPTEMBER 23, 1997

        INTRODUCED AS NONCONTROVERSIAL RESOLUTION UNDER RULE 35,
           SEPTEMBER 23, 1997

                                  A RESOLUTION

     1  Recognizing the week of September 21 through 27, 1997, as
     2     "National Infertility Awareness Week" in Pennsylvania.

     3     WHEREAS, The National Center for Health Statistics estimates
     4  that 4.5 million couples experience infertility each year, and
     5  the American Society for Reproductive Medicine estimates that
     6  5.3 million women are affected; and
     7     WHEREAS, Each year less than 2 million of the couples
     8  experiencing problems with infertility seek advice or assistance
     9  from the medical community; and
    10     WHEREAS, Couples who were successful in efforts to conceive
    11  in the past are also vulnerable to problems with infertility;
    12  and
    13     WHEREAS, Feelings of embarrassment and anxiety as well as
    14  concerns for costs are the primary reasons that prevent many men
    15  and women from considering the various treatment services
    16  available; and
    17     WHEREAS, Studies show that almost 90% of all infertility

     1  cases have a specific cause and that with appropriate diagnosis
     2  and treatment over half of the infertile couples could conceive
     3  their own children and that others can benefit from other
     4  reproductive services; and
     5     WHEREAS, Technology has brought many advances to the field of
     6  reproductive services and infertility treatment; and
     7     WHEREAS, Some individuals who experience infertility are
     8  frustrated when any medical procedures needed for accurate
     9  diagnosis and treatment are not covered by their insurance
    10  plans; and
    11     WHEREAS, Treatments of the causes of infertility may vary
    12  from the simple and uncomplicated to the complex treatments
    13  involved in assisted reproductive technologies, which means that
    14  the total costs and success rates of these treatments vary and
    15  are not necessarily related to how advanced the procedure may
    16  be; and
    17     WHEREAS, The American Society of Reproductive Medicine
    18  considers assisted reproductive technologies eligible for
    19  coverage because they are nonexperimental; and
    20     WHEREAS, Concerns about insurance costs rising due to an
    21  increase of maternity cases are unfounded because the rate of
    22  live births per cycle for invitro fertilization is 15.2%, which
    23  only approaches the conception rate of 20% to 25% per cycle for
    24  a normal, healthy couple of reproductive age, and the incidence
    25  of multiple births is low, with less than 10% twins and less
    26  than 1% triplets or more; and
    27     WHEREAS, In a recent article in Fortune Magazine, current
    28  coverage for infertility was estimated at 34% of 1,695 large
    29  private and public companies with indemnity insurance offering
    30  some form of coverage for the treatment of infertility; and
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     1     WHEREAS, Coverage is provided based on the view that
     2  infertility is a catastrophic event that affects worker
     3  productivity and is consistent with corporate culture that
     4  values the mental and physical health of employees; and
     5     WHEREAS, Twelve states already require coverage for fertility
     6  treatments in varying degrees; and
     7     WHEREAS, Procreational autonomy is encompassed in a
     8  fundamental right to privacy as guaranteed by the Constitution
     9  of the United States; thus, desiring couples should be assisted
    10  rather than hindered or precluded from procreating due to
    11  financial constraints; and
    12     WHEREAS, Efforts continue at the Federal and State level to
    13  seek greater support for infertility research and funding as
    14  well as expanded insurance coverage for couples seeking
    15  treatment; therefore be it
    16     RESOLVED, That the House of Representatives of the
    17  Commonwealth of Pennsylvania recognize the week of September 21
    18  through 27, 1997, as "National Infertility Awareness Week" in
    19  Pennsylvania and urge all citizens to recognize the importance
    20  of infertility services and promote public understanding of an
    21  all-too-common problem affecting millions of couples each year.






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