Advocacy Day Issues
The issues and bills listed below are supported by RESOLVE: The National Infertility Association and the American Society for Reproductive Medicine (ASRM). For more information, please contact Barbara Collura, President & CEO, RESOLVE at firstname.lastname@example.org, 703.506.2011, or Sarah Bogdan, Director of Government Affairs, ASRM email@example.com.
Coverage at Work for All Americans
- People who get their health insurance through plans provided by the federal government are shut out of care for building their family and preserving their fertility, even for those with cancer. This includes the Federal Employee Health Benefits Plan.
- Less than half of private employers offer comprehensive benefits to their employees for family building, yet in a recent survey of employers, 97% said that adding infertility coverage did not result in a significant increase in cost.*
- Only 13 states have mandated insurance coverage for infertility treatments that include IVF.
Removing Barriers for Family Building for the Military
- Military service members face unique challenges to family building through assisted reproduction or adoption.
- TRICARE provides limited access to medical treatments such as IVF but requires proof of casualty. The diagnosis of infertility must be service connected and is only available to the service member who is in a legal, heterosexual marriage.
- TRICARE policy provides coverage for diagnostic services only and requires the service member to meet specific criteria in order to have access to this care.
- TRICARE does not provide coverage for common procedures like intrauterine insemination (IUI) or any non-coital reproductive support.
- TRICARE has unevenly applied access to fertility preservation for a cancer diagnosis, does not provide coverage for voluntary sperm and egg freezing, and offers limited adoption resources.
Removing Barriers for Family Building for our Veterans
- The Veterans Health Administration is prohibited by regulation to provide IVF medical treatments. Through a temporary appropriation from Congress that requires annual approval, some Veterans with service-connected infertility can get limited care.
- Veterans deal with tremendous hurdles in proving their service-connected infertility and must be accompanied by military documentation.
- Americans who have served our country should have access to care and coverage to build a family, especially if their fertility has been compromised by their military service.
Bills we support that focus on the needs of people struggling to build their family:
- Access to Infertility Treatment and Care Act, S. 2352/H.R. 4450
- Adoption Tax Credit Refundability Act of 2021, S. 1156/H.R. 3031
- Expanding Access to Fertility Care for Servicemembers and Dependents Act, H.R. 6094
- Infertility Resolution, H. Res. 338
- John Lewis Every Child Deserves a Family Act, S. 1848/H.R. 3488
- PCOS Awareness Month Resolution, H. Res. 878
- Stephanie Tubbs Jones Uterine Fibroid Research and Education Act of 2021, S. 2444/H.R. 2007
- Veterans Families Health Services Act of 2021, S. 1280/H.R. 2734
- Veterans Infertility Treatment Act of 2021, H.R. 1957
* Source: 2021 Survey on Fertility Benefits, https://resolve.org/wp-content/uploads/2022/01/2021-Fertility-Survey-Report-Final.pdf