Sponsors (2)
The bill substantially expands fertility coverage and access for active-duty members and their families—improving chances to build families—while increasing costs, administrative complexity, and potential service bottlenecks that may limit benefits for some patients.
Active-duty service members and their dependents will gain covered fertility diagnosis and treatments under TRICARE Prime and Select beginning Oct 1, 2027, reducing out-of-pocket costs for military families.
The DoD will create a coordination program and provide provider training to improve timely access and provider understanding of service members' fertility needs, which should reduce care delays and improve quality of care.
People receiving IVF can have embryo transfers consistent with ASRM guidelines without per-transfer cost limits, increasing chances of pregnancy for covered beneficiaries.
Taxpayers and the defense budget will face additional costs to fund expanded fertility treatments and the new DoD coordination/training program.
Capping IVF coverage at three completed oocyte retrievals may leave some patients who need more retrievals without coverage, limiting treatment for certain cases.
Expanding coverage is likely to increase demand for specialized fertility services, which could strain local providers and produce longer wait times in some areas.
Based on analysis of 2 sections of legislative text.
Requires TRICARE to cover broad fertility care—including IVF (up to three retrievals), gamete preservation, and related services—for active-duty members and dependents.
Introduced April 1, 2025 by Tammy Duckworth · Last progress April 1, 2025
Requires the Department of Defense to add fertility-related care to TRICARE Prime and TRICARE Select for active-duty service members and their dependents, including IVF, gamete preservation, artificial insemination, medications, and care coordination. Limits IVF to no more than three completed oocyte retrievals while allowing unlimited embryo transfers per professional guidance, creates a DoD program to coordinate care and train community providers, and makes the coverage changes effective for services provided on or after October 1, 2027. Does not provide a specific new appropriation; it inserts benefit and program requirements into Title 10 of U.S. Code and requires services to be furnished under the modified TRICARE rules starting Oct 1, 2027.