POLISCOPE
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HR4731FEDERALin_committee
High Impact

Access to Infertility Treatment and Care Act

July 23, 2025

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Where This Stands

Introduced
Committee
Floor Vote
Passed
Signed

Currently in_committee. The next step in the legislative lifecycle is Floor Vote.

Last action
Referred to the Subcommittee on Health.Dec 17, 2024
Lead sponsor

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

The Frame

What this does

If passed, this bill would mandate that health insurance plans covering pregnancy must also pay for infertility treatments and fertility preservation, potentially reducing out-of-pocket costs for patients undergoing medical procedures that threaten their reproductive health.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Health insurance issuers

Must update coverage policies to include infertility treatments and fertility preservation services.

Patients undergoing chemotherapy or radiation

Would gain insurance coverage for fertility preservation services to protect against treatment-induced infertility.

Individuals experiencing infertility

Would gain access to insurance-covered diagnostic and treatment services, including assisted reproductive technology.

What changed

Current stage: in_committee.

What's next

Floor Vote.

Summary

This bill proposes a federal requirement for private and group health insurance plans to cover infertility treatments and fertility preservation services. It mandates that plans covering obstetrical services must also cover procedures like in vitro fertilization and egg or sperm freezing for patients facing medical treatments that could cause infertility.

Key Facts

  • Requires group and individual health insurance plans that cover obstetrical services to also cover infertility treatments.
  • Mandates coverage for fertility preservation services (e.g., cryopreservation) for patients undergoing medical treatments that may cause iatrogenic (medically induced) infertility.
  • Defines infertility as the failure to establish a clinical pregnancy after 12 months of unprotected intercourse, or sooner based on medical history or diagnostic testing.
  • Defines assisted reproductive technology to include in vitro fertilization, egg/sperm/embryo cryopreservation, and gestational surrogacy.
  • Prohibits cost-sharing (deductibles/coinsurance) for these services that exceeds the cost-sharing applied to similar medical services under the same plan.
  • Limits coverage for assisted reproductive technology to cases where the patient is unable to achieve a live birth through less invasive treatments, as determined by a provider.
  • Requires that assisted reproductive technology procedures be performed at medical facilities compliant with federal standards.
  • Directs the Secretary of Health and Human Services to determine appropriate non-experimental treatments in consultation with professional organizations.

Frequently Asked Questions

Does this bill apply to all health insurance plans?
It applies to group and individual health insurance plans that already include coverage for obstetrical services.
What is 'iatrogenic infertility'?
It refers to infertility caused by medical treatments such as surgery, radiation, or chemotherapy.
Will I have to pay more for these services than other medical procedures?
No, the bill prohibits (like deductibles or coinsurance) that is higher than what the plan charges for similar medical services.

Why It Matters

If passed, this bill would mandate that health insurance plans covering pregnancy must also pay for infertility treatments and fertility preservation, potentially reducing out-of-pocket costs for patients undergoing medical procedures that threaten their reproductive health.

News Coverage

Sponsors

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Expansion of Mandated Benefits

The bill seeks to move infertility treatment from an optional or excluded service to a required benefit for plans that already cover obstetrics, mirroring the structure of other essential health benefits.

Connected Entities

organizationCenters for Disease Control and PreventionSource of statistics regarding infertility prevalence in the U.S.Map →
personRosa DeLauroPrimary sponsor of the bill in the House of Representatives.Map →
organizationWorld Health OrganizationCited as recognizing infertility as a medical disease.Map →

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy60
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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