Sponsors (20)
The bill substantially expands fertility and adoption benefits for service members and veterans—improving access and equity—while increasing federal costs and leaving caps, administrative burdens, legal gaps, and implementation risks that may still impose out-of-pocket costs or delays for some beneficiaries.
Active-duty service members and veterans gain covered access to fertility counseling and treatments — including IVF with up to three completed oocyte retrievals and embryo transfers — reducing out-of-pocket costs and expanding reproductive care options.
Active-duty members deployed to combat zones or hazardous assignments receive no-cost fertility preservation (oocyte/sperm/embryo retrieval, cryopreservation, storage, shipping), protecting reproductive potential after service-related exposures or deployments.
DoD and VA coverage (or reimbursement) for procurement of donated reproductive genetic material and related reasonable travel/incidental expenses lowers financial barriers for service members and veterans who need donor gametes.
Expanding DoD and VA fertility and adoption benefits will increase federal spending, placing budgetary pressure on taxpayers and potentially requiring trade-offs or additional funding to avoid diverting resources from other programs.
Capping coverage at three completed oocyte retrievals for IVF may leave some individuals still needing additional cycles and incurring substantial private costs if further treatment is required.
Some veterans will remain subject to VA copayment rules for fertility services, resulting in out-of-pocket expenses despite expanded coverage for others.
Based on analysis of 4 sections of legislative text.
Requires DoD and VA to provide nondiscriminatory fertility treatment, counseling, IVF (up to three oocyte retrievals), reimbursement for donated material, and veteran adoption assistance.
Introduced August 1, 2025 by Richard Ray Larsen · Last progress August 1, 2025
Requires the Department of Defense to offer fertility treatment, counseling, and fertility preservation to active-duty service members and their spouses, partners, or gestational surrogates without discrimination by sex, gender identity, sexual orientation, infertility diagnosis, or marital status. Allows in vitro fertilization (IVF) with up to three completed oocyte retrievals per person and unlimited embryo transfers, permits use and reimbursement of donated reproductive genetic material, and requires procedures to preserve reproductive material for service members whose fertility may be harmed by injury or illness. Extends similar fertility treatment and counseling benefits through the Department of Veterans Affairs for enrolled veterans and adds an adoption-assistance payment authority for veterans (capped roughly at the cost of up to three adoptions). Requires nondiscrimination, outreach and training, VA–DoD–HHS research collaboration on infertility, and regulations to implement VA authorities within two years.