than in past years. (8) Like all other diseases, infertility and its treatments should be covered by health insurance. (9) A 2017 national survey of employer-sponsored health plans found that 44 percent of employers with at least 500 employees did not cover infertility services, and 25 percent of companies with 20,000 or more employees did not cover infertility services. (10) States that do not require insurance coverage of assisted reproductive technology have higher rates of multiple births. (11) The ability to have a family should not be denied to anyone on account of a lack of insurance coverage for medically necessary treatment. 3. Standards relating to benefits for treatment of infertility and iatrogenic infertility (a) In general Part A of title XXVII of the Public Health Service Act ( 42 U.S.C. 300gg et seq.) is amended by inserting after section 2728 the following: 2729. Standards relating to benefits for treatment of infertility and iatrogenic infertility (a) In general A group health plan or a health insurance issuer offering group or individual health insurance coverage shall ensure that such plan or coverage provides coverage for— (1) the treatment of infertility, including nonexperimental assisted reproductive technology procedures, if such plan or coverage provides coverage for obstetrical services