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Did Not Advance

Kentucky establishes fundamental right to fertility treatments and prohibits state interference

Original title: AN ACT relating to fertility treatment.

Last action · January 23, 2026: to Judiciary (H)Sponsors: Lindsey Burke and 2 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Kentucky HB 400 establishes a fundamental individual right to receive fertility treatments, complete ongoing procedures, and manage reproductive genetic material under established medical standards. The bill prohibits state and local governments from burdening or discriminating in these rights unless justified by a compelling state interest achieved by the least restrictive means. Officials violating this provision face civil actions for damages and in state or federal court.

Why it matters

Residents gain explicit legal standing to sue state and local officials in court for and damages if government actions infringe upon their fertility treatment rights.

Background
  • The General Assembly is the legislative branch of the Commonwealth of Kentucky responsible for passing state laws. context

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Individuals seeking fertility treatment

Individuals gain a fundamental legal right to receive fertility treatments, manage reproductive genetic material, and sue officials for violations.

Directly affected

Health care providers

Health care providers licensed by the Kentucky Board of Medical Licensure or Board of Nursing are recognized as providers delivering fertility services under established medical standards.

Directly affected

State and local officials

Officials become subject to civil lawsuits for damages and injunctive relief if they are alleged to have violated the provisions of the act.

Key Facts

  • Defines fertility treatment to include oocyte, sperm, or embryo preservation, artificial insemination, assisted reproductive technology including in vitro fertilization, embryo genetic testing, fertility medications, and gamete donation.
  • Defines health care providers as facilities or individuals engaged in fertility treatment who are licensed by the Kentucky Board of Medical Licensure or the Kentucky Board of Nursing.
  • Establishes a fundamental right for individuals to receive fertility treatment and complete ongoing treatments in accordance with American Society for Reproductive Medicine standards.
  • Establishes individual rights to make decisions regarding the donation, testing, use, storage, and disposition of reproductive genetic material and to establish related contracts.
Show all 8 facts
  • Prohibits the Commonwealth and its political subdivisions from denying, burdening, or infringing upon fertility rights unless justified by a compelling state interest achieved by the least restrictive means.
  • Prohibits discrimination in the protection or enforcement of fertility rights based on sex, disability, race, ethnicity, gender identity, age, marital status, national origin, immigration status, religion, or sexual orientation.
  • Subjects state or local officials who violate the act to court actions for injunctive relief and damages brought by any aggrieved person or entity.
  • Exempts state laws or administrative regulations regarding medical facilities from violating the act if they align with evidence-based standards of care and their safety objectives cannot be advanced by less restrictive means.

Frequently Asked Questions

What medical procedures are included under fertility treatment in the bill?
Fertility treatment includes preserving human oocytes, sperm, or embryos, artificial insemination, like in vitro fertilization, embryo genetic testing, fertility-related medications, and donation.
Can state or local governments restrict fertility treatment access?
The state and its political subdivisions cannot deny, burden, or infringe upon fertility treatment rights unless justified by a compelling state interest achieved by the least restrictive means.
What happens if a state or local official violates these provisions?
An official alleged to have violated this section is subject to an action in federal or state court for and damages brought by any aggrieved person or entity.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · in House committee.

Procedural history

2 actions
  1. Jan 23, 2026HouseCommittee
    to Judiciary (H)
  2. Jan 15, 2026HouseIntroduced
    introduced in House to Committee on Committees (H)

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 →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Connected Entities

Kentucky Board of Medical Licensure, American Society for Reproductive Medicine, Kentucky Board of Nursing
OrganizationKentucky Board of Medical Licensure“Licenses health care providers under KRS Chapter 311”Map →
OrganizationAmerican Society for Reproductive Medicine“Provides guidelines for widely accepted and evidence-based medical standards of ”Map →
OrganizationKentucky Board of Nursing“Licenses health care providers under KRS Chapter 314”Map →

Sources

Open source document

apps.legislature.ky.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 75)
  • Controversy80
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz60
    Current news / social attention level

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