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Smith College

Economics: Faculty Publications

Health insurance mandates

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Full-Text Articles in Social and Behavioral Sciences

Utilization Of Infertility Treatments: The Effects Of Insurance Mandates, Marianne P. Bitler, Lucie Schmidt Jan 2012

Utilization Of Infertility Treatments: The Effects Of Insurance Mandates, Marianne P. Bitler, Lucie Schmidt

Economics: Faculty Publications

Over the last several decades, both delay of childbearing and fertility problems have become increasingly common among women in developed countries. At the same time, technological changes have made many more options available to individuals experiencing fertility problems. However, these technologies are expensive, and only 25% of health insurance plans in the United States cover infertility treatment. As a result of these high costs, legislation has been passed in 15 states that mandates insurance coverage of infertility treatment in private insurance plans. In this article, we examine whether mandated insurance coverage for infertility treatment affects utilization. We allow utilization effects …


Health Disparities And Infertility: Impacts Of State-Level Insurance Mandates, Marianne Bitler, Lucie Schmidt Jan 2006

Health Disparities And Infertility: Impacts Of State-Level Insurance Mandates, Marianne Bitler, Lucie Schmidt

Economics: Faculty Publications

Objective: To determine whether important racial, ethnic, or socioeconomic status (SES) health disparities exist in infertility, impaired fecundity, or infertility treatment. Design: Four waves of the National Survey of Family Growth (NSFG) were pooled. Measures were compared across various race/ethnicity, education, and age groups. Participant(s): Data for 31,047 women 15-44 years old from the NSFG were pooled. Intervention(s): Outcomes were compared by whether the women's states of residence had a mandate in place (at least 1 year before the interview) to compel insurers to cover or offer to cover infertility treatment. Main Outcome Measure(s): Infertility status, impaired fecundity, ever having …