Fertility Care and IVF Access in 2025: State Legislation and Federal Policy Highlights

Twenty-five states now require insurance coverage for fertility care as federal officials create new employer benefit pathways and negotiate lower drug prices. California delayed implementation of comprehensive IVF coverage mandates until 2026, while Virginia's commission drafted legislation requiring three IVF cycles in benchmark plans. Arkansas became the first state enacting restorative reproductive medicine legislation, though Nevada's governor vetoed broader Medicaid fertility coverage citing fiscal concerns.