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. 2020 Apr 3;21:25. doi: 10.1186/s12910-020-00466-6

Table 2.

Legal framework and public funding for fertility preservation for cancer patients

Legal framework Public healthcare system

France

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Legal recommendation to offer

Bioethics Law 2004 august 6 - Article L.2141–11

“For the subsequent realization of an Assisted Reproductive Technology, any person can benefit from the collection and preservation of his gametes or germinal tissue, when a medical treatment is likely to alter fertility or when fertility is likely to be prematurely altered.”

Coverage by healthcare system for treatments inducing a loss of fertility

Social Security Code - Article D322–1

“The list of conditions involving prolonged treatment and particularly expensive treatment that may give entitlement to withdrawal of the participation of the insured persons (...): malignant tumor, malignant disease of the lymphatic or hematopoietic tissue.”

Canada

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No legal recommendation to offer

No funding by healthcare system, except in the province of Quebec, where theLaw 20 Division XII.2says:

“If rendered to a fertile insured person before any oncological chemotherapy treatment or radiotherapy treatment involving a serious risk of (…) permanent infertility, (…) the fertility preservation services listed below must be considered insured services (…):

(a) the services required for ovarian stimulation or ovulation induction;

(b) the services required to retrieve eggs or ovarian tissue; (…)”

Morocco

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No legal recommendation to offer No funding by healthcare system