Policy and Political Landscape
's campaign promises included expanding IVF access, leading to an executive order for policy recommendations. However, the impact on actual policy change remains uncertain amid state-level challenges.
Twenty-two states have fertility care coverage laws, with 15 mandating IVF coverage. Yet, budgetary and ideological opposition, including concerns over higher premiums, hinder broader adoption.
California's Comprehensive Approach
's SB , effective July 1, mandates large employers to cover infertility diagnosis and treatment, including IVF, for state-regulated health insurance, with state employees covered by 2027.
Despite cost concerns delaying IVF legislation, California's mandate is praised for its inclusivity, covering same-sex couples and single parents, and is considered one of the most comprehensive in the U.S.