Referred to the House Committee on Energy and Commerce.
This bill adds “fertility treatment and care” to the Affordable Care Act’s list of essential health benefits for individual and small group market plans. It defines covered services (egg/sperm/embryo preservation, artificial insemination, assisted reproductive technology including IVF with at least three oocyte retrievals and unlimited embryo transfers, genetic embryo testing, fertility medications, gamete donation, and related services).
Progressives emphasize reproductive equity for LGBTQ and single parents
Relative to its intended legislative type, this bill is a substantive amendment to existing federal health coverage law that is specific about covered fertility services, parity requirements, and reporting obligations, and it integrates into identified statutory sections of the ACA and PHSA.
This bill adds “fertility treatment and care” to the Affordable Care Act’s list of essential health benefits for individual and small group market plans.
It defines covered services (egg/sperm/embryo preservation, artificial insemination, assisted reproductive technology including IVF with at least three oocyte retrievals and unlimited embryo transfers, genetic embryo testing, fertility medications, gamete donation, and related services).
Plans offering fertility benefits must not apply more restrictive cost-sharing or treatment limits than for other medical and surgical benefits, and insurers may not deny fertility benefits for lack of an infertility diagnosis.
Focused policy change with political support among proponents of coverage expansion but meaningful fiscal, ideological, and federalism objections limit prospects.
Relative to its intended legislative type, this bill is a substantive amendment to existing federal health coverage law that is specific about covered fertility services, parity requirements, and reporting obligations, and it integrates into identified statutory sections of the ACA and PHSA.
Progressives emphasize reproductive equity for LGBTQ and single parents
These are examples from the analysis, not a ranked list of the most-affected groups.
Progressives emphasize reproductive equity for LGBTQ and single parents
Likely strongly supportive because the bill expands coverage for reproductive care and removes diagnostic barriers.
It advances equitable access for LGBTQ+ people, single parents, and those needing assisted reproduction.
They will emphasize the nondiscrimination and parity requirements on cost-sharing and treatment limits.
Generally favorable but cautious.
Centrist observers will welcome closing a coverage gap while seeking evidence on costs, premium impacts, and administrative feasibility.
They will focus on implementation details, actuarial effects, and whether reporting requirements are practicable.
Likely opposed or skeptical.
Concerns will center on new federal mandates increasing premiums, expanding federal regulation of private insurance, and potential conflicts with religious or conscience objections around embryo handling.
They will view reporting and parity rules as added compliance costs.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Focused policy change with political support among proponents of coverage expansion but meaningful fiscal, ideological, and federalism objections limit prospects.
The bill has not accumulated any surfaced votes yet.
Progressives emphasize reproductive equity for LGBTQ and single parents
Focused policy change with political support among proponents of coverage expansion but meaningful fiscal, ideological, and federalism obje…
Relative to its intended legislative type, this bill is a substantive amendment to existing federal health coverage law that is specific about covered fertility services, parity requirements, and reporting obligations,…
Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.