RESTORE Act
Sponsored By: Senator Cindy Hyde-Smith
Introduced
Summary
This bill would create a federal framework to promote _restorative reproductive medicine_ by expanding research, updating clinical training, and reforming payment and coding to improve diagnosis and treatment of infertility and related conditions.
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- Patients and families: Would expand coordinated research on endometriosis, PCOS, fibroids, male infertility, and other conditions and require a public HHS research report within two years to track findings and progress.
- Providers and clinics: Allows clinics focused on restorative reproductive medicine to compete for Title X grants and requires Title X staff training on fertility awareness methods, NaProTECHNOLOGY, and restorative approaches, with a congressionally shared grant report due in 18 months. It also bars federal discrimination against providers who decline to participate in assisted reproductive technology for religious or moral reasons.
- Payers and the health system: Directs HHS and the Centers for Medicare & Medicaid Services to update ICD and CPT/HCPCS codes within one year, run actuarial analyses, and implement a bundled payment model covering diagnostics, medical management, surgery, education, and care coordination.
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Bill Overview
Analyzed Economic Effects
6 provisions identified: 4 benefits, 0 costs, 2 mixed.
New medical billing codes and bundled payments
If enacted, HHS and CMS would update ICD, CPT, and HCPCS codes within one year for infertility and restorative reproductive procedures. They would set payment rates and relative value units and create a bundled payment model covering diagnosis, medical management, surgery, and education. This could change how Medicare, Medicaid, and private insurers pay for care.
More federal research and data on reproductive health
If enacted, HHS would expand and coordinate research on infertility, endometriosis, PCOS, male infertility, chemicals, and restorative medicine. The CDC would evaluate the national family growth survey to add related questions. HHS must publish an initial public research report within two years and repeat regular reports and reviews every few years.
New legal definitions for reproductive care
If enacted, the bill would add statute definitions for terms like assisted reproductive technology, infertility, NaProTECHNOLOGY, and restorative reproductive medicine. Infertility timing would be defined as 12 months without contraception for women under 35 and 6 months for women 35 and older. These definitions would guide how programs and coverage apply the Act.
Male infertility education and treatment plans
If enacted, HHS would evaluate and develop education and treatment pathways for male infertility within existing programs. The Secretary must send plans to Congress and post them publicly within 18 months. Topics would include sperm health, hormones, infections, surgeries, and lifestyle changes.
Family planning grants for restorative care
If enacted, Title X grant rules would allow clinics focused on restorative reproductive medicine to apply. The Teen Pregnancy Prevention program would also add access for groups that teach restorative approaches. HHS would require Title X training on restorative care within two years and must report on teen program awards within 18 months.
Protect providers who refuse assisted reproduction
If enacted, the federal government and any recipient of federal funds would be barred from penalizing health providers who decline to take part in assisted reproductive technology. The protection would cover refusals based on sincerely held religious beliefs or moral convictions.
Sponsors & CoSponsors
Sponsor
Cindy Hyde-Smith
MS • R
Cosponsors
James Lankford
OK • R
Sponsored 5/22/2025
Chuck Grassley
IA • R
Sponsored 5/22/2025
John Cornyn
TX • R
Sponsored 5/22/2025
Roll Call Votes
No roll call votes available for this bill.
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