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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.
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capitol-beat.org broke the news in Jackson, United States on Thursday, May 1, 2025.
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