Infertility is a disease of the reproductive system that affects both men and women. There are currently about 7 million American women between the ages of 15 and 44 who are infertile. Some of these women use assisted reproductive technology (ART) including in-vitro fertilization (IVF), artificial insemination, embryo transfer and intracervical insemination to help them conceive children. The cost for the entire process of an IVF cycle, including medication, can run up to $30,000. Clinics define an IVF cycle as one egg retrieval and all the embryo transfers that result from that retrieval. However, compared to children conceived naturally, studies have found higher rates of birth defects in children conceived by IVF, including defects in heart, urinary and reproductive organs.

Some say our nation’s general decrease in fertility could result from reduced sperm counts in males. Studies have found that between 1938 and 1996, the sperm count of American males fell about 1% each year, while European males experienced decreases that were twice as great. The reason for these declines is not precisely known but it is suspected environmental pollution may be partly to blame. Another reason for our rapid rise in infertility is that more women are having their first child later in life. In 1970, nearly 12,000 women had their first child between the ages of 35-39. That number grew to 45,000 in 1986 and climbed to 90,000 by 1997. In 2024, women of this age group gave birth to 3,628,934 children – but this figure does not specify how many of those were first births.

Pending Legislation: S.2408 - Access to Fertility Treatment and Care Act
Sen. Cory Booker (NJ)
Status: Senate Committee on Health, Education, Labor, and Pensions
Chair: Sen. Bill Cassidy (LA)

• I oppose reforming current infertility policy and wish to donate resources to the campaign committee of Leader John Thune (SD).
• I support expanding access to and insurance coverage for infertility treatments and fertility preservation by:
  
  1.) Requiring most private health insurance plans, as well as several federal health programs (including TRICARE for military personnel, the VA, Medicaid, and Medicare), to cover fertility treatments.
  
  2.) Defining fertility treatment to include a wide array of services and procedures, such as in vitro fertilization (IVF) and other assisted reproductive technologies; artificial insemination; fertility preservation, including egg, sperm, and embryo preservation; genetic testing of embryos; fertility medications; and gamete donation.
  
  3.) Requiring that coverage could not be restricted to individuals who have received a clinical diagnosis of infertility, and extending access to single people and same-sex couples, who may face barriers under existing diagnostic criteria.
  
  4.) Mandating coverage for fertility preservation services for individuals who must undergo medically necessary procedures, like chemotherapy, that could affect their fertility.
  
  5.) Stipulating that cost-sharing requirements, such as copayments and deductibles, for fertility treatments cannot be higher than those applied to other medical or surgical benefits under the same plan.
  
  6.) Prohibiting insurance plans from discriminating against patients seeking fertility treatments, and barring providers from discussing discouraging information with patients.
  
  And wish to donate resources to the campaign committee of Sen. Bill Cassidy (LA) and/or to an advocate group currently working with this issue.