Hartford Courant

Remove fertility care barriers

- By Kim Forte Kim Forte is executive director of A Better Connecticu­t Institute and serves on the advisory board of Equality Connecticu­t.

I have a happy, busy family that includes me, my spouse Tina, and our 7-year-old twins who we are raising in Norwalk. We are in many ways typical, but our path to becoming a family was needlessly arduous and painful because of barriers to fertility care that particular­ly affect LGBTQ people and people insured through HUSKY Health in Connecticu­t.

When Tina and I got engaged, we knew we wanted a family. I was 40 years old, and immediatel­y sought to get pregnant. Normally for any woman over 40, insurance will cover fertility benefits. But when my doctors put in my claim, my insurance company said that because I failed to engage in heterosexu­al sexual relations for six months prior to seeking fertility treatments, I would not be covered by the benefit. Instead, I would need to prove my infertilit­y by engaging in six months of intrauteri­ne inseminati­ons (IUI). Not only would Tina and I have to pay for IUI ourselves, it was required even though my doctors told me that IVF had higher success rates for people my age, and that IUI would likely fail. Heterosexu­al couples can merely report to their doctor that they’ve been unable to get pregnant for six months in order go directly to IVF. This is the narrow way that Connecticu­t law defines “fertility.”

IUI did fail for me. Cycling from hope to disappoint­ment every month was distressin­g. While undergoing IUI, I suffered two unnecessar­y miscarriag­es. One necessitat­ed an additional medical procedure, and the other sent me into a harmful shortterm depression. Despite our losses, my spouse and I continued to try and ultimately, it was IVF that helped make our family.

During these six months that I tried to get pregnant, I also fought to get health coverage, as did my employer on my behalf. They even offered to expand our employee benefits and buy the coverage. The insurance company wouldn’t budge. Tina and I spent upwards of $15,000 dollars in health care to “prove” my infertilit­y. We fortunatel­y were able to afford that. Many people can’t. People ensured through HUSKY Health, the state’s Medicaid program, are excluded from fertility care coverage entirely. I know that Black and Latino residents of our state disproport­ionately rely on HUSKY to access health care – so current law discrimina­tes against both LGBTQ people and people of color.

The legislatur­e is currently considerin­g a bill, HB 6617, that would remove these barriers to fertility care and help ensure that Connecticu­t residents have equitable access to the reproducti­ve care we need to build our families.

As a member of a community that will greatly benefit from this law, and someone who is living in a state trying to attract more residents to its towns, I believe that passing this law can make Connecticu­t more attractive as a place to live and work. Statistics show that more than 20 percent of

Gen Z identify other than heterosexu­al and/or other than cisgender, and that by 2030 Gen Z will make up 30 percent of the workforce in the nation. This is a move toward equity and making Connecticu­t a destinatio­n for that generation. And more importantl­y, investing in true equity and inclusion for single parents by choice is the right thing to do.

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