H.R. 1878 (119th)Bill Overview

IVF Access and Affordability Act

Taxation|Taxation
Cosponsors
Support
Republican
Introduced
Mar 5, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Ways and Means.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

The bill creates a new nonrefundable federal income tax credit (new section 23A) for assisted reproductive technology (ART) expenses. The credit equals ART expenses paid or incurred, capped at $20,000 per eligible individual ($40,000 for joint filers when both spouses incur expenses).

Why people may split

Refundability: liberals want refundable; conservatives oppose added cost.

Watch point

Relatively narrow, potentially bipartisan appeal on family/healthcare assistance; fiscal cost may deter some members.

The bill creates a new nonrefundable federal income tax credit (new section 23A) for assisted reproductive technology (ART) expenses.

The credit equals ART expenses paid or incurred, capped at $20,000 per eligible individual ($40,000 for joint filers when both spouses incur expenses).

The credit phases out starting at $200,000 adjusted gross income for single filers (starting at $400,000 for joint filers) and is reduced to zero over the next $100,000 (single) or $200,000 (joint).

Passage45/100

Technically focused with some bipartisan pull, but produces revenue loss without offsets and would likely face fiscal scrutiny in the Senate.

CredibilityPartial

How solid the drafting looks.

Contention62/100

Refundability: liberals want refundable; conservatives oppose added cost.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
TaxpayersFederal agencies · Taxpayers

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitLowers out-of-pocket costs for individuals paying assisted reproductive technology expenses.
  • TaxpayersLikely increases utilization of fertility treatments among taxpayers who face high procedure costs.
  • TaxpayersProvides substantial per-taxpayer tax relief, up to $20,000 annually, or $40,000 for couples.
Likely burdened
  • Federal agenciesReduces federal revenue, increasing the federal budgetary cost associated with health-related tax expenditures.
  • TaxpayersProvides larger absolute benefits to taxpayers with taxable income who lack insurance reimbursement.
  • TaxpayersCreates additional IRS compliance and documentation burdens for taxpayers and tax administrators.
03 · Why people split

Why the argument around this bill splits.

Refundability: liberals want refundable; conservatives oppose added cost.
Progressive80%

Generally supportive because the credit increases financial access to fertility treatments, potentially aiding marginalized family-building.

Likely disappointed the credit is nonrefundable and phased out at relatively high incomes, limiting benefits for low-income people and those with little tax liability.

Leans supportive
Centrist65%

Cautiously favorable as a targeted tax relief to reduce barriers to fertility care, while mindful of budgetary tradeoffs.

Will look for cost estimates, implementation clarity, and anti-abuse measures before full endorsement.

Split reaction
Conservative30%

Mixed-to-skeptical: some conservatives will welcome support for family formation, but many will oppose a new federal tax expenditure and expanded government subsidy of private medical services.

Concerns center on cost, federal overreach, and fairness to taxpayers who did not use ART.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood45/100

Technically focused with some bipartisan pull, but produces revenue loss without offsets and would likely face fiscal scrutiny in the Senate.

Scope and complexity
24%
Scopenarrow
52%
Complexitymedium
Why this could stall
  • No official budgetary cost estimate included
  • Refundable versus nonrefundable status unclear from text
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Refundability: liberals want refundable; conservatives oppose added cost.

Technically focused with some bipartisan pull, but produces revenue loss without offsets and would likely face fiscal scrutiny in the Senat…

Unlocked analysis

Pro readers get the full perspective split, passage barriers, legislative design review, stakeholder impact map, and lens-based policy tradeoff analysis for IVF Access and Affordability Act.

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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