New Jersey 222nd Legislature Status: Introduced 17 D cosponsors
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A 2281 — Requires Medicaid coverage for fertility preservation services in cases of iatrogenic infertility caused by medically necessary treatments.

Last action — REP REF AAP

  1. 1
    Introduced
  2. 2
    In Committee
  3. 3
    Passed General Assembly
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been introduced in the General Assembly. Introduced January 13, 2026. It must pass committee before a floor vote.

Next likely step: a committee referral and hearing.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 40% · moderate confidence

  • Introduced

    Current position in the legislative process.

  • 18 sponsors

    3 primary, 15 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (17 D).

  • Cleared a recorded vote

    Passed 1 recorded vote so far.

  • Spreading across states

    Near-identical bills in 1 other state — cross-state momentum.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

This bill requires Medicaid to cover fertility preservation services for certain medical conditions.

The bill mandates that Medicaid covers fertility preservation services for individuals who experience infertility due to necessary medical treatments. This aims to provide support for those affected by treatments that may impact their reproductive health.

What this means for you
  • Families: This means that families facing infertility due to medical treatments may have access to fertility preservation services through Medicaid.

Summary

Fertility preservation services-req Medicaid coverage, iatrogenic infertility

Bill Text

  • Introduced View text Current html January 02, 2026

How this bill changes current law

1 change Share ↗

AI-generated reading aid from the bill's amendatory text — verify against the official bill.

This bill amends 1 section(s) of the New Jersey statutes: N.J.S.A. 30:4D-6.

  • N.J.S.A. 30:4D-6

    and → ; and (28) (a) Coverage for standard fertility preservation services when a medically necessary treatment may directly or indirectly cause iatrogenic infertility. Benefits provided pursuant to this paragraph shall be limited to one fertility preservation cycle. unless that procedure is unsuccessful. (b) Benefits provided pursuant to this paragraph shall not be determined by an eligible beneficiary's expected length of life, present or predicted disability, degree of medical dependency, perceived quality of life, or other health conditions, or based on personal characteristics, age, gender, gender identity, sexual orientation, or marital status. (c) For the purposes of this paragraph: "Iatrogenic infertility" means an impairment of fertility caused by surgery, radiation, chemotherapy, or other medical treatment affecting reproductive organs or processes; "May directly or indirectly cause" means a medical treatment with a likely side effect of iatrogenic infertility as established by the American Society for Reproductive Medicine, the American Society of Clinical Oncology, or as defined by the New Jersey Department of Health; and "Standard fertility preservation services" means procedures consistent with established medical practices and professional guidelines published by the American Society for Reproductive Medicine, the American Society of Clinical Oncology, or as defined by the New Jersey Department of Health. (1) (2) For the purposes of this subsection, and subject to federal approval under Titles XIX and XXI of the Social Security Act, coverage of family planning services and supplies for a qualified individual shall include the provision of standard fertility preservation services, as defined in paragraph (28) of subsection b. of this section, when a medically necessary treatment may directly or indirectly cause iatrogenic infertility, as defined under paragraph (28) of subsection b. of this section. Benefits provided pursuant to this subsection shall be limited to one fertility preservation cycle, unless that procedure is unsuccessful.

    amended

Action History

  1. REP REF AAP

  2. INT 1RA REF AFI

Sponsors

Sponsorship breakdown

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3 sponsors · 15 co-sponsors · 102 not signed on

Sponsors (3)

Co-sponsors (15)

Not signed on (102)

102 members have not signed on to this bill.

Show all 102 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Committee vote — AFI

Passed 11 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Democrat 9001
Republican 2002
Total 11003
% of votes cast 79%0%0%21%
How each member voted (14)
Member Party Vote
Bagolie, Rosaura Democrat Yea
Freiman, Roy Democrat Yea
Hutchison, Dan Democrat Yea
Peterpaul Esq., Luanne M. Democrat Not Voting
Rodriguez, Ed Democrat Yea
Schnall, Alexander Democrat Yea
Simmons, Heather Democrat Yea
Singh, Balvir Democrat Yea
Stanley, Sterley S. Democrat Yea
Venezia, Michael Democrat Yea
Auth, Robert Republican Not Voting
Clifton, Robert D. Republican Yea
Flynn, Victoria A. Republican Yea
Myhre, Gregory E. Republican Not Voting

Official roll call →

Subjects

healthcare health-insurance

Similar bills in other states

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Frequently asked questions

What does A 2281 do?
Fertility preservation services-req Medicaid coverage, iatrogenic infertility
Who sponsors A 2281?
A 2281 is sponsored by Donlon, Margie, Swain, Lisa (Democrat), Katz, Andrea (Democrat), Verrelli, Anthony S. (Democrat), Stanley, Sterley S. (Democrat), Reynolds-Jackson, Verlina (Democrat), Drulis, Mitchelle (Democrat), Kane, Melinda (Democrat), Haider, Shama A. (Democrat), Peterpaul Esq., Luanne M. (Democrat), McCoy, Tennille R. (Democrat), Bagolie, Rosaura (Democrat), Speight, Shanique (Democrat), Murphy, Carol A. (Democrat), Tully, Chris (Democrat), Sweeney, Marisa (Democrat), Rowan, Maureen (Democrat), and Kearney, Vincent M. (Democrat).
What is the current status of A 2281?
This bill has been introduced in the General Assembly. Introduced January 13, 2026. It must pass committee before a floor vote.
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Last checked for changes 20 days ago · updated continuously

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