H.R. 3589 (119th)Bill Overview

RESTORE Act

Health|Health
Cosponsors
Support
Republican
Introduced
May 23, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Energy and Commerce.

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

This bill directs HHS to expand research, data collection, training, and surveillance on reproductive health conditions, restorative reproductive medicine, and fertility awareness methods. It protects health care providers from federal penalty for declining participation in assisted reproductive technology on religious or moral grounds.

Why people may split

Conscience protections versus guaranteed patient referral and access

Watch point

Relative to its intended legislative type, this bill articulates a clear problem and prescribes numerous substantive policy changes and administrative actions, assigning responsibilities and reporting deadlines to specific HHS offices while integrating with existing statutory frameworks.

This bill directs HHS to expand research, data collection, training, and surveillance on reproductive health conditions, restorative reproductive medicine, and fertility awareness methods.

It protects health care providers from federal penalty for declining participation in assisted reproductive technology on religious or moral grounds.

The bill adds restorative reproductive medicine providers as eligible for certain Title X opportunities, requires training and survey updates, and mandates coding and reimbursement updates for restorative treatments and bundled payment models.

Passage40/100

Pragmatic research and coding reforms help; conscience protections and Title X eligibility expansion reduce bipartisan appeal and raise legal/political friction.

CredibilityPartially aligned

Relative to its intended legislative type, this bill articulates a clear problem and prescribes numerous substantive policy changes and administrative actions, assigning responsibilities and reporting deadlines to specific HHS offices while integrating with existing statutory frameworks. However, it omits funding provisions and contains limited enforcement detail for some substantive provisions, resulting in partial alignment between ambition and implementation scaffolding.

Contention65/100

Conscience protections versus guaranteed patient referral and access

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agencies · CitiesLikely burdened

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

Likely helped
  • Federal agenciesExpands federal research and coordinated data on reproductive health conditions and infertility.
  • CitiesFunds and training programs for clinicians could increase capacity in restorative reproductive medicine.
  • Potential benefitModernizing codes and bundle payments may improve reimbursement for diagnostic and restorative procedures.
Likely burdened
  • Potential burdenProvider conscience protections may reduce patient access to assisted reproductive technologies in some areas.
  • Potential burdenExpanding Title X and teen program eligibility could redirect funds toward restorative providers, affecting contracepti…
  • Potential burdenEmphasis on NaProTechnology and fertility awareness methods may be criticized for limited or contested evidence.
03 · Why people split

Why the argument around this bill splits.

Conscience protections versus guaranteed patient referral and access
Progressive40%

Generally supportive of expanded research into endometriosis, fibroids, and male infertility and improved reimbursement for diagnostic care.

Concerned that conscience protections, Title X eligibility for restorative providers, and promotion of NaPro/Fertility Awareness may reduce access to evidence-based ART, contraception, or referrals.

Split reaction
Centrist65%

Views the bill as a mix of constructive health-system improvements and potential policy risks.

Supports research, coding updates, and provider training while wanting clear safeguards for patient access, evidence-based standards, and transparent cost analyses before broad implementation.

Split reaction
Conservative80%

Likely supportive of protections for providers who decline ART participation and favorable to promoting restorative reproductive medicine and fertility-awareness methods.

Appreciates Title X access for restorative providers and stronger reimbursement for surgical restorative treatments.

Leans supportive
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 likelihood40/100

Pragmatic research and coding reforms help; conscience protections and Title X eligibility expansion reduce bipartisan appeal and raise legal/political friction.

Scope and complexity
52%
Scopemoderate
52%
Complexitymedium
Why this could stall
  • No explicit new funding or appropriations included
  • How medical societies and CPT/AMA will respond to coding changes
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

Conscience protections versus guaranteed patient referral and access

Pragmatic research and coding reforms help; conscience protections and Title X eligibility expansion reduce bipartisan appeal and raise leg…

Unlocked analysis

Relative to its intended legislative type, this bill articulates a clear problem and prescribes numerous substantive policy changes and administrative actions, assigning responsibilities and reporting deadlines to speci…

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
Open full analysis