S. 797 (119th)Bill Overview

Family Building FEHB Fairness Act

Health|Family planning and birth controlGovernment employee pay, benefits, personnel management
Cosponsors
Support
Democratic
Introduced
Feb 27, 2025
Discussions
Bill Text
Current stageCommittee

Read twice and referred to the Committee on Homeland Security and Governmental Affairs.

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

This bill amends Title 5, United States Code, to add “fertility treatment benefits” as a covered category under the Federal Employees Health Benefits (FEHB) program. It defines covered services broadly — including egg/sperm/embryo preservation, artificial insemination, assisted reproductive technology (like IVF), embryo genetic testing, fertility medications, gamete donation, and other related services as determined by OPM and HHS.

Why people may split

Cost impact: liberals see manageable costs; conservatives fear premium/taxpayer increases.

Watch point

Targeted benefit expansion for federal employees with administrative framing may attract bipartisan support, but cost concerns and moral objections could produce opposition.

This bill amends Title 5, United States Code, to add “fertility treatment benefits” as a covered category under the Federal Employees Health Benefits (FEHB) program.

It defines covered services broadly — including egg/sperm/embryo preservation, artificial insemination, assisted reproductive technology (like IVF), embryo genetic testing, fertility medications, gamete donation, and other related services as determined by OPM and HHS.

The new coverage requirement would take effect one year after enactment.

Passage45/100

Narrow federal benefit expansion improves chances, but cost implications and reproductive/ethical controversies create moderate barriers.

CredibilityPartial

How solid the drafting looks.

Contention65/100

Cost impact: liberals see manageable costs; conservatives fear premium/taxpayer increases.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agenciesFederal agencies · Employers

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

Likely helped
  • Federal agenciesIncreases access to fertility treatments for federal employees, retirees, and their covered dependents.
  • Potential benefitReduces out-of-pocket costs for covered fertility procedures and associated medications for beneficiaries.
  • Potential benefitStandardizes inclusion of a broad set of fertility services across FEHB plans subject to OPM guidance.
Likely burdened
  • Federal agenciesLikely increases FEHB program costs, potentially raising plan premiums or federal employer contributions.
  • EmployersAgencies may face higher overall personnel costs if employer share of premiums rises.
  • Potential burdenRequires administrative rulemaking and oversight by OPM and HHS, adding regulatory and implementation burden.
03 · Why people split

Why the argument around this bill splits.

Cost impact: liberals see manageable costs; conservatives fear premium/taxpayer increases.
Progressive95%

Overall strongly supportive; views the bill as expanding reproductive and family-building access for federal employees, including LGBTQ+ people and cancer survivors.

Sees the broad definitions as remedying inequities in employer coverage and modernizing FEHB benefits.

Leans supportive
Centrist70%

Generally supportive but cautious; favors expanding coverage for clear medical need while wanting fiscal and implementation clarity.

Would seek measures limiting unforeseen premium spikes or undefined open-ended obligations.

Leans supportive
Conservative20%

Likely opposed or skeptical; views the bill as expanding federal benefits scope and raising costs.

Has ethical concerns about embryo genetic testing, gamete donation, and potential mandates that conflict with providers' or plan sponsors' beliefs.

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

Narrow federal benefit expansion improves chances, but cost implications and reproductive/ethical controversies create moderate barriers.

Scope and complexity
52%
Scopemoderate
24%
Complexitylow
Why this could stall
  • No cost estimate or CBO score included
  • Intensity of moral/religious opposition to embryo/genetic-testing coverage
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

Cost impact: liberals see manageable costs; conservatives fear premium/taxpayer increases.

Narrow federal benefit expansion improves chances, but cost implications and reproductive/ethical controversies create moderate barriers.

Unlocked analysis

Pro readers get the full perspective split, passage barriers, legislative design review, stakeholder impact map, and lens-based policy tradeoff analysis for Family Building FEHB Fairness 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
Open full analysis