# 119-hr-2049: Access to Family Building Act

119-hr-2049, Access to Family Building Act, is a 119th Congress bill sponsored by Rep. Gillen, Laura [D-NY-4] (D-NY); status introduced; PRIA reads it as touching household money (as of 2026-10-16).

- Canonical: https://policyrisk.com/legislation/119-hr-2049
- As of: 2026-10-16
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-2049
- Congress: 119
- Title: Access to Family Building Act
- Status: introduced
- Introduced: 2025-03-11
- Sponsor: Rep. Gillen, Laura [D-NY-4] (D-NY)
- Cosponsors: 77
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-16

## Summary

**Protecting access to assisted reproductive technology.** The Access to Family Building Act would create federal rights for patients, health care providers, and insurers to use, deliver, and insure assisted reproductive technology and related care, and it would let courts and the Attorney General challenge laws that unlawfully restrict that access. - Families and patients: People seeking fertility care would have a statutory right to access ART, to continue or complete treatments under a written plan, and to control the use or disposal of reproductive genetic materials. - Health care providers: Doctors, nurses, clinics, and other licensed staff would have a statutory right to perform or assist with ART, to provide evidence-based information, and to sue to block rules that unlawfully limit services. - Insurers and states: Insurance plans would have a statutory right to cover ART while States could keep health and safety rules that advance patient safety, but conflicting state or local restrictions could be preempted and the Department of Health and Human Services must issue implementing regulations within one year.

## Cosponsors (77)

- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2025-03-11T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2025-03-11T00:00:00.000Z
- Rep. Doggett, Lloyd [D-TX-37] (D-TX), 2025-03-18T00:00:00.000Z
- Rep. McGarvey, Morgan [D-KY-3] (D-KY), 2025-03-18T00:00:00.000Z
- Rep. Hoyer, Steny H. [D-MD-5] (D-MD), 2025-03-18T00:00:00.000Z
- Rep. Mrvan, Frank J. [D-IN-1] (D-IN), 2025-03-18T00:00:00.000Z
- Rep. Davids, Sharice [D-KS-3] (D-KS), 2025-03-18T00:00:00.000Z
- Rep. Scanlon, Mary Gay [D-PA-5] (D-PA), 2025-03-18T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2025-03-18T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2025-03-18T00:00:00.000Z
- Rep. Barragán, Nanette Diaz [D-CA-44] (D-CA), 2025-03-18T00:00:00.000Z
- Rep. Crockett, Jasmine [D-TX-30] (D-TX), 2025-03-18T00:00:00.000Z
- Rep. Peters, Scott H. [D-CA-50] (D-CA), 2025-03-18T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2025-03-18T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-03-18T00:00:00.000Z
- Rep. Tonko, Paul [D-NY-20] (D-NY), 2025-03-18T00:00:00.000Z
- Rep. Frost, Maxwell [D-FL-10] (D-FL), 2025-03-18T00:00:00.000Z
- Rep. Castor, Kathy [D-FL-14] (D-FL), 2025-03-18T00:00:00.000Z
- Rep. Scholten, Hillary J. [D-MI-3] (D-MI), 2025-03-18T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-03-18T00:00:00.000Z
- Rep. Balint, Becca [D-VT-At Large] (D-VT), 2025-03-18T00:00:00.000Z
- Rep. Ryan, Patrick [D-NY-18] (D-NY), 2025-03-18T00:00:00.000Z
- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2025-03-18T00:00:00.000Z
- Rep. Schneider, Bradley Scott [D-IL-10] (D-IL), 2025-03-18T00:00:00.000Z
- Rep. Moulton, Seth [D-MA-6] (D-MA), 2025-03-18T00:00:00.000Z
- Rep. Sykes, Emilia Strong [D-OH-13] (D-OH), 2025-03-18T00:00:00.000Z
- Rep. Swalwell, Eric [D-CA-14] (D-CA), 2025-03-18T00:00:00.000Z
- Rep. Case, Ed [D-HI-1] (D-HI), 2025-03-18T00:00:00.000Z
- Rep. Budzinski, Nikki [D-IL-13] (D-IL), 2025-03-18T00:00:00.000Z
- Rep. Costa, Jim [D-CA-21] (D-CA), 2025-03-18T00:00:00.000Z
- Rep. Ocasio-Cortez, Alexandria [D-NY-14] (D-NY), 2025-03-18T00:00:00.000Z
- Rep. Vargas, Juan [D-CA-52] (D-CA), 2025-03-18T00:00:00.000Z
- Rep. Brownley, Julia [D-CA-26] (D-CA), 2025-03-18T00:00:00.000Z
- Rep. Vasquez, Gabe [D-NM-2] (D-NM), 2025-03-18T00:00:00.000Z
- Rep. Trahan, Lori [D-MA-3] (D-MA), 2025-03-18T00:00:00.000Z
- Rep. Ramirez, Delia C. [D-IL-3] (D-IL), 2025-03-18T00:00:00.000Z
- Rep. Bonamici, Suzanne [D-OR-1] (D-OR), 2025-03-21T00:00:00.000Z
- Rep. Harder, Josh [D-CA-9] (D-CA), 2025-03-21T00:00:00.000Z
- Rep. Leger Fernandez, Teresa [D-NM-3] (D-NM), 2025-03-21T00:00:00.000Z
- Rep. Carson, André [D-IN-7] (D-IN), 2025-03-21T00:00:00.000Z
- Rep. Kennedy, Timothy M. [D-NY-26] (D-NY), 2025-03-21T00:00:00.000Z
- Rep. Mullin, Kevin [D-CA-15] (D-CA), 2025-03-21T00:00:00.000Z
- Rep. Meng, Grace [D-NY-6] (D-NY), 2025-03-21T00:00:00.000Z
- Rep. Smith, Adam [D-WA-9] (D-WA), 2025-03-21T00:00:00.000Z
- Rep. Larsen, Rick [D-WA-2] (D-WA), 2025-03-21T00:00:00.000Z
- Rep. Frankel, Lois [D-FL-22] (D-FL), 2025-03-21T00:00:00.000Z
- Rep. Quigley, Mike [D-IL-5] (D-IL), 2025-03-21T00:00:00.000Z
- Rep. Jayapal, Pramila [D-WA-7] (D-WA), 2025-03-21T00:00:00.000Z
- Rep. Magaziner, Seth [D-RI-2] (D-RI), 2025-03-21T00:00:00.000Z
- Rep. Stanton, Greg [D-AZ-4] (D-AZ), 2025-03-21T00:00:00.000Z
- Rep. Pocan, Mark [D-WI-2] (D-WI), 2025-03-21T00:00:00.000Z
- Rep. Deluzio, Christopher R. [D-PA-17] (D-PA), 2025-03-25T00:00:00.000Z
- Rep. Dean, Madeleine [D-PA-4] (D-PA), 2025-03-25T00:00:00.000Z
- Rep. Beatty, Joyce [D-OH-3] (D-OH), 2025-03-25T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2025-03-25T00:00:00.000Z
- Rep. Garamendi, John [D-CA-8] (D-CA), 2025-03-25T00:00:00.000Z
- Rep. Titus, Dina [D-NV-1] (D-NV), 2025-03-25T00:00:00.000Z
- Rep. Escobar, Veronica [D-TX-16] (D-TX), 2025-03-27T00:00:00.000Z
- Rep. Kelly, Robin L. [D-IL-2] (D-IL), 2025-03-27T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2025-03-31T00:00:00.000Z
- Rep. Suozzi, Thomas R. [D-NY-3] (D-NY), 2025-03-31T00:00:00.000Z
- Rep. Soto, Darren [D-FL-9] (D-FL), 2025-03-31T00:00:00.000Z
- Rep. Lee, Susie [D-NV-3] (D-NV), 2025-04-08T00:00:00.000Z
- Rep. Correa, J. Luis [D-CA-46] (D-CA), 2025-04-17T00:00:00.000Z
- Rep. Landsman, Greg [D-OH-1] (D-OH), 2025-05-13T00:00:00.000Z
- Rep. Himes, James A. [D-CT-4] (D-CT), 2025-05-13T00:00:00.000Z
- Rep. Levin, Mike [D-CA-49] (D-CA), 2025-05-19T00:00:00.000Z
- Rep. DeSaulnier, Mark [D-CA-10] (D-CA), 2025-06-26T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2025-11-07T00:00:00.000Z
- Rep. McClain Delaney, April [D-MD-6] (D-MD), 2025-11-17T00:00:00.000Z
- Rep. Whitesides, George [D-CA-27] (D-CA), 2025-11-25T00:00:00.000Z
- Rep. McDonald Rivet, Kristen [D-MI-8] (D-MI), 2025-12-18T00:00:00.000Z
- Rep. Goldman, Daniel S. [D-NY-10] (D-NY), 2026-01-20T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2026-04-02T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2026-05-07T00:00:00.000Z
- Rep. Kaptur, Marcy [D-OH-9] (D-OH), 2026-07-14T00:00:00.000Z
- Rep. Carter, Troy A. [D-LA-2] (D-LA), 2026-09-15T00:00:00.000Z

## Provisions PRIA read

- National protections for fertility care access: benefit, medium. If enacted, you would have a federal right to get assisted reproductive technology (fertility care). You could continue or finish treatment under a written plan and control your reproductive genetic materials. Providers could perform fertility care and share evidence-based information, and insurers…
- Lawsuits allowed to protect fertility care: benefit, medium. If enacted, the Attorney General could sue governments or officials who block fertility care rights. Individuals and providers could also sue to stop illegal limits. Courts could issue injunctions. Winning plaintiffs would get costs and reasonable attorney’s fees and would not owe fees in non‑frivo…
- Health Department would set fertility rules in a year: benefit, low. If enacted, the Health Department would issue rules within one year to carry out fertility care access. These rules would spell out how the law works in practice. The deadline would help patients and providers plan next steps.
- Most fertility rules would survive court loss: mixed, low. If enacted, if a court strikes down one part of the Act, the rest would still apply. Other parts would keep working for other people and situations.
- Who counts as fertility patient or provider: mixed, low. If enacted, the bill would define assisted reproductive technology and who is a patient. It would also define who is a fertility care provider. Where a state requires a license, providers must be licensed or would be licensed but for their ART work under this Act. “State” would include states, DC,…

## Related bills

- 119-hr-2550: Protect America's Workforce Act
- 119-hres-70: Expressing the sense of the House of Representatives that Congress should take all appropriate measures to ensure that the United States Postal Service remains…
- 119-hr-17: Paycheck Fairness Act
- 119-hr-18: Bipartisan Background Checks Act of 2025
- 119-hjres-80: Establishing the ratification of the Equal Rights Amendment.
- 119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025

## Sources
- [119-hr-2049 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/2049)

## Related
- [119-hr-2550: Protect America's Workforce Act](https://policyrisk.com/legislation/119-hr-2550)
- [119-hres-70: Expressing the sense of the House of Representatives that Congress should take…](https://policyrisk.com/legislation/119-hres-70)
- [119-hr-17: Paycheck Fairness Act](https://policyrisk.com/legislation/119-hr-17)
- [119-hr-18: Bipartisan Background Checks Act of 2025](https://policyrisk.com/legislation/119-hr-18)
- [119-hjres-80: Establishing the ratification of the Equal Rights Amendment.](https://policyrisk.com/legislation/119-hjres-80)
- [119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025](https://policyrisk.com/legislation/119-hr-20)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-2049 (as of 2026-10-16).