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119-hr-3589119th CongressWALLET

RESTORE Act

Sponsored By: Representative Harshbarger, Diana [R-TN-1]

Introduced

Summary

This bill would push federal health programs to recognize, study, and pay for treatments that address the root causes of infertility, centered on restorative reproductive medicine. It would change data, payment codes, research, and training to treat conditions like endometriosis, PCOS, and fibroids.

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 4 benefits, 0 costs, 1 mixed.

New billing and bundled fertility care

If enacted, the bill would require HHS to update diagnostic and procedure codes (ICD‑10, CPT, HCPCS) and create bundled payments for restorative reproductive medicine. HHS would define bundles that cover diagnostics, medical management, surgery, postoperative care, patient education, care coordination, and extended physician time. The agency would complete coding and payment updates not later than 1 year and set actuarial rates and RVUs to guide Medicare, Medicaid, and other payers. These changes would aim to better align reimbursement with comprehensive fertility diagnosis and treatment.

More reproductive health research and data

If enacted, HHS would expand and coordinate research on infertility and reproductive health conditions and publish a public research report within 2 years. The Assistant Secretary for Health would collect data and report on standards of care for reproductive diagnoses and infertility within 2 years and every 3 years after. The CDC would review the National Survey of Family Growth and consider adding questions about restorative reproductive health and fertility-awareness methods, reporting to Congress within 3 years and every 3 years after.

Protections for providers refusing fertility services

If enacted, the bill would bar the federal government and federally funded entities from penalizing providers who decline to participate in assisted reproductive technology or to facilitate it because of sincerely held religious beliefs or moral convictions. Providers could refuse training, referrals, performance, payment, or other participation without federal retaliation. This protection could reduce referrals or availability of ART for some patients while expanding conscience protections for providers.

Education on male infertility causes

If enacted, HHS would evaluate and develop education on male factor infertility, including lifestyle and metabolic interventions. The program would address sperm health, hormonal issues, infections, varicoceles, torsion, obesity, substance use, and chemical exposures. The Secretary would submit plans to Congress and publish them within 18 months.

More Title X training and grant access

If enacted, the bill would let organizations that mainly provide restorative reproductive medicine be eligible for Title X grants. The Reproductive Health National Training Center would update its materials and must provide training and toolkits to Title X staff beginning not later than 2 years after enactment. The Teen Pregnancy Prevention program would create application pathways and outreach for applicants focused on restorative reproductive medicine and fertility-awareness methods and report on recipients within 18 months.

Sponsors & CoSponsors

Sponsor

Harshbarger, Diana [R-TN-1]

TN • R

Cosponsors

  • Rep. Moore, Riley M. [R-WV-2]

    WV • R

    Sponsored 5/23/2025

  • Rep. LaMalfa, Doug [R-CA-1]

    CA • R

    Sponsored 6/5/2025

  • Rep. Babin, Brian [R-TX-36]

    TX • R

    Sponsored 6/5/2025

  • Rep. Harris, Andy [R-MD-1]

    MD • R

    Sponsored 7/25/2025

  • Rep. Begich, Nicholas J. [R-AK-At Large]

    AK • R

    Sponsored 9/2/2025

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov
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