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A6   U.S. NEWS
                    Monday 10 april 2017


















            American Living:
            Hawaii LGBT couples seek equal access to fertility treatment



            CATHY BUSSEWITZ                                                                                                     ing coverage of additional
            Associated Press                                                                                                    procedures  would  raise
            HONOLULU  (AP)  —  Sean                                                                                             costs for the company and
            Smith and his husband paid                                                                                          its customers.
            more than $20,000 for a fer-                                                                                        A similar measure in Hawaii
            tility procedure when they                                                                                          failed in previous legislative
            decided  to  have  a  child                                                                                         sessions.
            using  a  surrogate  mother.                                                                                        But  aside  from  Kaiser,  the
            They  did  not  know  at  the                                                                                       bill  has  seen  little  opposi-
            time  that  if  they  were  a                                                                                       tion this year.
            heterosexual  couple,  they                                                                                         A  broad  coalition  includ-
            might  have  saved  that                                                                                            ing the American Civil Lib-
            money.                                                                                                              erties Union of Hawaii, the
            Now,  Smith  and  other                                                                                             Hawaii Civil Rights Commis-
            members  of  Hawaii’s  les-                                                                                         sion  and  the  Democratic
            bian,  gay,  bisexual  and                                                                                          Party of Hawaii are working
            transgender    community                                                                                            with  LGBT  groups  to  push
            are lobbying for equal ac-                                                                                          for  change.  The  proposal
            cess  to  the  financial  help                                                                                      passed  the  state  Senate
            married, heterosexual cou-                                                                                          and is up for a vote in the
            ples enjoy under state law.                                                                                         House this week.
            They are pushing legislation   In this Friday, April 7, 2017, photo, provided by Sean Smith, Smith, left, and Kale Taylor, right, pose   Maryland  had  a  law  that
            that  would  require  insur-  for a photo with their son, Charlie Taylor, while on vacation in St. Louis. Smith and Taylor paid more   also  excluded  same-sex
            ance companies to cover      than $20,000 in Hawaii for a fertility procedure when they decided to have a child using a sur-  couples until about a year
            in vitro fertilization for more   rogate mother. They did not know at the time that if they were a heterosexual couple, they might   ago,  when  the  Legislature
            couples,  including  making   have saved that money. Now, Smith and other members of Hawaii’s lesbian, gay, bisexual and   changed the provision so it
            Hawaii the first state to re-  transgender community are lobbying for equal access to the financial help married, heterosexual   no longer required using a
                                         couples enjoy under state law.
            quire the coverage for sur-                                                           (Courtesy of Sean Smith via AP)  husband’s sperm.
            rogates, which would help                                                                                           That  helped  lesbian  cou-
            male  same-sex  couples      woman,  combines  them  is picking up the tab,” Smith  breaking,”  Collura  said.      ples, but gay men were still
            who must use a surrogate.    with sperm from a man and  said.  “We  had  to  borrow  “And  it’s  an  often-over-    left  out  because  the  law
            “Now that marriage equal-    then  implants  an  embryo  money,  refinance  a  sec-    looked  way  that  people    didn’t  cover  surrogates,
            ity  is  the  law  of  the  land   into a woman’s uterus.  ond  mortgage,  and  I’m  choose  to  build  their  fam-  Collura said.
            and is accepted, now let’s   But   Hawaii’s   mandate  sure there are people who  ily, and it should not be left    Most  state  mandates  limit
            turn to family building, and   applies  only  to  married  don’t even explore the op-  out.  It’s  great  to  see  that   insurance  reimbursement
            let’s  figure  out  how  we  fix   heterosexual  couples  be-  tion because the expenses  Hawaii is taking the lead.”  to  a  certain  number  of  in
            all these inequities that ex-  cause  it  covers  the  medi-  are too great.”          Kaiser  Permanente  Hawaii   vitro fertilization trials or al-
            ist,”  said  Barbara  Collura,   cal  intervention  only  if  a  The  measure  pending  in  opposed   the   measure,   low  coverage  only  after
            president  and  CEO  of  Re-  woman  uses  sperm  from  the  Hawaii  Legislature  re-  saying  the  medical  pro-   years  of  infertility.  Some
            solve, a national organiza-  her  spouse,  leaving  the  moves  requirements  that  vider  and  insurer  does  not   states also allow religious or
            tion that advocates for ac-  LGBT community and single  the  egg  and  sperm  come  perform  in  vitro  fertilization   small employers to get out
            cess to fertility treatments.  women behind.              from a married couple and  with  donor  eggs  or  surro-  of the requirement.
            Hawaii  is  one  of  eight   “At  the  end  of  the  visit,  I  includes surrogates among  gates because of complex   “We  need  to  change
            states  that  require  insur-  would  be  going  into  the  the people to be covered.  legal  issues  and  medical   these  laws,”  Collura  said.
            ance companies to cover      office  and  pulling  out  my  No  other  state  has  includ-  risks.  The  company  asked   “We  need  to  update
            in vitro fertilization, a costly   credit  card,  and  other  ed surrogates in their laws,  lawmakers to remove egg   them  and  make  them  so
            procedure  where  a  doc-    people  are  probably  just  Collura said.                donors   and    surrogates   that  they  are  no  longer
            tor  retrieves  eggs  from  a   walking out and insurance  “It  is  definitely  ground-  from the bill, saying requir-  discriminatory.”q
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