arrow_back Back to App

Mandating Coverage for Infertility Treatment and Fertility Preservation in Group Health Plans

This law requires employer-sponsored group health plans that cover childbirth (obstetrical services) to also provide comprehensive coverage for infertility treatment, including in vitro fertilization (IVF) and related procedures. It also mandates coverage for fertility preservation services for individuals whose necessary medical treatment, such as chemotherapy, is expected to cause infertility. This change aims to significantly reduce the financial burden for citizens seeking fertility care.
Key points
Group health plans covering childbirth must now cover comprehensive infertility treatments, including IVF, effective January 1, 2026.
Mandatory coverage for fertility preservation (e.g., egg/sperm freezing) when medical necessity (like cancer treatment) causes or is expected to cause infertility (iatrogenic infertility).
Cost-sharing and coverage limits for fertility treatments cannot be stricter than those applied to substantially all other medical and surgical benefits.
Insurance companies face penalties if they deny required coverage or fail to comply with new reporting requirements regarding utilization management tools.
article Official text account_balance Process page
Expired
Citizen Poll
No votes cast
Additional Information
Print number: 118_HR_8821
Sponsor: Rep. Chavez-DeRemer, Lori [R-OR-5]
Process start date: 2024-06-25
Lustra uses Artificial Intelligence. Verify details in source documents.
Summarized by: gemini-2.5-flash-preview-09-2025
Source data: api.congress.gov
AI work logs for this document launch

OFFICIAL LEGAL TITLE

HOPE with Fertility Services Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_HR_8821.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2024-06-25.

What are the main provisions?

Key points include:

  • Group health plans covering childbirth must now cover comprehensive infertility treatments, including IVF, effective January 1, 2026.
  • Mandatory coverage for fertility preservation (e.g., egg/sperm freezing) when medical necessity (like cancer treatment) causes or is expected to cause infertility (iatrogenic infertility).
  • Cost-sharing and coverage limits for fertility treatments cannot be stricter than those applied to substantially all other medical and surgical benefits.
  • Insurance companies face penalties if they deny required coverage or fail to comply with new reporting requirements regarding utilization management tools.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Chavez-DeRemer, Lori [R-OR-5].

What is the latest detailed status?

The latest detailed status is: Referred to the House Committee on Education and the Workforce.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-25.

CATEGORIES

Health Family Benefits