# 119-hr-8119: HOPE with Fertility Services Act

119-hr-8119, HOPE with Fertility Services Act, is a 119th Congress bill sponsored by Rep. Nunn, Zachary [R-IA-3] (R-IA); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-8119
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-8119
- Congress: 119
- Title: HOPE with Fertility Services Act
- Status: introduced
- Introduced: 2026-03-26
- Sponsor: Rep. Nunn, Zachary [R-IA-3] (R-IA)
- Cosponsors: 21
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**Require group health plans and issuers to cover infertility and iatrogenic infertility treatments.** This bill would define infertility and medical (iatrogenic) infertility and set national standards for coverage, limits, reporting, and enforcement for employer-sponsored group plans. - Families and patients: People diagnosed with infertility or whose fertility is threatened by medical care would be eligible for a range of treatments. Covered services would include procedures that handle eggs, sperm, and embryos like IVF and cryopreservation, as well as non‑handling treatments such as ovulation induction and intrauterine insemination. - Plans and employers: Group health plans that offer obstetrical services would have to provide infertility coverage and could apply standard medical necessity checks and cost sharing so long as those rules are not more restrictive than for other medical benefits. Plans must run and submit annual utilization management analyses for the first five plan years and face civil penalties up to $100 per day for wrongful denials or missing submissions. - Providers and enforcement: The bill would bar incentives or penalties that discourage needed treatments and block restrictions on provider discussions of options. Plans must notify enrollees starting in the second plan year after enactment and the rules apply to plan years beginning after January 1, 2027.

## Cosponsors (21)

- Rep. Wasserman Schultz, Debbie [D-FL-25] (D-FL), 2026-03-26T00:00:00.000Z
- Rep. Malliotakis, Nicole [R-NY-11] (R-NY), 2026-03-26T00:00:00.000Z
- Rep. Houlahan, Chrissy [D-PA-6] (D-PA), 2026-03-26T00:00:00.000Z
- Rep. Lee, Laurel M. [R-FL-15] (R-FL), 2026-03-26T00:00:00.000Z
- Rep. Norcross, Donald [D-NJ-1] (D-NJ), 2026-03-26T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2026-03-26T00:00:00.000Z
- Rep. Ryan, Patrick [D-NY-18] (D-NY), 2026-03-26T00:00:00.000Z
- Rep. Kim, Young [R-CA-40] (R-CA), 2026-03-26T00:00:00.000Z
- Rep. Goldman, Daniel S. [D-NY-10] (D-NY), 2026-03-26T00:00:00.000Z
- Rep. Van Orden, Derrick [R-WI-3] (R-WI), 2026-03-26T00:00:00.000Z
- Rep. Landsman, Greg [D-OH-1] (D-OH), 2026-03-26T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2026-03-26T00:00:00.000Z
- Rep. Carter, John R. [R-TX-31] (R-TX), 2026-04-14T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2026-04-15T00:00:00.000Z
- Rep. Bergman, Jack [R-MI-1] (R-MI), 2026-04-20T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2026-04-15T00:00:00.000Z
- Rep. Kiley, Kevin [I-CA-3] (I-CA), 2026-04-20T00:00:00.000Z
- Rep. Riley, Josh [D-NY-19] (D-NY), 2026-04-27T00:00:00.000Z
- Rep. Mackenzie, Ryan [R-PA-7] (R-PA), 2026-06-02T00:00:00.000Z
- Rep. Van Drew, Jefferson [R-NJ-2] (R-NJ), 2026-06-08T00:00:00.000Z
- Rep. Whitesides, George [D-CA-27] (D-CA), 2026-07-14T00:00:00.000Z

## Provisions PRIA read

- Fertility coverage for employer plans: benefit, high. If enacted, your employer's group health plan would have to cover infertility treatment and standard fertility preservation when the plan offers obstetrical services. Preservation must be covered when a planned medical treatment (surgery, radiation, chemotherapy, or myeloablative conditioning) coul…
- Fines for insurers who deny care: benefit, medium. If enacted, the Secretary would be able to assess civil penalties against health insurers for two failures for plan years beginning on or after January 1, 2027. The Secretary could fine up to $100 per day for each person an issuer wrongly denies required infertility or iatrogenic infertility covera…
- Corrective actions and enrollee notices: benefit, low. If enacted, when the Secretary notifies a plan or issuer of noncompliance, the plan would have 45 days to provide corrective actions and extra analyses. If the plan remains noncompliant after that period, the plan would have to notify all affected enrollees within 7 days of the final determination.…
- Utilization reporting for fertility care: benefit, low. If enacted, group plans that use prior authorization, step therapy, or other utilization tools for infertility benefits would have to document and analyze those tools. Plans must submit annual utilization-management analyses to the Secretary for the first five plan years beginning after January 1,…

## Related bills

- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-1422: Enhanced Iran Sanctions Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-2048: Metastatic Breast Cancer Access to Care Act
- 119-hr-1229: United States-Israel Defense Partnership Act of 2025

## Sources
- [119-hr-8119 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/8119)

## Related
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-1422: Enhanced Iran Sanctions Act of 2025](https://policyrisk.com/legislation/119-hr-1422)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-2048: Metastatic Breast Cancer Access to Care Act](https://policyrisk.com/legislation/119-hr-2048)
- [119-hr-1229: United States-Israel Defense Partnership Act of 2025](https://policyrisk.com/legislation/119-hr-1229)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-8119 (as of 2026-09-21).