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Montreal

Free in-vitro fertilization treatment is back in Quebec, but there are restrictions

Five years after the province scrapped Medicare coverage for in-vitro fertilization to cut costs, the Quebec government announced that free treatments can resume as of next Monday.

Liberal government stopped covering IVF treatment in 2015

On Wednesday, Lionel Carmant, the province's junior health minister, unveiled the rules and financial framework for Quebec's publicly funded in-vitro fertilization program. In 2015, the treatment was removed from medicare coverage. (Sylvain Roy Roussel/CBC)

As of Nov. 15, Quebec will once againprovidefree in-vitro fertilization treatment,years after the previous Liberal government scrapped itscoverage as a cost-cutting measure.

Ata news conference Wednesday, Junior Health Minister Lionel Carmant and Finance Minister Eric Girard laid out the rules for the province's publicly funded fertilization services.

The funding for in-vitro fertilization (IVF) treatmentwill be available as of next Monday for single women, as well aswomen in heterosexual and same-sex couples. In order to be eligible, peoplemust have a medical note statingthat they can't conceive as a couple or on their own.

They must also be between the age of 18 and 41 to start treatment, and be younger than 42 to undergo an embryo transfer.

The IVFtreatment willcover one in-vitro fertilization cycle, up to two ovarian stimulations, one egg retrieval, standard IVF services, one straw of donor sperm and a single surgical sperm cell collection. Embryos can be stored and frozen for one year.

For men with fertility issues, the governmentwill also cover up to six sperm donations.

"The strict [criteria] of theprogram are meant to respect, first of all, the government's ability to pay, while targeting the services that have a higher chance of success and the fewer effects on the mother and the newborn," Carmant said.

"It's a priority to help all Quebecers to start a family."

An embryo being created in a petri dish
In in-vitro fertilization, eggs and sperm are brought together in a laboratory petri dish to allow the sperm to fertilize the egg. The embryo is then transferred to the uterus. (Sang Tan/The Associated Press)

Girard said the program will cost about $50 million annually.The program follows the adoption of Bill 73 by the National Assemblyin March.

Quebec began covering all the costs of in-vitro fertilizationback in 2010, allowing couples to receive compensation for up to three full IVF attempts.

The Liberals cancelled coverage of in-vitro fertilization (IVF) treatments in 2015.

The health minister at the time, Gatan Barrette, said the programwas too costly and not restrictive enough, referring to it as an"open bar."

Carmant said the province expects tofund 3,500 IVF cycles by the end of the fiscal year. He said that number will likely rise to 7,000 cycles the following year, and 5,200 the one after that, beforestabilizingat about 3,500 annually.

If a person doesn't meet the province's criteria for free treatmentsand has to pay out of pocket, they are still eligible for tax credits that will cover between 20 and 80 per cent of the costs, depending on their income, Those credits cannot surpass $20,000 per year.

The tax credit will also be available to people seeking a second IVF cycle, after the first one was covered by medicare.

With files from Lauren McCallum and Radio-Canada