Sponsors (2)
The bill expands and clarifies TRICARE fertility coverage for service members and their families—improving access and reducing out-of-pocket costs—while raising DoD/taxpayer costs and leaving some limits and implementation uncertainties that could affect who benefits in practice.
Active-duty service members and their dependents will have infertility diagnosis and a range of fertility treatments covered under TRICARE Prime and Select, reducing out-of-pocket costs for military families.
Individuals can undergo unlimited embryo transfer procedures (per ASRM guidance) without extra coverage limits, increasing the practical chances of achieving pregnancy for covered patients.
Capping IVF oocyte retrievals at three per individual provides multiple attempts while placing a limit to help contain costs, balancing access with fiscal controls.
Taxpayers and the Department of Defense budget may face higher costs to fund expanded fertility benefits under TRICARE, potentially requiring tradeoffs elsewhere in military health spending or personnel benefits.
Limiting oocyte retrievals to three may leave individuals with lower IVF success rates without covered options for additional attempts, reducing the likelihood of pregnancy for some couples.
Implementing the new coordination program and provider training will require administrative setup that could cause short-term scheduling delays or uneven access until the program is fully operational.
Based on analysis of 2 sections of legislative text.
Requires TRICARE Prime and Select to cover fertility care (IVF capped at three oocyte retrievals per person) and creates a DoD coordination and provider training program.
Introduced April 1, 2025 by Sara Jacobs · Last progress April 1, 2025
Requires TRICARE Prime and TRICARE Select to cover fertility-related care for active-duty service members and their dependents, including in vitro fertilization (IVF) with a cap of up to three completed oocyte retrievals per individual and unlimited embryo transfers consistent with medical guidelines. Directs the Department of Defense to create a program to coordinate fertility care and to train and support community healthcare providers on the unique needs of service members and families; changes take effect for services on or after October 1, 2027.