HOPE with Fertility Services Act

This bill would require employer-sponsored group health plans and insurers that cover obstetrical (pregnancy) services to also cover infertility treatments, such as in vitro fertilization, egg and sperm freezing, and intrauterine insemination. It would also require coverage of fertility preservation when medical treatments like chemotherapy, radiation, or certain surgeries are expected to cause infertility. Cost-sharing and coverage limits for these treatments could be no more restrictive than those for most other medical and surgical benefits. Plans that use utilization management tools on these benefits would have to analyze those tools and submit the analyses to the Secretary of Labor for the first 5 plan years, and insurers could face civil penalties of up to $100 per day for violations. The rules would apply to plan years beginning on or after January 1, 2027.

Full text and official record on Congress.gov

Sponsors

• Zachary Nunn Republican sponsor
• 21 cosponsors