What ‘Fertilization President’ Trump can learn from state efforts to expand IVF access
- Mariah Freschi, a California mother and preschool teacher, faces infertility after surgery and needs IVF, which costs $25,000 and is unaffordable for her family.
- Infertility affects about 13% of women and 11% of men in the U.S., prompting 22 states to mandate some fertility insurance coverage amid political and budget challenges.
- California’s SB 729, effective July 1, requires large employers to cover infertility treatments including IVF, but excludes millions by limiting the scope and faced budget opposition.
- President Trump pledged government support for IVF during his campaign and signed an executive order in February seeking policy recommendations, calling himself the “fertilization president.”
- Despite some states expanding IVF coverage, opposition based on cost, moral concerns, and anti-abortion laws creates an ongoing struggle to increase equitable access for people needing fertility care.
15 Articles
15 Articles

What ‘Fertilization President’ Trump can learn from state efforts to expand IVF access
By Sarah Kwon, KFF Health News For nearly three agonizing years, Mariah Freschi and her husband have been trying to have a second baby. The California mother recently underwent surgery to remove her blocked fallopian tubes, leaving in vitro fertilization as her only option to get pregnant. But the cost quoted by her Sacramento-area clinic was $25,000 — out of reach for Freschi, a preschool teacher, and her husband, a warehouse worker. “When we f…
IVF Is Finally Protected Under Georgia Law
ShareGov. Brian Kemp signed legislation Thursday codifying into state law the right of women struggling to get pregnant to receive in vitro fertilization. House Bill 428, which the General Assembly passed with just one “no” vote, was among a half dozen health-care measures the governor signed during a ceremony at the Savannah Convention Center. The legislation’s chief sponsor was Rep. Lehman Franklin, R-Statesboro, whose wife June received IVF t…
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