HR9941119th CongressWALLET

Right to IVF Act of 2026

Sponsored By: Representative Trahan, Lori [D-MA-3]

Introduced

Summary

Protect access to assisted reproductive technology (ART) and intrauterine insemination (IUI) nationwide. This bill would create federal rights to receive and provide ART/IUI, require coverage across major federal programs and private plans, and block state limits that conflict with medical society guidance.

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Bill Overview

Analyzed Economic Effects

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

Medicaid must cover IVF and IUI

If enacted, State Medicaid programs would be required to cover ART and IUI as part of family planning services starting October 1, 2027. If a State needs new legislation to comply, HHS can delay the start for that State until after its next legislative session ends. This would expand fertility care coverage for low-income beneficiaries when State plans are updated.

Medicare pays for IVF and IUI

If enacted, Medicare would cover ART and IUI for services provided on or after January 1, 2027. Medicare payment would equal 100% of the lesser of the provider charge or the Section 1848 payment amount, and the Medicare Part B deductible would not apply to ART/IUI. The Physician Fee Schedule would be adjusted to recognize these services.

Private and employer plan IVF coverage

If enacted, group and individual health plans subject to federal law would have to cover ART and IUI when a licensed provider says it is appropriate, even if you do not have an infertility diagnosis. Plans could not make your ART/IUI cost-sharing or other limits worse than comparable medical services. Plans must give written notice about these benefits, and the rule would start for plan years that begin six months after enactment (with a limited collective‑bargaining exception).

Military and Veteran fertility care

If enacted, the Department of Defense and VA would provide ART, IUI, and related counseling to service members, covered veterans, and their spouses, partners, donors, or gestational surrogates. IVF would be limited to no more than three completed egg (oocyte) retrievals per person, but embryo transfers could be unlimited. DoD would pay for fertility preservation, freezing, storage, and transport at no cost until one year after separation or retirement, and DoD and VA could pay or reimburse reasonable donor procurement and travel expenses. DoD must help members navigate care and keep services during moves, members who freeze material would complete consent and disposition directives, and DoD and VA must coordinate access to stored reproductive material.

Federal employee health plans add IVF

If enacted, Federal Employees Health Benefits plans would be required to include assisted reproductive technology and intrauterine insemination benefits. This change would take effect one year after enactment and would follow the Act's definitions of ART and IUI.

Federal rights and state preemption for IVF

If enacted, the bill would create federal rights to receive and provide ART and IUI and would block State laws that conflict with those federal rights. The Attorney General and private parties could sue to stop state restrictions and recover legal costs, and HHS would have to issue implementing rules within 180 days. Preemption would not apply to certain State dispute rules or State laws that protect ART consistent with professional guidance.

Sponsors & CoSponsors

Sponsor

Trahan, Lori [D-MA-3]

MA • D

Cosponsors

  • Rep. DeLauro, Rosa L. [D-CT-3]

    CT • D

    Sponsored 7/23/2026

  • Rep. Gillen, Laura [D-NY-4]

    NY • D

    Sponsored 7/23/2026

  • Rep. Larsen, Rick [D-WA-2]

    WA • D

    Sponsored 7/23/2026

  • Rep. Walkinshaw, James R. [D-VA-11]

    VA • D

    Sponsored 7/23/2026

  • Rep. Amo, Gabe [D-RI-1]

    RI • D

    Sponsored 7/23/2026

  • Rep. Ansari, Yassamin [D-AZ-3]

    AZ • D

    Sponsored 7/23/2026

  • Rep. Auchincloss, Jake [D-MA-4]

    MA • D

    Sponsored 7/23/2026

  • Rep. Barragán, Nanette Diaz [D-CA-44]

    CA • D

    Sponsored 7/23/2026

  • Rep. Beatty, Joyce [D-OH-3]

    OH • D

    Sponsored 7/23/2026

  • Rep. Bell, Wesley [D-MO-1]

    MO • D

    Sponsored 7/23/2026

  • Rep. Brownley, Julia [D-CA-26]

    CA • D

    Sponsored 7/23/2026

  • Rep. Budzinski, Nikki [D-IL-13]

    IL • D

    Sponsored 7/23/2026

  • Rep. Bynum, Janelle S. [D-OR-5]

    OR • D

    Sponsored 7/23/2026

  • Rep. Carbajal, Salud O. [D-CA-24]

    CA • D

    Sponsored 7/23/2026

  • Rep. Carson, André [D-IN-7]

    IN • D

    Sponsored 7/23/2026

  • Rep. Carter, Troy A. [D-LA-2]

    LA • D

    Sponsored 7/23/2026

  • Rep. Castor, Kathy [D-FL-14]

    FL • D

    Sponsored 7/23/2026

  • Rep. Chu, Judy [D-CA-28]

    CA • D

    Sponsored 7/23/2026

  • Rep. Clarke, Yvette D. [D-NY-9]

    NY • D

    Sponsored 7/23/2026

  • Rep. Cleaver, Emanuel [D-MO-5]

    MO • D

    Sponsored 7/23/2026

  • Rep. Cohen, Steve [D-TN-9]

    TN • D

    Sponsored 7/23/2026

  • Rep. Courtney, Joe [D-CT-2]

    CT • D

    Sponsored 7/23/2026

  • Rep. Craig, Angie [D-MN-2]

    MN • D

    Sponsored 7/23/2026

  • Rep. Crockett, Jasmine [D-TX-30]

    TX • D

    Sponsored 7/23/2026

  • Rep. Davis, Danny K. [D-IL-7]

    IL • D

    Sponsored 7/23/2026

  • Rep. DeGette, Diana [D-CO-1]

    CO • D

    Sponsored 7/23/2026

  • Rep. DelBene, Suzan K. [D-WA-1]

    WA • D

    Sponsored 7/23/2026

  • Rep. Deluzio, Christopher R. [D-PA-17]

    PA • D

    Sponsored 7/23/2026

  • Rep. Dingell, Debbie [D-MI-6]

    MI • D

    Sponsored 7/23/2026

  • Rep. Elfreth, Sarah [D-MD-3]

    MD • D

    Sponsored 7/23/2026

  • Rep. Escobar, Veronica [D-TX-16]

    TX • D

    Sponsored 7/23/2026

  • Rep. Espaillat, Adriano [D-NY-13]

    NY • D

    Sponsored 7/23/2026

  • Rep. Evans, Dwight [D-PA-3]

    PA • D

    Sponsored 7/23/2026

  • Rep. Fletcher, Lizzie [D-TX-7]

    TX • D

    Sponsored 7/23/2026

  • Rep. Foster, Bill [D-IL-11]

    IL • D

    Sponsored 7/23/2026

  • Rep. Foushee, Valerie P. [D-NC-4]

    NC • D

    Sponsored 7/23/2026

  • Rep. Frankel, Lois [D-FL-22]

    FL • D

    Sponsored 7/23/2026

  • Rep. Friedman, Laura [D-CA-30]

    CA • D

    Sponsored 7/23/2026

  • Rep. Frost, Maxwell [D-FL-10]

    FL • D

    Sponsored 7/23/2026

  • Rep. Garamendi, John [D-CA-8]

    CA • D

    Sponsored 7/23/2026

  • Rep. García, Jesús G. "Chuy" [D-IL-4]

    IL • D

    Sponsored 7/23/2026

  • Rep. Garcia, Sylvia R. [D-TX-29]

    TX • D

    Sponsored 7/23/2026

  • Rep. Gottheimer, Josh [D-NJ-5]

    NJ • D

    Sponsored 7/23/2026

  • Rep. Grijalva, Adelita S. [D-AZ-7]

    AZ • D

    Sponsored 7/23/2026

  • Rep. Hayes, Jahana [D-CT-5]

    CT • D

    Sponsored 7/23/2026

  • Rep. Houlahan, Chrissy [D-PA-6]

    PA • D

    Sponsored 7/23/2026

  • Hoyer

    MD • D

    Sponsored 7/23/2026

  • Rep. Hoyle, Val T. [D-OR-4]

    OR • D

    Sponsored 7/23/2026

  • Rep. Ivey, Glenn [D-MD-4]

    MD • D

    Sponsored 7/23/2026

  • Rep. Jackson, Jonathan L. [D-IL-1]

    IL • D

    Sponsored 7/23/2026

  • Rep. Johnson, Henry C. "Hank" [D-GA-4]

    GA • D

    Sponsored 7/23/2026

  • Rep. Johnson, Julie [D-TX-32]

    TX • D

    Sponsored 7/23/2026

  • Rep. Kamlager-Dove, Sydney [D-CA-37]

    CA • D

    Sponsored 7/23/2026

  • Rep. Kelly, Robin L. [D-IL-2]

    IL • D

    Sponsored 7/23/2026

  • Rep. Kennedy, Timothy M. [D-NY-26]

    NY • D

    Sponsored 7/23/2026

  • Rep. Khanna, Ro [D-CA-17]

    CA • D

    Sponsored 7/23/2026

  • Rep. Larson, John B. [D-CT-1]

    CT • D

    Sponsored 7/23/2026

  • Rep. Latimer, George [D-NY-16]

    NY • D

    Sponsored 7/23/2026

  • Rep. Lee, Susie [D-NV-3]

    NV • D

    Sponsored 7/23/2026

  • Rep. Leger Fernandez, Teresa [D-NM-3]

    NM • D

    Sponsored 7/23/2026

  • Rep. Levin, Mike [D-CA-49]

    CA • D

    Sponsored 7/23/2026

  • Rep. Lieu, Ted [D-CA-36]

    CA • D

    Sponsored 7/23/2026

  • Rep. Lynch, Stephen F. [D-MA-8]

    MA • D

    Sponsored 7/23/2026

  • Rep. Mannion, John W. [D-NY-22]

    NY • D

    Sponsored 7/23/2026

  • Rep. Matsui, Doris O. [D-CA-7]

    CA • D

    Sponsored 7/23/2026

  • Rep. McBath, Lucy [D-GA-6]

    GA • D

    Sponsored 7/23/2026

  • Rep. McBride, Sarah [D-DE-At Large]

    DE • D

    Sponsored 7/23/2026

  • Rep. McClain Delaney, April [D-MD-6]

    MD • D

    Sponsored 7/23/2026

  • Rep. McClellan, Jennifer L. [D-VA-4]

    VA • D

    Sponsored 7/23/2026

  • Rep. McGarvey, Morgan [D-KY-3]

    KY • D

    Sponsored 7/23/2026

  • Rep. McGovern, James P. [D-MA-2]

    MA • D

    Sponsored 7/23/2026

  • Mejia

    NJ • D

    Sponsored 7/23/2026

  • Rep. Menendez, Robert [D-NJ-8]

    NJ • D

    Sponsored 7/23/2026

  • Rep. Moore, Gwen [D-WI-4]

    WI • D

    Sponsored 7/23/2026

  • Rep. Morelle, Joseph D. [D-NY-25]

    NY • D

    Sponsored 7/23/2026

  • Rep. Morrison, Kelly [D-MN-3]

    MN • D

    Sponsored 7/23/2026

  • Rep. Moulton, Seth [D-MA-6]

    MA • D

    Sponsored 7/23/2026

  • Rep. Mullin, Kevin [D-CA-15]

    CA • D

    Sponsored 7/23/2026

  • Rep. Nadler, Jerrold [D-NY-12]

    NY • D

    Sponsored 7/23/2026

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 7/23/2026

  • Rep. Ocasio-Cortez, Alexandria [D-NY-14]

    NY • D

    Sponsored 7/23/2026

  • Rep. Olszewski, Johnny [D-MD-2]

    MD • D

    Sponsored 7/23/2026

  • Pelosi

    CA • D

    Sponsored 7/23/2026

  • Rep. Peters, Scott H. [D-CA-50]

    CA • D

    Sponsored 7/23/2026

  • Rep. Pettersen, Brittany [D-CO-7]

    CO • D

    Sponsored 7/23/2026

  • Rep. Pingree, Chellie [D-ME-1]

    ME • D

    Sponsored 7/23/2026

  • Rep. Pocan, Mark [D-WI-2]

    WI • D

    Sponsored 7/23/2026

  • Rep. Pou, Nellie [D-NJ-9]

    NJ • D

    Sponsored 7/23/2026

  • Rep. Pressley, Ayanna [D-MA-7]

    MA • D

    Sponsored 7/23/2026

  • Rep. Quigley, Mike [D-IL-5]

    IL • D

    Sponsored 7/23/2026

  • Rep. Ramirez, Delia C. [D-IL-3]

    IL • D

    Sponsored 7/23/2026

  • Rep. Randall, Emily [D-WA-6]

    WA • D

    Sponsored 7/23/2026

  • Rep. Riley, Josh [D-NY-19]

    NY • D

    Sponsored 7/23/2026

  • Rep. Ross, Deborah K. [D-NC-2]

    NC • D

    Sponsored 7/23/2026

  • Rep. Ryan, Patrick [D-NY-18]

    NY • D

    Sponsored 7/23/2026

  • Rep. Sánchez, Linda T. [D-CA-38]

    CA • D

    Sponsored 7/23/2026

  • Rep. Scanlon, Mary Gay [D-PA-5]

    PA • D

    Sponsored 7/23/2026

  • Rep. Schakowsky, Janice D. [D-IL-9]

    IL • D

    Sponsored 7/23/2026

  • Rep. Schneider, Bradley Scott [D-IL-10]

    IL • D

    Sponsored 7/23/2026

  • Rep. Schrier, Kim [D-WA-8]

    WA • D

    Sponsored 7/23/2026

  • Rep. Smith, Adam [D-WA-9]

    WA • D

    Sponsored 7/23/2026

  • Rep. Soto, Darren [D-FL-9]

    FL • D

    Sponsored 7/23/2026

  • Rep. Stansbury, Melanie A. [D-NM-1]

    NM • D

    Sponsored 7/23/2026

  • Rep. Stanton, Greg [D-AZ-4]

    AZ • D

    Sponsored 7/23/2026

  • Rep. Stevens, Haley M. [D-MI-11]

    MI • D

    Sponsored 7/23/2026

  • Rep. Takano, Mark [D-CA-39]

    CA • D

    Sponsored 7/23/2026

  • Rep. Thanedar, Shri [D-MI-13]

    MI • D

    Sponsored 7/23/2026

  • Rep. Titus, Dina [D-NV-1]

    NV • D

    Sponsored 7/23/2026

  • Rep. Tlaib, Rashida [D-MI-12]

    MI • D

    Sponsored 7/23/2026

  • Rep. Tonko, Paul [D-NY-20]

    NY • D

    Sponsored 7/23/2026

  • Rep. Torres, Norma J. [D-CA-35]

    CA • D

    Sponsored 7/23/2026

  • Rep. Torres, Ritchie [D-NY-15]

    NY • D

    Sponsored 7/23/2026

  • Rep. Tran, Derek [D-CA-45]

    CA • D

    Sponsored 7/23/2026

  • Rep. Veasey, Marc A. [D-TX-33]

    TX • D

    Sponsored 7/23/2026

  • Rep. Velázquez, Nydia M. [D-NY-7]

    NY • D

    Sponsored 7/23/2026

  • Rep. Vindman, Eugene Simon [D-VA-7]

    VA • D

    Sponsored 7/23/2026

  • Rep. Wasserman Schultz, Debbie [D-FL-25]

    FL • D

    Sponsored 7/23/2026

  • Rep. Williams, Nikema [D-GA-5]

    GA • D

    Sponsored 7/23/2026

  • Rep. Wilson, Frederica S. [D-FL-24]

    FL • D

    Sponsored 7/23/2026

  • Rep. Horsford, Steven [D-NV-4]

    NV • D

    Sponsored 7/23/2026

  • Rep. Meng, Grace [D-NY-6]

    NY • D

    Sponsored 7/23/2026

  • Rep. Sykes, Emilia Strong [D-OH-13]

    OH • D

    Sponsored 8/3/2026

  • Rep. Lee, Summer L. [D-PA-12]

    PA • D

    Sponsored 8/3/2026

  • Rep. Jayapal, Pramila [D-WA-7]

    WA • D

    Sponsored 8/3/2026

  • Rep. Landsman, Greg [D-OH-1]

    OH • D

    Sponsored 8/10/2026

Roll Call Votes

No roll call votes available for this bill.

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