RESTORE Act
Sponsored By: Representative Harshbarger, Diana [R-TN-1]
Introduced
Summary
Focuses federal attention on restorative reproductive medicine. This bill would push federal research, training, and payment rules toward treating reproductive health conditions through restorative reproductive medicine, and it sets conscience protections for providers.
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- Broadens Title X to include entities focused on restorative reproductive medicine and requires Title X staff training to start within 2 years. It also opens Teen Pregnancy Prevention grant eligibility to those entities, requires a public report on grant recipients in 18 months, and mandates male infertility education plans in 18 months.
- Protects health care providers who decline to participate in assisted reproductive technology from discrimination, penalty, or retaliation by federal programs and by entities that receive federal funds when the refusal is based on religious beliefs or moral convictions.
- Directs HHS to coordinate expanded research across agencies and publish an initial public research report within 2 years with literature reviews every 3 years. It also requires updates to ICD-10 codes, new CPT and HCPCS billing codes, actuarial analyses, and a bundled payment model covering diagnostics, treatment, surgery, education, and care coordination.
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 3 benefits, 0 costs, 1 mixed.
Medicare and Medicaid fertility billing updates
If enacted, HHS would work with CMS, CDC’s stats office, and the AMA to update diagnosis and billing codes for infertility and restorative reproductive care. Examples include endometriosis, PCOS, fibroids, and minimally invasive surgeries. They would also set new RVUs, reimbursement rates, and a bundled payment model for restorative care. This must be finished within 1 year of enactment. These changes could affect what providers are paid and what patients pay out of pocket under Medicare and Medicaid.
More research, data, and education on fertility
If enacted, HHS would expand research on reproductive health and infertility and post a public report within 2 years. The Assistant Secretary for Health would report on standards of care and coverage within 2 years, then every 3 years. CDC would review the National Survey of Family Growth and report within 3 years, then every 3 years. HHS would develop education plans on male infertility and post them within 18 months. The bill sets clear definitions for infertility, assisted reproduction, and restorative care to guide these efforts.
Title X and teen program expansions
If enacted, more organizations mainly focused on restorative reproductive medicine could qualify for Title X grants. Starting within 2 years, Title X-funded programs would need training from the national training center on restorative care and fertility-awareness methods. The Teen Pregnancy Prevention program would also reach out to applicants focused on these services and methods. A report on Teen Pregnancy Prevention grantees would be due within 18 months. Together, this could expand services, training, and education in family planning programs.
Protections for providers refusing assisted reproduction
If enacted, the federal government and any recipient of federal funds would be barred from punishing a health care provider who refuses to take part in assisted reproductive technology. Refusals could be for religious or moral reasons. This could protect some providers but may affect local access to those services.
Sponsors & CoSponsors
Sponsor
Harshbarger, Diana [R-TN-1]
TN • R
Cosponsors
Moore (WV)
WV • R
Sponsored 5/23/2025
LaMalfa
CA • R
Sponsored 6/5/2025
Babin
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.
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