Sponsors (2)
The bill substantially expands TRICARE fertility coverage and support for service members and their families—improving access to family-building care—while increasing DoD healthcare costs and imposing certain coverage limits and administrative requirements.
Active-duty service members and their dependents will gain TRICARE coverage for fertility diagnosis and treatments (including IVF, gamete preservation, and medications), expanding access to family-building care.
Service members and service-member women may receive up to three completed oocyte retrievals under TRICARE, increasing the realistic chance to conceive while serving.
Allowed unlimited embryo transfers (within ASRM guidelines) can reduce the need for repeated egg retrieval cycles, lowering the physical and financial burden on patients.
All taxpayers and the DoD budget may face higher healthcare costs because expanding TRICARE to cover fertility treatments increases DoD healthcare spending.
Individuals who need more than three completed oocyte retrievals could face significant out-of-pocket costs because coverage is capped at three retrievals.
Requiring adherence to ASRM embryo transfer guidelines could limit clinician discretion and may not accommodate patients with atypical circumstances, potentially restricting personalized care.
Based on analysis of 2 sections of legislative text.
Requires TRICARE to cover fertility-related care (including IVF, retrieval/preservation, insemination, meds) and establishes a DoD program to coordinate care and train providers.
Introduced April 1, 2025 by Tammy Duckworth · Last progress April 1, 2025
Requires the Department of Defense to provide fertility-related medical care to active-duty uniformed service members and their dependents through TRICARE Prime and TRICARE Select. Covered care includes IVF, sperm/egg retrieval and preservation, artificial insemination, related medications, care coordination, and other clinically appropriate procedures. Limits IVF to no more than three completed oocyte retrievals per covered person while allowing unlimited embryo transfers consistent with professional (ASRM) guidance; defines infertility; creates a DoD program to coordinate fertility care and train/support community providers; and makes the changes effective for services furnished on or after October 1, 2027.